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Drug interactions

Eprosartan-hydrochlorothiazide + Methyclothiazide

Severity: Moderate

Eprosartan-hydrochlorothiazide and Methyclothiazide: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Methyclothiazide is a second thiazide diuretic, so combining it with a hydrochlorothiazide-containing product duplicates therapy. This adds to electrolyte disturbances such as hypokalemia, hyponatremia and hypomagnesemia, as well as volume depletion and hyperuricemia.

What this interaction means in plain words

Eprosartan-hydrochlorothiazide and Methyclothiazide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Moderate

Why it happens

Therapeutic duplication of thiazide diuretics with additive renal sodium, potassium and magnesium loss.

What to do

Avoid using two thiazides together and discontinue one. If unavoidable, monitor electrolytes, renal function and blood pressure.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Eprosartan-hydrochlorothiazide with Methyclothiazide?

MediHelp rates the interaction as moderate. Eprosartan-hydrochlorothiazide and Methyclothiazide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Methyclothiazide is a second thiazide diuretic, so combining it with a hydrochlorothiazide-containing product duplicates therapy. This adds to electrolyte disturbances such as hypokalemia, hyponatremia and hypomagnesemia, as well as volume depletion and hyperuricemia.

How serious is the interaction between Eprosartan-hydrochlorothiazide and Methyclothiazide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid using two thiazides together and discontinue one. If unavoidable, monitor electrolytes, renal function and blood pressure.

What other medicines interact with Eprosartan-hydrochlorothiazide?

MediHelp also lists interactions of Eprosartan-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Eprosartan-hydrochlorothiazide page.

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