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Drug interactions

Eprosartan-hydrochlorothiazide + Probenecid

Severity: Minor

Eprosartan-hydrochlorothiazide and Probenecid: minor 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

Hydrochlorothiazide can raise serum uric acid and may reduce the uricosuric effect of probenecid. Thiazides also compete for renal tubular secretion, which may alter exposure to both drugs.

What this interaction means in plain words

Eprosartan-hydrochlorothiazide and Probenecid have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Eprosartan-hydrochlorothiazide belongs to Cardiovascular; Probenecid belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Competition for organic anion secretion in the proximal tubule, together with thiazide-induced hyperuricemia that opposes uricosuric action.

What to do

Monitor serum uric acid and gout control, and adjust the probenecid dose if efficacy falls. Consider an alternative antihypertensive in patients with difficult gout.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Probenecid?

MediHelp rates the interaction as minor. Eprosartan-hydrochlorothiazide and Probenecid have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Hydrochlorothiazide can raise serum uric acid and may reduce the uricosuric effect of probenecid. Thiazides also compete for renal tubular secretion, which may alter exposure to both drugs.

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

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum uric acid and gout control, and adjust the probenecid dose if efficacy falls. Consider an alternative antihypertensive in patients with difficult gout.

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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