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Drug interactions

Eprosartan-hydrochlorothiazide + Sparsentan

Severity: Contraindicated

Eprosartan-hydrochlorothiazide and Sparsentan: contraindicated 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

Sparsentan also blocks the angiotensin II receptor, so adding eprosartan duplicates this action. This raises the risk of hypotension, syncope, hyperkalemia and acute kidney injury.

What this interaction means in plain words

Eprosartan-hydrochlorothiazide and Sparsentan are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

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

Evidence level: High

Why it happens

Additive pharmacodynamic angiotensin II type 1 receptor blockade.

What to do

Do not combine; stop the ARB before starting sparsentan.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Sparsentan?

MediHelp rates the interaction as contraindicated. Eprosartan-hydrochlorothiazide and Sparsentan are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Sparsentan also blocks the angiotensin II receptor, so adding eprosartan duplicates this action. This raises the risk of hypotension, syncope, hyperkalemia and acute kidney injury.

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

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not combine; stop the ARB before starting sparsentan.

What other medicines interact with Eprosartan-hydrochlorothiazide?

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

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