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Drug interactions

Fenbufen + Hydrochlorothiazide

Severity: Moderate

Fenbufen and Hydrochlorothiazide: 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

NSAIDs such as fenbufen can blunt the diuretic and antihypertensive effect of thiazides and may impair renal function. Competition for tubular secretion may also change exposure to either drug.

What this interaction means in plain words

Fenbufen and Hydrochlorothiazide 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

NSAID inhibition of renal prostaglandins causes sodium and water retention, plus possible competition for renal anion transport.

What to do

Monitor blood pressure, edema, and renal function, particularly in older or volume-depleted patients, and use the lowest effective NSAID dose for the shortest time.

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 Fenbufen with Hydrochlorothiazide?

MediHelp rates the interaction as moderate. Fenbufen and Hydrochlorothiazide 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. NSAIDs such as fenbufen can blunt the diuretic and antihypertensive effect of thiazides and may impair renal function. Competition for tubular secretion may also change exposure to either drug.

How serious is the interaction between Fenbufen and Hydrochlorothiazide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure, edema, and renal function, particularly in older or volume-depleted patients, and use the lowest effective NSAID dose for the shortest time.

What other medicines interact with Hydrochlorothiazide?

MediHelp also lists interactions of Hydrochlorothiazide with, for example, Dofetilide, Amifostine, Amiodarone. The full list is on the Hydrochlorothiazide page.

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