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Drug interactions

Fentanyl intranasal + Fosinopril-hydrochlorothiazide

Severity: Minor

Fentanyl intranasal and Fosinopril-hydrochlorothiazide: 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

Fentanyl can trigger antidiuretic hormone release and may reduce diuretic effect. It can also cause hypotension, adding to antihypertensive effects.

What this interaction means in plain words

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

Evidence level: Low

Why it happens

Opioid-induced antidiuretic hormone release opposes diuresis, with additive hypotension.

What to do

Monitor blood pressure, fluid balance and sodium, and adjust diuretic dosing as needed.

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 Fentanyl intranasal with Fosinopril-hydrochlorothiazide?

MediHelp rates the interaction as minor. Fentanyl intranasal and Fosinopril-hydrochlorothiazide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Fentanyl can trigger antidiuretic hormone release and may reduce diuretic effect. It can also cause hypotension, adding to antihypertensive effects.

How serious is the interaction between Fentanyl intranasal and Fosinopril-hydrochlorothiazide?

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 blood pressure, fluid balance and sodium, and adjust diuretic dosing as needed.

What other medicines interact with Fosinopril-hydrochlorothiazide?

MediHelp also lists interactions of Fosinopril-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Protein a column. The full list is on the Fosinopril-hydrochlorothiazide page.

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