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Drug interactions

Folic acid + Hydrochlorothiazide-lisinopril

Severity: Minor

Folic acid and Hydrochlorothiazide-lisinopril: 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

Diuretics may slightly increase urinary folate loss, but there is little evidence of clinical folate deficiency from this effect in patients with adequate diet.

What this interaction means in plain words

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

Folic acid belongs to Miscellaneous; Hydrochlorothiazide-lisinopril belongs to Cardiovascular.

Evidence level: Low

Why it happens

Possible increased renal folate excretion; the mechanism is not well established.

What to do

No action is generally needed; check folate status only in patients with poor nutrition or anemia.

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 Folic acid with Hydrochlorothiazide-lisinopril?

MediHelp rates the interaction as minor. Folic acid and Hydrochlorothiazide-lisinopril have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Diuretics may slightly increase urinary folate loss, but there is little evidence of clinical folate deficiency from this effect in patients with adequate diet.

How serious is the interaction between Folic acid and Hydrochlorothiazide-lisinopril?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No action is generally needed; check folate status only in patients with poor nutrition or anemia.

What other medicines interact with Hydrochlorothiazide-lisinopril?

MediHelp also lists interactions of Hydrochlorothiazide-lisinopril with, for example, Dofetilide, Sacubitril / valsartan, Amifostine. The full list is on the Hydrochlorothiazide-lisinopril page.

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