Drug interactions
Fosinopril-hydrochlorothiazide + Pioglitazone
Severity: Minor
Fosinopril-hydrochlorothiazide and Pioglitazone: 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 may raise blood glucose and partially offset the glucose-lowering effect of pioglitazone. The effect is usually small at low thiazide doses.
What this interaction means in plain words
Fosinopril-hydrochlorothiazide and Pioglitazone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Fosinopril-hydrochlorothiazide belongs to Cardiovascular; Pioglitazone belongs to Endocrine.
Why it happens
Thiazide-induced reduction in glucose tolerance opposes the insulin-sensitizing effect.
What to do
Monitor blood glucose and HbA1c after thiazide initiation or dose changes and adjust antidiabetic therapy 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?
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Other interactions of Fosinopril-hydrochlorothiazide
- Aliskiren + Fosinopril-hydrochlorothiazide Contraindicated
- Dofetilide + Fosinopril-hydrochlorothiazide Contraindicated
- Fosinopril-hydrochlorothiazide + Protein a column Contraindicated
- Fosinopril-hydrochlorothiazide + Sacubitril / valsartan Contraindicated
- Aldesleukin + Fosinopril-hydrochlorothiazide Major
- Amifostine + Fosinopril-hydrochlorothiazide Major
Other interactions of Pioglitazone
Frequently asked questions
Can I take Fosinopril-hydrochlorothiazide with Pioglitazone?
MediHelp rates the interaction as minor. Fosinopril-hydrochlorothiazide and Pioglitazone 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 may raise blood glucose and partially offset the glucose-lowering effect of pioglitazone. The effect is usually small at low thiazide doses.
How serious is the interaction between Fosinopril-hydrochlorothiazide and Pioglitazone?
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 glucose and HbA1c after thiazide initiation or dose changes and adjust antidiabetic therapy 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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