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Drug interactions

Furosemide + Triamterene

Severity: Moderate

Furosemide and Triamterene: 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

Furosemide causes potassium loss while triamterene retains it, and the two are sometimes combined for this reason. Potassium can still become too high, especially in renal impairment, or too low with excessive loop diuresis.

What this interaction means in plain words

Furosemide and Triamterene 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.

Furosemide belongs to Cardiovascular; Triamterene belongs to Cardiovascular.

Evidence level: High

Why it happens

Opposing effects on renal potassium handling: loop diuretic kaliuresis versus triamterene ENaC blockade in the collecting duct.

What to do

Monitor serum potassium and renal function regularly, especially after dose changes. Avoid potassium supplements unless hypokalemia is documented.

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 Furosemide with Triamterene?

MediHelp rates the interaction as moderate. Furosemide and Triamterene 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. Furosemide causes potassium loss while triamterene retains it, and the two are sometimes combined for this reason. Potassium can still become too high, especially in renal impairment, or too low with excessive loop diuresis.

How serious is the interaction between Furosemide and Triamterene?

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 serum potassium and renal function regularly, especially after dose changes. Avoid potassium supplements unless hypokalemia is documented.

What other medicines interact with Furosemide?

MediHelp also lists interactions of Furosemide with, for example, Amifostine, Amikacin, Carbenoxolone. The full list is on the Furosemide page.

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