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Drug interactions

Furosemide + Triclofos

Severity: Moderate

Furosemide and Triclofos: 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

Triclofos is metabolized to trichloroethanol, like chloral hydrate. Chloral hydrate given with intravenous furosemide has caused sweating, flushing and blood pressure changes, thought to be due to displacement of thyroid hormone binding or a hypermetabolic state. The reaction is transient and uncommon.

What this interaction means in plain words

Furosemide and Triclofos 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: Low

Why it happens

Proposed protein-binding displacement and altered vasomotor response; the mechanism is not firmly established.

What to do

Monitor blood pressure and symptoms if used together, especially with intravenous furosemide, and consider another sedative if reactions occur.

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 Triclofos?

MediHelp rates the interaction as moderate. Furosemide and Triclofos 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. Triclofos is metabolized to trichloroethanol, like chloral hydrate. Chloral hydrate given with intravenous furosemide has caused sweating, flushing and blood pressure changes, thought to be due to displacement of thyroid hormone binding or a hypermetabolic state. The reaction is transient and uncommon.

How serious is the interaction between Furosemide and Triclofos?

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 and symptoms if used together, especially with intravenous furosemide, and consider another sedative if reactions occur.

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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