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Drug interactions

Hydrochlorothiazide + Methoxsalen

Severity: Moderate

Hydrochlorothiazide and Methoxsalen: 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

Hydrochlorothiazide can cause photosensitivity, and methoxsalen is a potent photosensitizer used with UVA exposure. Together they may increase the risk of severe phototoxic reactions such as burns and blistering.

What this interaction means in plain words

Hydrochlorothiazide and Methoxsalen 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.

Hydrochlorothiazide belongs to Cardiovascular; Methoxsalen belongs to Anti Fungals.

Evidence level: Low

Why it happens

Additive photosensitizing effects of two agents that sensitize skin to ultraviolet light.

What to do

Review the need for the thiazide before phototherapy and adjust UVA dosing cautiously. Counsel strict sun protection and examine the skin for early phototoxicity.

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 Hydrochlorothiazide with Methoxsalen?

MediHelp rates the interaction as moderate. Hydrochlorothiazide and Methoxsalen 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. Hydrochlorothiazide can cause photosensitivity, and methoxsalen is a potent photosensitizer used with UVA exposure. Together they may increase the risk of severe phototoxic reactions such as burns and blistering.

How serious is the interaction between Hydrochlorothiazide and Methoxsalen?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Review the need for the thiazide before phototherapy and adjust UVA dosing cautiously. Counsel strict sun protection and examine the skin for early phototoxicity.

What other medicines interact with Hydrochlorothiazide?

MediHelp also lists interactions of Hydrochlorothiazide with, for example, Dofetilide, Amifostine, Amiodarone. The full list is on the Hydrochlorothiazide page.

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