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Drug interactions

Hydrochlorothiazide + Oxaprozin

Severity: Moderate

Hydrochlorothiazide and Oxaprozin: 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

NSAIDs can reduce the antihypertensive and diuretic effect of thiazides. The combination can also increase the risk of acute kidney injury in volume-depleted or elderly patients.

What this interaction means in plain words

Hydrochlorothiazide and Oxaprozin 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; Oxaprozin belongs to Musculoskeletal.

Evidence level: High

Why it happens

NSAIDs inhibit renal prostaglandin synthesis, causing sodium and water retention and reduced renal perfusion that opposes thiazide effects.

What to do

Monitor blood pressure, fluid status, electrolytes and renal function. Adjust the antihypertensive regimen if control is lost and ensure adequate hydration.

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 Oxaprozin?

MediHelp rates the interaction as moderate. Hydrochlorothiazide and Oxaprozin 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. NSAIDs can reduce the antihypertensive and diuretic effect of thiazides. The combination can also increase the risk of acute kidney injury in volume-depleted or elderly patients.

How serious is the interaction between Hydrochlorothiazide and Oxaprozin?

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, fluid status, electrolytes and renal function. Adjust the antihypertensive regimen if control is lost and ensure adequate hydration.

What other medicines interact with Oxaprozin?

MediHelp also lists interactions of Oxaprozin with, for example, Ketorolac intranasal, Ketorolac, Aceclofenac. The full list is on the Oxaprozin page.

Full monographs, dosing and an interaction checker in the MediHelp app

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