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Drug interactions

Hydrochlorothiazide-irbesartan + Labetalol

Severity: Minor

Hydrochlorothiazide-irbesartan and Labetalol: 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

Labetalol adds to the blood pressure lowering effect of irbesartan and hydrochlorothiazide, which may cause hypotension or dizziness. This is usually a planned combination, but dose adjustment may be needed.

What this interaction means in plain words

Hydrochlorothiazide-irbesartan and Labetalol 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-irbesartan belongs to Cardiovascular; Labetalol belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Additive antihypertensive effects through alpha/beta adrenergic blockade, RAAS blockade and diuresis.

What to do

Monitor blood pressure and heart rate, especially at initiation or dose increases, and adjust doses accordingly.

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?

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-irbesartan with Labetalol?

MediHelp rates the interaction as minor. Hydrochlorothiazide-irbesartan and Labetalol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Labetalol adds to the blood pressure lowering effect of irbesartan and hydrochlorothiazide, which may cause hypotension or dizziness. This is usually a planned combination, but dose adjustment may be needed.

How serious is the interaction between Hydrochlorothiazide-irbesartan and Labetalol?

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 pressure and heart rate, especially at initiation or dose increases, and adjust doses accordingly.

What other medicines interact with Hydrochlorothiazide-irbesartan?

MediHelp also lists interactions of Hydrochlorothiazide-irbesartan with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Hydrochlorothiazide-irbesartan page.

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