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Drug interactions

Hydrochlorothiazide-losartan + Pindolol

Severity: Minor

Hydrochlorothiazide-losartan and Pindolol: 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

Pindolol combined with losartan and hydrochlorothiazide gives additive blood pressure reduction, which may cause hypotension or bradycardia. Effects on potassium are mixed, with the ARB raising and the thiazide lowering it.

What this interaction means in plain words

Hydrochlorothiazide-losartan and Pindolol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Moderate

Why it happens

Additive antihypertensive pharmacodynamics with opposing minor effects on potassium.

What to do

Monitor blood pressure, heart rate and serum potassium during initiation and dose changes.

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-losartan with Pindolol?

MediHelp rates the interaction as minor. Hydrochlorothiazide-losartan and Pindolol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Pindolol combined with losartan and hydrochlorothiazide gives additive blood pressure reduction, which may cause hypotension or bradycardia. Effects on potassium are mixed, with the ARB raising and the thiazide lowering it.

How serious is the interaction between Hydrochlorothiazide-losartan and Pindolol?

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, heart rate and serum potassium during initiation and dose changes.

What other medicines interact with Hydrochlorothiazide-losartan?

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

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