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Drug interactions

Hydrochlorothiazide-olmesartan + Miglitol

Severity: Minor

Hydrochlorothiazide-olmesartan and Miglitol: 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

Thiazide diuretics can raise blood glucose and may partly offset the glucose-lowering effect of miglitol. The effect is generally small at usual hydrochlorothiazide doses.

What this interaction means in plain words

Hydrochlorothiazide-olmesartan and Miglitol 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-olmesartan belongs to Cardiovascular; Miglitol belongs to Endocrine.

Evidence level: Low

Why it happens

Thiazides reduce insulin secretion and sensitivity, opposing the antidiabetic action.

What to do

Monitor blood glucose after starting or changing the thiazide and adjust diabetes therapy if needed.

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-olmesartan with Miglitol?

MediHelp rates the interaction as minor. Hydrochlorothiazide-olmesartan and Miglitol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Thiazide diuretics can raise blood glucose and may partly offset the glucose-lowering effect of miglitol. The effect is generally small at usual hydrochlorothiazide doses.

How serious is the interaction between Hydrochlorothiazide-olmesartan and Miglitol?

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 glucose after starting or changing the thiazide and adjust diabetes therapy if needed.

What other medicines interact with Hydrochlorothiazide-olmesartan?

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

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