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Drug interactions

Hydrochlorothiazide-olmesartan + Shark cartilage

Severity: Minor

Hydrochlorothiazide-olmesartan and Shark cartilage: 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

Shark cartilage contains calcium and has been reported to cause hypercalcemia. Thiazides reduce urinary calcium excretion, so the combination could theoretically raise calcium.

What this interaction means in plain words

Hydrochlorothiazide-olmesartan and Shark cartilage 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: Low

Why it happens

Calcium load combined with thiazide-reduced renal calcium excretion.

What to do

Check serum calcium if the combination is used long term. Stop shark cartilage if hypercalcemia occurs.

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 Shark cartilage?

MediHelp rates the interaction as minor. Hydrochlorothiazide-olmesartan and Shark cartilage have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Shark cartilage contains calcium and has been reported to cause hypercalcemia. Thiazides reduce urinary calcium excretion, so the combination could theoretically raise calcium.

How serious is the interaction between Hydrochlorothiazide-olmesartan and Shark cartilage?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check serum calcium if the combination is used long term. Stop shark cartilage if hypercalcemia occurs.

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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