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Drug interactions

Hydrochlorothiazide-olmesartan + Treprostinil

Severity: Moderate

Hydrochlorothiazide-olmesartan and Treprostinil: 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

Treprostinil is a potent vasodilator, and combining it with antihypertensives can lower blood pressure further. Symptomatic hypotension may occur.

What this interaction means in plain words

Hydrochlorothiazide-olmesartan and Treprostinil 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-olmesartan belongs to Cardiovascular; Treprostinil belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Additive vasodilatory and blood-pressure-lowering effects.

What to do

Monitor blood pressure when starting or titrating treprostinil and reduce antihypertensive doses if hypotension develops.

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-olmesartan with Treprostinil?

MediHelp rates the interaction as moderate. Hydrochlorothiazide-olmesartan and Treprostinil 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. Treprostinil is a potent vasodilator, and combining it with antihypertensives can lower blood pressure further. Symptomatic hypotension may occur.

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

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 when starting or titrating treprostinil and reduce antihypertensive doses if hypotension develops.

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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