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Drug interactions

Hydrochlorothiazide-valsartan + Maraviroc

Severity: Moderate

Hydrochlorothiazide-valsartan and Maraviroc: 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

Maraviroc can cause postural hypotension, and this may be additive with valsartan and hydrochlorothiazide. Patients may experience dizziness or syncope, especially when volume depleted.

What this interaction means in plain words

Hydrochlorothiazide-valsartan and Maraviroc 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-valsartan belongs to Cardiovascular; Maraviroc belongs to Anti Virals.

Evidence level: Low

Why it happens

Additive pharmacodynamic blood pressure lowering.

What to do

Monitor orthostatic blood pressure and counsel patients to rise slowly; reduce the antihypertensive dose if symptomatic.

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-valsartan with Maraviroc?

MediHelp rates the interaction as moderate. Hydrochlorothiazide-valsartan and Maraviroc 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. Maraviroc can cause postural hypotension, and this may be additive with valsartan and hydrochlorothiazide. Patients may experience dizziness or syncope, especially when volume depleted.

How serious is the interaction between Hydrochlorothiazide-valsartan and Maraviroc?

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 orthostatic blood pressure and counsel patients to rise slowly; reduce the antihypertensive dose if symptomatic.

What other medicines interact with Hydrochlorothiazide-valsartan?

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

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