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Drug interactions

Hydrochlorothiazide-valsartan + Shark cartilage

Severity: Minor

Hydrochlorothiazide-valsartan 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 supplements contain calcium and have been associated with hypercalcemia. Thiazides reduce urinary calcium excretion and could add to this risk, although clinical data are scarce.

What this interaction means in plain words

Hydrochlorothiazide-valsartan 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

Additive effect on serum calcium: calcium load from the supplement combined with reduced renal calcium excretion caused by hydrochlorothiazide.

What to do

Avoid unnecessary use of the supplement; if it is taken, check serum calcium periodically and stop it if hypercalcemia develops.

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-valsartan with Shark cartilage?

MediHelp rates the interaction as minor. Hydrochlorothiazide-valsartan 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 supplements contain calcium and have been associated with hypercalcemia. Thiazides reduce urinary calcium excretion and could add to this risk, although clinical data are scarce.

How serious is the interaction between Hydrochlorothiazide-valsartan 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: Avoid unnecessary use of the supplement; if it is taken, check serum calcium periodically and stop it if hypercalcemia develops.

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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