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Drug interactions

Indapamide + Probenecid

Severity: Moderate

Indapamide and Probenecid: 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

Indapamide may raise uric acid levels and reduce the uricosuric effect of probenecid. Gout control could worsen.

What this interaction means in plain words

Indapamide and Probenecid 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.

Indapamide belongs to Cardiovascular; Probenecid belongs to Genitourinary.

Evidence level: Low

Why it happens

Thiazide-like diuretics compete for renal anion secretion and promote urate retention through volume contraction.

What to do

Monitor serum uric acid and gout flares. Increase the probenecid dose or consider an alternative antihypertensive if urate control is lost.

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 Indapamide with Probenecid?

MediHelp rates the interaction as moderate. Indapamide and Probenecid 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. Indapamide may raise uric acid levels and reduce the uricosuric effect of probenecid. Gout control could worsen.

How serious is the interaction between Indapamide and Probenecid?

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 serum uric acid and gout flares. Increase the probenecid dose or consider an alternative antihypertensive if urate control is lost.

What other medicines interact with Probenecid?

MediHelp also lists interactions of Probenecid with, for example, Ketorolac intranasal, Ketorolac, Baricitinib. The full list is on the Probenecid page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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