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Drug interactions

Indapamide + Voclosporin

Severity: Moderate

Indapamide and Voclosporin: 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

Voclosporin can prolong the QT interval at higher exposures, and indapamide can cause electrolyte disturbances that raise arrhythmia risk. Voclosporin may also cause hyperkalemia and nephrotoxicity, complicating electrolyte control with a diuretic.

What this interaction means in plain words

Indapamide and Voclosporin 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; Voclosporin belongs to Miscellaneous.

Evidence level: Low

Why it happens

Additive QT risk with diuretic electrolyte changes, plus calcineurin inhibitor effects on potassium and renal function.

What to do

Monitor ECG, potassium, magnesium and renal function, and correct abnormalities. Adjust diuretic dosing if volume depletion or renal decline occurs.

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 Voclosporin?

MediHelp rates the interaction as moderate. Indapamide and Voclosporin 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. Voclosporin can prolong the QT interval at higher exposures, and indapamide can cause electrolyte disturbances that raise arrhythmia risk. Voclosporin may also cause hyperkalemia and nephrotoxicity, complicating electrolyte control with a diuretic.

How serious is the interaction between Indapamide and Voclosporin?

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 ECG, potassium, magnesium and renal function, and correct abnormalities. Adjust diuretic dosing if volume depletion or renal decline occurs.

What other medicines interact with Indapamide?

MediHelp also lists interactions of Indapamide with, for example, Adagrasib, Amifostine, Amiodarone. The full list is on the Indapamide page.

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

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