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Drug interactions

Methyclothiazide + Probenecid

Severity: Moderate

Methyclothiazide 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

Methyclothiazide can raise serum urate and compete for tubular secretion, which may oppose the uricosuric action of probenecid.

What this interaction means in plain words

Methyclothiazide 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.

Evidence level: Low

Why it happens

Thiazide-induced urate retention and competition for tubular organic anion transport oppose probenecid action.

What to do

Monitor serum uric acid and gout control, and adjust the probenecid dose or choose a non-thiazide diuretic if urate control worsens.

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 Methyclothiazide with Probenecid?

MediHelp rates the interaction as moderate. Methyclothiazide 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. Methyclothiazide can raise serum urate and compete for tubular secretion, which may oppose the uricosuric action of probenecid.

How serious is the interaction between Methyclothiazide 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 control, and adjust the probenecid dose or choose a non-thiazide diuretic if urate control worsens.

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.

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