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Drug interactions

Nadolol + Triamterene

Severity: Moderate

Nadolol and Triamterene: 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

Nadolol can slightly raise serum potassium by reducing cellular uptake. Together with triamterene, which retains potassium, hyperkalemia becomes more likely, especially with reduced renal function.

What this interaction means in plain words

Nadolol and Triamterene 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.

Nadolol belongs to Cardiovascular; Triamterene belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Triamterene reduces renal potassium excretion while nonselective beta-blockade impairs beta-2 mediated cellular potassium uptake.

What to do

Check serum potassium and creatinine at baseline and periodically during combined use. Lower or stop triamterene if hyperkalemia develops.

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 Nadolol with Triamterene?

MediHelp rates the interaction as moderate. Nadolol and Triamterene 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. Nadolol can slightly raise serum potassium by reducing cellular uptake. Together with triamterene, which retains potassium, hyperkalemia becomes more likely, especially with reduced renal function.

How serious is the interaction between Nadolol and Triamterene?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check serum potassium and creatinine at baseline and periodically during combined use. Lower or stop triamterene if hyperkalemia develops.

What other medicines interact with Triamterene?

MediHelp also lists interactions of Triamterene with, for example, Amiloride, Eplerenone, Potassium citrate / citric acid. The full list is on the Triamterene page.

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