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Interactions médicamenteuses

Calcifediol + Captopril-hydrochlorothiazide

Gravité: Modérée

Calcifediol and Captopril-hydrochlorothiazide: moderate interaction.

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Résumé

Thiazide diuretics reduce urinary calcium excretion, and calcifediol increases calcium absorption from the gut. Together they can produce hypercalcemia, which may cause nausea, confusion, arrhythmias and kidney problems.

Ce que signifie cette interaction, en termes simples

Calcifediol and Captopril-hydrochlorothiazide 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.

Calcifediol belongs to Musculoskeletal; Captopril-hydrochlorothiazide belongs to Cardiovascular.

Niveau de preuve: High

Pourquoi elle survient

Hydrochlorothiazide enhances renal calcium reabsorption while calcifediol (a vitamin D metabolite) increases intestinal calcium absorption, producing additive rises in serum calcium.

Conduite à tenir

Measure serum calcium at baseline and periodically during combined therapy, especially in patients with renal impairment. Reduce the calcifediol dose or stop the thiazide if hypercalcemia develops.

Questions à poser à votre pharmacien

  • 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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Questions fréquentes

Can I take Calcifediol with Captopril-hydrochlorothiazide?

MediHelp rates the interaction as moderate. Calcifediol and Captopril-hydrochlorothiazide 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. Thiazide diuretics reduce urinary calcium excretion, and calcifediol increases calcium absorption from the gut. Together they can produce hypercalcemia, which may cause nausea, confusion, arrhythmias and kidney problems.

How serious is the interaction between Calcifediol and Captopril-hydrochlorothiazide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Measure serum calcium at baseline and periodically during combined therapy, especially in patients with renal impairment. Reduce the calcifediol dose or stop the thiazide if hypercalcemia develops.

What other medicines interact with Captopril-hydrochlorothiazide?

MediHelp also lists interactions of Captopril-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Sacubitril / valsartan. The full list is on the Captopril-hydrochlorothiazide page.

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