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Interações medicamentosas

Chlorthalidone + Eprosartan-hydrochlorothiazide

Gravidade: Grave

Chlorthalidone and Eprosartan-hydrochlorothiazide: major interaction.

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Resumo

Chlorthalidone is a thiazide-like diuretic, so combining it with hydrochlorothiazide duplicates therapy. This increases the risk of hypokalemia, hyponatremia, hypotension, volume depletion and hyperuricemia without a clear advantage.

O que esta interação significa em palavras simples

Chlorthalidone and Eprosartan-hydrochlorothiazide can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Chlorthalidone belongs to Cardiovascular; Eprosartan-hydrochlorothiazide belongs to Cardiovascular.

Nível de evidência: Moderate

Por que acontece

Duplicate inhibition of the sodium-chloride cotransporter in the distal convoluted tubule, causing additive natriuresis and potassium loss.

O que fazer

Avoid using two thiazide-type diuretics together and keep a single agent. If used deliberately, monitor sodium, potassium and renal function closely.

O que perguntar ao farmacêutico

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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Perguntas frequentes

Can I take Chlorthalidone with Eprosartan-hydrochlorothiazide?

MediHelp rates the interaction as major. Chlorthalidone and Eprosartan-hydrochlorothiazide can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Chlorthalidone is a thiazide-like diuretic, so combining it with hydrochlorothiazide duplicates therapy. This increases the risk of hypokalemia, hyponatremia, hypotension, volume depletion and hyperuricemia without a clear advantage.

How serious is the interaction between Chlorthalidone and Eprosartan-hydrochlorothiazide?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid using two thiazide-type diuretics together and keep a single agent. If used deliberately, monitor sodium, potassium and renal function closely.

What other medicines interact with Eprosartan-hydrochlorothiazide?

MediHelp also lists interactions of Eprosartan-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Eprosartan-hydrochlorothiazide page.

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