{"id":627220,"date":"2024-03-08T15:38:57","date_gmt":"2024-03-08T20:38:57","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=627220"},"modified":"2024-10-25T10:04:27","modified_gmt":"2024-10-25T14:04:27","slug":"hydrochlorothiazide-interactions","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/hydrochlorothiazide-interactions\/","title":{"rendered":"Hydrochlorothiazide interactions to avoid"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/hydrochlorothiazide\/what-is\"><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span><\/a><span style=\"font-weight: 400;\"> is a generic prescription medication used to treat <\/span><span style=\"font-weight: 400;\">high blood pressure<\/span><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/hypertension-causes\"><span style=\"font-weight: 400;\">hypertension<\/span><\/a><span style=\"font-weight: 400;\">) and <\/span><span style=\"font-weight: 400;\">edema<\/span><span style=\"font-weight: 400;\">. <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/edema-causes\"><span style=\"font-weight: 400;\">Edema<\/span><\/a><span style=\"font-weight: 400;\"> is swelling caused by fluid retention in certain body tissues, often due to <\/span><span style=\"font-weight: 400;\">heart failure<\/span><span style=\"font-weight: 400;\">, certain kidney conditions, <\/span><span style=\"font-weight: 400;\">corticosteroid<\/span><span style=\"font-weight: 400;\"> therapy, or estrogen therapy. <\/span><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> belongs to a group of medications called <\/span><span style=\"font-weight: 400;\">thiazide diuretics<\/span><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/diuretics\"><span style=\"font-weight: 400;\">water pills<\/span><\/a><span style=\"font-weight: 400;\">). <\/span><span style=\"font-weight: 400;\">Diuretics<\/span><span style=\"font-weight: 400;\"> work to excrete water and electrolytes by increasing the production and volume of urine.<\/span><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/hydrochlorothiazide\"><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span><\/a><span style=\"font-weight: 400;\"> interacts with diabetes medications, <\/span><span style=\"font-weight: 400;\">lithium<\/span><span style=\"font-weight: 400;\">, certain <\/span><span style=\"font-weight: 400;\">cholesterol<\/span><span style=\"font-weight: 400;\"> medications, nonsteroidal anti-inflammatory drugs (<\/span><span style=\"font-weight: 400;\">NSAIDs<\/span><span style=\"font-weight: 400;\">), and other blood pressure-lowering medications, among other drug classes. Only take <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> with the anti-arrhythmic medication dofetilide (<\/span><span style=\"font-weight: 400;\">brand name<\/span><span style=\"font-weight: 400;\"> Tikosyn) with consultation from a <\/span><span style=\"font-weight: 400;\">healthcare professional<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> also interacts with licorice and alcohol.&#8232;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It&rsquo;s important to be aware of <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> interactions, as other drugs and foods can affect <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\">&rsquo;s effectiveness and cause or worsen <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\">. Since serious effects may happen with certain <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span> <span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\">, understanding which medications to avoid or use caution with is important.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/hydrochlorothiazide-side-effects\/\"><b>Hydrochlorothiazide<\/b> <b>side effects<\/b><b> and how to avoid them<\/b><\/a><\/p>\n<h2 id=\"hydrochlorothiazide-drug-interactions\"><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span> <span style=\"font-weight: 400;\">drug interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Many prescription and <\/span><span style=\"font-weight: 400;\">over-the-counter<\/span><span style=\"font-weight: 400;\"> (OTC) medications can interact with <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\">, including diabetes medications, <\/span><span style=\"font-weight: 400;\">lithium<\/span><span style=\"font-weight: 400;\">, certain <\/span><span style=\"font-weight: 400;\">cholesterol<\/span><span style=\"font-weight: 400;\"> medications, nonsteroidal anti-inflammatory drugs (<\/span><span style=\"font-weight: 400;\">NSAIDs<\/span><span style=\"font-weight: 400;\">), and other blood pressure-lowering medications.<\/span><\/p>\n<h3 id=\"diabetes-medications\"><span style=\"font-weight: 400;\">Diabetes Medications<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Diabetes medications control <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\"> levels. <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/diabetes-treatment-and-medications\"><span style=\"font-weight: 400;\">Treatment for diabetes<\/span><\/a><span style=\"font-weight: 400;\"> includes a healthy lifestyle with both diet modifications and exercise, along with medications to further lower and control <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\"> levels. <\/span><span style=\"font-weight: 400;\">Thiazide diuretics<\/span><span style=\"font-weight: 400;\"> like <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> can affect <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\"> levels. When taking an anti-diabetic medication and <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\">, the therapeutic effect of the anti-diabetic medication can be decreased, resulting in higher <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\"> levels.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">People with diabetes need to monitor <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\"> levels when using <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\">. This is especially important when starting <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> or when increasing the <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> dose. <\/span><span style=\"font-weight: 400;\">Healthcare providers<\/span><span style=\"font-weight: 400;\"> will monitor therapy and prescribe <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> at low doses. Tips for monitoring this <\/span><span style=\"font-weight: 400;\">drug interaction<\/span><span style=\"font-weight: 400;\"> include being aware of the <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/high-blood-sugar-symptoms\"><span style=\"font-weight: 400;\">signs of high <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><\/a><span style=\"font-weight: 400;\"> (hyperglycemia), such as frequent urination and increased thirst, and checking <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\"> levels with a glucose monitor.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Examples of common anti-diabetic medications:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Glimepiride<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Glipizide<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insulin aspart (Novolog)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insulin lispro (Humalog)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Invokana (canagliflozin)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Januvia (sitagliptin)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Metformin (Glumetza)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ozempic (semaglutide)<\/span><\/li>\n<\/ul>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/normal-blood-glucose-levels\/\"><b>What are normal <\/b><b>blood sugar<\/b><b> levels?<\/b><\/a><\/p>\n<h3 id=\"lithium\"><span style=\"font-weight: 400;\">Lithium<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/lithium-carbonate\/what-is\"><span style=\"font-weight: 400;\">Lithium<\/span><\/a><span style=\"font-weight: 400;\"> is a prescription medication that is a mood stabilizer. It is used to treat bipolar disorder and is sometimes prescribed off-label for depression. This medication is available as oral tablets, capsules, oral solutions, and oral extended-release tablets (Lithobid). <\/span><span style=\"font-weight: 400;\">Lithium<\/span><span style=\"font-weight: 400;\"> has many possible <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> and <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\">. Certain <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\"> can cause too much <\/span><span style=\"font-weight: 400;\">lithium<\/span><span style=\"font-weight: 400;\"> in the body and lead to <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK499992\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">lithium<\/span><span style=\"font-weight: 400;\"> toxicity<\/span><\/a><span style=\"font-weight: 400;\">. Signs of mild <\/span><span style=\"font-weight: 400;\">lithium<\/span><span style=\"font-weight: 400;\"> toxicity include tremor, nausea, and vomiting. Signs of more severe <\/span><span style=\"font-weight: 400;\">lithium<\/span><span style=\"font-weight: 400;\"> toxicity include delirium, fast <\/span><span style=\"font-weight: 400;\">heart rate<\/span><span style=\"font-weight: 400;\">, confusion, seizures, and even coma.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Taking <\/span><span style=\"font-weight: 400;\">lithium<\/span><span style=\"font-weight: 400;\"> and <\/span><span style=\"font-weight: 400;\">diuretics<\/span><span style=\"font-weight: 400;\"> like <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> can increase the amount of <\/span><span style=\"font-weight: 400;\">lithium<\/span><span style=\"font-weight: 400;\"> in the body by decreasing the elimination of <\/span><span style=\"font-weight: 400;\">lithium<\/span><span style=\"font-weight: 400;\"> from the body. Due to the serious risks, providers may decide not to prescribe these medications together. However, if necessary, modifying therapy is recommended when using <\/span><span style=\"font-weight: 400;\">lithium<\/span><span style=\"font-weight: 400;\"> and <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Healthcare providers<\/span><span style=\"font-weight: 400;\"> will prescribe a low dose of <\/span><span style=\"font-weight: 400;\">lithium<\/span><span style=\"font-weight: 400;\"> and regularly monitor serum <\/span><span style=\"font-weight: 400;\">lithium<\/span><span style=\"font-weight: 400;\"> levels in the body. If there are any signs of <\/span><span style=\"font-weight: 400;\">lithium<\/span><span style=\"font-weight: 400;\"> toxicity, stop the medication and seek immediate medical attention.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/lithium-side-effects\/\"><b>Lithium<\/b> <b>side effects<\/b><b> and how to avoid them<\/b><\/a><\/p>\n<h3 id=\"certain-cholesterol-medications\"><span style=\"font-weight: 400;\">Certain <\/span><span style=\"font-weight: 400;\">Cholesterol<\/span><span style=\"font-weight: 400;\"> Medications<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/drug-classes\/bile-acid-sequestrants\"><span style=\"font-weight: 400;\">Bile acid sequestrants<\/span><\/a><span style=\"font-weight: 400;\"> are a group of medications used to lower <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/cholesterol-test\/\"><span style=\"font-weight: 400;\">cholesterol<\/span><span style=\"font-weight: 400;\"> levels<\/span><\/a><span style=\"font-weight: 400;\">. Along with exercise and diet modifications, bile acid sequestrants can effectively manage <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/high-cholesterol-causes\"><span style=\"font-weight: 400;\">hypercholesterolemia<\/span><\/a><span style=\"font-weight: 400;\"> (high <\/span><span style=\"font-weight: 400;\">cholesterol<\/span><span style=\"font-weight: 400;\">). Bile acid sequestrants can decrease the absorption of many drugs by binding and excretion in the feces.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Taking bile acid sequestrants and <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> can decrease the amount of <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> in the body and negatively impact therapy. The <\/span><span style=\"font-weight: 400;\">diuretic<\/span> <span style=\"font-weight: 400;\">effect of hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> can be decreased with this <\/span><span style=\"font-weight: 400;\">drug interaction<\/span><span style=\"font-weight: 400;\">. Therapy can be modified to try and prevent this <\/span><span style=\"font-weight: 400;\">drug interaction<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> should be taken at least one hour before or four hours after the bile acid sequestrants. Communicate with the doctor if there are concerns about this interaction, as alternative <\/span><span style=\"font-weight: 400;\">cholesterol<\/span><span style=\"font-weight: 400;\"> medications may be more suitable.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Examples of bile acid sequestrants:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cholestyramine<\/span><span style=\"font-weight: 400;\"> (Questran)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Colesevelam (Welchol)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Colestipol<\/span><span style=\"font-weight: 400;\"> (Colestid)<\/span><\/li>\n<\/ul>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/low-cholesterol-diet\/\"><b>The best diet for high <\/b><b>cholesterol<\/b><\/a><\/p>\n<h3 id=\"nonsteroidal-anti-inflammatory-drugs-nsaids\"><span style=\"font-weight: 400;\">Nonsteroidal Anti-inflammatory Drugs (<\/span><span style=\"font-weight: 400;\">NSAIDs<\/span><span style=\"font-weight: 400;\">)<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/drug-classes\/nsaids\"><span style=\"font-weight: 400;\">Nonsteroidal anti-inflammatory drugs<\/span><\/a><span style=\"font-weight: 400;\">, also called <\/span><span style=\"font-weight: 400;\">NSAIDs<\/span><span style=\"font-weight: 400;\">, are OTC and prescription medications used to treat fever and a variety of pain-related conditions. <\/span><span style=\"font-weight: 400;\">NSAIDs<\/span><span style=\"font-weight: 400;\"> are commonly used to help manage <\/span><span style=\"font-weight: 400;\">muscle pain<\/span><span style=\"font-weight: 400;\">, dysmenorrhea (pain during the menstrual cycle), <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/arthritis-treatment-and-medications\"><span style=\"font-weight: 400;\">arthritic conditions<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/gout-treatment-and-medications\"><span style=\"font-weight: 400;\">gout<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/migraine-definition\/\"><span style=\"font-weight: 400;\">migraines<\/span><\/a><span style=\"font-weight: 400;\">. This group of medications has well-known <\/span><span style=\"font-weight: 400;\">adverse effects<\/span><span style=\"font-weight: 400;\"> affecting the GI tract, kidneys, cardiovascular system, liver, and blood. Certain <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\"> can worsen these <\/span><span style=\"font-weight: 400;\">adverse effects<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> may increase the risk of kidney (<\/span><span style=\"font-weight: 400;\">renal<\/span><span style=\"font-weight: 400;\">) damage when taken with an <\/span><span style=\"font-weight: 400;\">NSAID<\/span><span style=\"font-weight: 400;\">. Additionally, an <\/span><span style=\"font-weight: 400;\">NSAID<\/span><span style=\"font-weight: 400;\"> can lessen the <\/span><span style=\"font-weight: 400;\">effect of hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> because <\/span><span style=\"font-weight: 400;\">NSAIDs<\/span><span style=\"font-weight: 400;\"> can increase blood pressure. The <\/span><span style=\"font-weight: 400;\">healthcare<\/span><span style=\"font-weight: 400;\"> team can monitor therapy and the effectiveness of <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> when starting or increasing the dose of an <\/span><span style=\"font-weight: 400;\">NSAID<\/span><span style=\"font-weight: 400;\">. People will also likely be monitored for evidence of <\/span><a href=\"https:\/\/www.kidney.org\/atoz\/content\/AcuteKidneyInjury\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">acute kidney injury (AKI)<\/span><\/a><span style=\"font-weight: 400;\">. Signs of AKI include small amounts of urine leaving the body, shortness of breath, confusion, nausea, chest pain, <\/span><span style=\"font-weight: 400;\">tiredness<\/span><span style=\"font-weight: 400;\">, and swelling in the legs, ankles, and around the eyes. Reach out to the provider if there are concerns about this <\/span><span style=\"font-weight: 400;\">drug interaction<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Examples of common <\/span><span style=\"font-weight: 400;\">NSAIDs<\/span><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Celecoxib (Celebrex)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diclofenac<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ibuprofen<\/span><span style=\"font-weight: 400;\"> (Advil)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Indomethacin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Meloxicam<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Naproxen<\/span><span style=\"font-weight: 400;\"> (Aleve)<\/span><\/li>\n<\/ul>\n<h3 id=\"other-blood-pressure-lowering-medications\"><span style=\"font-weight: 400;\">Other Blood Pressure Lowering Medications<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">There are a variety of blood pressure-lowering drugs for treating <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/hypertension-treatments-and-medications\"><span style=\"font-weight: 400;\">hypertension<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">high blood pressure<\/span><span style=\"font-weight: 400;\">). The most recommended classes used as first-line treatments are <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/thiazide-diuretics\"><span style=\"font-weight: 400;\">thiazide-type <\/span><span style=\"font-weight: 400;\">diuretics<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/calcium-channel-blockers\"><span style=\"font-weight: 400;\">calcium<\/span><span style=\"font-weight: 400;\"> channel blockers<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/ace-inhibitors\"><span style=\"font-weight: 400;\">angiotensin<\/span><span style=\"font-weight: 400;\">-converting enzyme (ACE) <\/span><span style=\"font-weight: 400;\">inhibitors<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/angiotensin-ii-receptor-blockers\"><span style=\"font-weight: 400;\">angiotensin<\/span><span style=\"font-weight: 400;\"> II <\/span><span style=\"font-weight: 400;\">receptor blockers<\/span><span style=\"font-weight: 400;\"> (ARBs)<\/span><\/a><span style=\"font-weight: 400;\">. It&rsquo;s common for people to use combination therapy when one antihypertensive drug isn&rsquo;t working well enough. While combining blood pressure-lowering medications can be part of the treatment plan, it is important to understand their risks.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Taking <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> with another blood pressure-lowering medication can further decrease blood pressure. People with <\/span><span style=\"font-weight: 400;\">hypertension<\/span><span style=\"font-weight: 400;\"> need to know the <\/span><a href=\"https:\/\/www.heart.org\/en\/health-topics\/high-blood-pressure\/the-facts-about-high-blood-pressure\/low-blood-pressure-when-blood-pressure-is-too-low\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">signs of <\/span><span style=\"font-weight: 400;\">low blood pressure<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">hypotension<\/span><span style=\"font-weight: 400;\">). Signs include confusion, dizziness, fainting, blurred vision, headache, nausea, and <\/span><span style=\"font-weight: 400;\">irregular heartbeat<\/span><span style=\"font-weight: 400;\"> or heart palpitations. <\/span><span style=\"font-weight: 400;\">Healthcare providers<\/span><span style=\"font-weight: 400;\"> can monitor therapy and make dose adjustments as needed.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Examples of common blood pressure-lowering medications:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Amlodipine<\/span><span style=\"font-weight: 400;\"> (Norvasc)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Benazepril (Lotensin)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Irbesartan (Avapro)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lisinopril<\/span><span style=\"font-weight: 400;\"> (Zestril)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Losartan<\/span><span style=\"font-weight: 400;\"> (Cozaar)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nifedipine (Procardia)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Valsartan (Diovan)<\/span><\/li>\n<\/ul>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/hydrochlorothiazide-alternatives\/\"><b>Hydrochlorothiazide<\/b><b> alternatives: What can I take instead of <\/b><b>hydrochlorothiazide<\/b><b>?<\/b><\/a><\/p>\n<h2 id=\"hydrochlorothiazide-food-interactions\"><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> food interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">In addition to interactions with medications, there are other <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> interactions. <\/span><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> has a food interaction with licorice.<\/span><\/p>\n<h3 id=\"hydrochlorothiazide-and-licorice\"><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> and licorice<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Licorice root is a flavoring in candy, other foods, beverages, and tobacco products. While licorice root is considered safe as a food ingredient, it can cause <\/span><span style=\"font-weight: 400;\">serious side effects<\/span><span style=\"font-weight: 400;\">. When consumed in large amounts or for long periods, licorice root can increase blood pressure and decrease <\/span><span style=\"font-weight: 400;\">potassium levels<\/span><span style=\"font-weight: 400;\"> (hypokalemia). Because of these effects, licorice root can be a concern for people with <\/span><span style=\"font-weight: 400;\">high blood pressure<\/span><span style=\"font-weight: 400;\">, heart disease, or <\/span><span style=\"font-weight: 400;\">kidney disease<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><a href=\"https:\/\/www.nccih.nih.gov\/health\/licorice-root\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Licorice root<\/span><\/a><span style=\"font-weight: 400;\"> can further increase the <\/span><span style=\"font-weight: 400;\">potassium<\/span><span style=\"font-weight: 400;\">-lowering <\/span><span style=\"font-weight: 400;\">effect of hydrochlorothiazide<\/span><span style=\"font-weight: 400;\">. Communicate with the <\/span><span style=\"font-weight: 400;\">healthcare<\/span><span style=\"font-weight: 400;\"> team about diet changes and licorice use so they can monitor for the development of hypokalemia.<\/span><\/p>\n<h2 id=\"other-hydrochlorothiazide-interactions\"><span style=\"font-weight: 400;\">Other <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> can interact with other products, such as alcohol.&#8232;<\/span><\/p>\n<h3 id=\"hydrochlorothiazide-and-alcohol\"><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> and alcohol&nbsp;<\/span><\/h3>\n<p><a href=\"https:\/\/www.addictioncenter.com\/alcohol\/is-alcohol-a-depressant\/\"><span style=\"font-weight: 400;\">Alcohol<\/span><\/a><span style=\"font-weight: 400;\"> is a depressant that slows down the nervous system. Drinking alcoholic beverages, such as beer or cocktails, can cause unsteady movement and impaired motor control. An additional <\/span><span style=\"font-weight: 400;\">side effect<\/span><span style=\"font-weight: 400;\"> of alcohol includes <\/span><span style=\"font-weight: 400;\">low blood pressure<\/span><span style=\"font-weight: 400;\">. It&rsquo;s important to use caution when drinking alcohol while taking <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> and to be aware of the signs of <\/span><span style=\"font-weight: 400;\">low blood pressure<\/span><span style=\"font-weight: 400;\">. Alcohol can also further increase dehydration and <\/span><span style=\"font-weight: 400;\">electrolyte imbalances<\/span><span style=\"font-weight: 400;\"> caused by <\/span><span style=\"font-weight: 400;\">diuretics<\/span><span style=\"font-weight: 400;\">. People who drink alcohol should always check with their doctor or pharmacist to see if they can combine alcohol with their medicines.<\/span><\/p>\n<p><b>&#8232;RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/alcohol-and-medication\/\"><b>10 drugs you should not mix with alcohol<\/b><\/a><\/p>\n<h2 id=\"how-to-minimize-hydrochlorothiazide-interactions\"><span style=\"font-weight: 400;\">How to minimize <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Steps can be taken to help minimize <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> interactions. Regularly update <\/span><span style=\"font-weight: 400;\">healthcare providers<\/span><span style=\"font-weight: 400;\"> on all health conditions and provide them with <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/medication-list-template\/\"><span style=\"font-weight: 400;\">current medication lists<\/span><\/a><span style=\"font-weight: 400;\">, including <\/span><span style=\"font-weight: 400;\">prescription drugs<\/span><span style=\"font-weight: 400;\">, OTC medications, <\/span><span style=\"font-weight: 400;\">supplements<\/span><span style=\"font-weight: 400;\">, and recreational drugs. Serious <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\"> are possible with nonprescription products like OTC medications and <\/span><span style=\"font-weight: 400;\">supplements<\/span><span style=\"font-weight: 400;\">. Pharmacists are great resources and can give <\/span><span style=\"font-weight: 400;\">medical advice<\/span><span style=\"font-weight: 400;\"> and additional <\/span><span style=\"font-weight: 400;\">drug information<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Certain <\/span><span style=\"font-weight: 400;\">medical conditions<\/span><span style=\"font-weight: 400;\"> can help determine if a drug will be safe or not for a person. <\/span><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> should not be used in people with sensitivities or <\/span><span style=\"font-weight: 400;\">allergic reactions<\/span><span style=\"font-weight: 400;\"> to <\/span><span style=\"font-weight: 400;\">sulfonamides<\/span><span style=\"font-weight: 400;\">, also called sulfa drugs. The most common reaction to a sulfa allergy is a skin rash or <\/span><span style=\"font-weight: 400;\">hives<\/span><span style=\"font-weight: 400;\">, but more severe reactions, such as <\/span><span style=\"font-weight: 400;\">trouble breathing<\/span><span style=\"font-weight: 400;\">, can happen. Caution should be used in people with diabetes, <\/span><span style=\"font-weight: 400;\">liver disease<\/span><span style=\"font-weight: 400;\">, or <\/span><span style=\"font-weight: 400;\">kidney problems<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> can be found in the <\/span><span style=\"font-weight: 400;\">breast milk<\/span><span style=\"font-weight: 400;\"> of <\/span><span style=\"font-weight: 400;\">breastfeeding<\/span><span style=\"font-weight: 400;\"> women when taking the drug. The decision to breastfeed while taking <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> is essential to discuss with the <\/span><span style=\"font-weight: 400;\">healthcare<\/span><span style=\"font-weight: 400;\"> team, as they will evaluate the risk of infant exposure, the benefits of <\/span><span style=\"font-weight: 400;\">breastfeeding<\/span><span style=\"font-weight: 400;\"> to the infant, and the benefits of treatment to the mother.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/hydrochlorothiazide-without-insurance\/\"><b>How much is <\/b><b>hydrochlorothiazide<\/b><b> without insurance?<\/b><\/a><\/p>\n<h2 id=\"when-to-talk-to-a-healthcare-provider-about-hydrochlorothiazide-interactions\"><span style=\"font-weight: 400;\">When to talk to a <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\"> about <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">While there are several serious <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\"> included above, there are many other <\/span><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span> <span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\"> that are not included. Communicating openly with <\/span><span style=\"font-weight: 400;\">healthcare providers<\/span><span style=\"font-weight: 400;\"> about all medications, <\/span><span style=\"font-weight: 400;\">supplements<\/span><span style=\"font-weight: 400;\">, dietary habits, and <\/span><span style=\"font-weight: 400;\">medical conditions<\/span><span style=\"font-weight: 400;\"> is important to ensure safe drug management and monitoring. There are alternative treatment options for <\/span><span style=\"font-weight: 400;\">hypertension<\/span><span style=\"font-weight: 400;\"> and <\/span><span style=\"font-weight: 400;\">edema<\/span><span style=\"font-weight: 400;\"> that may be better suited for some people.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hydrochlorothiazide is a generic prescription medication used to treat high blood pressure (hypertension) and edema. Edema is swelling caused by fluid retention in certain body tissues, often due to heart failure, certain kidney conditions, corticosteroid therapy, or estrogen therapy. Hydrochlorothiazide belongs to a group of medications called thiazide diuretics (water pills). Diuretics work to excrete [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":627221,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[814,737],"coauthors":[20740],"class_list":["post-627220","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-drug-interactions","tag-heart-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Hydrochlorothiazide interactions to avoid | SingleCare<\/title>\n<meta name=\"description\" content=\"Hydrochlorothiazide (Microzide) interacts with diabetes medications, lithium, certain cholesterol medications, licorice, and alcohol. 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