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hydrochlorothiazide vs olmesartan

Side-by-side comparison of hydrochlorothiazide and olmesartan. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

moderate Known Drug Interaction

7 DRUG INTERACTIONS Lithium: Risk of lithium toxicity ( 7.2 ) Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): Reduced diuretic, natriuretic and antihypotensive effects; increased risk of renal toxicity ( 7.3 ) Dual inhibition of the renin-angiotensin system: Increased risk of renal impairment, hypotension, and hyperkalemia ( 7.4 ) Colesevelam hydrochloride: Consider administering olmesartan at least 4 hours before colesevelam hydrochloride dose ( 7.5 ) Antidiabetic drugs: Dosage adjustment may be required ( 7.6 ) Cholestyramine and colestipol: Reduced absorption of thiazides ( 7.6 ) 7.1...

Recommendation: Your doctor should monitor your blood pressure and kidney health regularly while you are taking this combination.

Drug Class
hydrochlorothiazide Thiazide Diuretic
olmesartan Angiotensin II Receptor Blocker (ARB)
Type
hydrochlorothiazide Prescription
olmesartan Prescription
Summary
hydrochlorothiazide

No summary available.

olmesartan

No summary available.

What It Treats
hydrochlorothiazide

Information not available.

olmesartan

Information not available.

How It Works
hydrochlorothiazide

Information not available.

olmesartan

Information not available.

Common Side Effects
hydrochlorothiazide
  • Dizziness
  • Headache
  • Cough
  • Fatigue
olmesartan
  • Nausea
  • High uric acid levels in the blood
  • Dizziness
  • Upper respiratory infection (like a cold)
FAERS Reports
hydrochlorothiazide
  • Tiredness 10,013
  • Feeling sick to your stomach 9,706
  • Loose stools 8,311
  • Discomfort 7,665
  • Difficulty breathing 7,584
olmesartan

No adverse event reports.

Serious Warnings
hydrochlorothiazide

No specific warnings noted.

olmesartan

No specific warnings noted.

Pregnancy
hydrochlorothiazide

No pregnancy information available.

olmesartan

No pregnancy information available.

Also Compare, Nearby Drugs

How to Read This hydrochlorothiazide vs olmesartan Comparison

hydrochlorothiazide is classified in the Thiazide Diuretic drug class, while olmesartan sits within the Angiotensin II Receptor Blocker (ARB) class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, hydrochlorothiazide has 43,279 submissions while olmesartan has 0. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known moderate interaction flagged in FDA labeling, attributed to both drugs work to lower blood pressure, which can increase the risk of your blood pressure dropping too low or your kidney function changing.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between hydrochlorothiazide and olmesartan - always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.