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What the FDA labels say about taking them together

Benazepril/hydrochlorothiazide and methotrexate

Benazepril/hydrochlorothiazide's FDA label of February 24, 2026 names methotrexate in its drug interactions section; the methotrexate labels PlainMeds reads (4) do not name benazepril/hydrochlorothiazide. The benazepril/hydrochlorothiazide label: “Antineoplastic agents: Concomitant use of thiazide diuretics may reduce renal excretion of cytotoxic agents and enhance their myelosuppressive effects.”

Check it at the source: the benazepril/hydrochlorothiazide FDA label on DailyMed (effective February 24, 2026, Validus Pharmaceuticals LLC); the methotrexate FDA label on DailyMed (effective May 27, 2026, Accord Healthcare Inc.).

What does the benazepril/hydrochlorothiazide label say about methotrexate?

Benazepril/hydrochlorothiazide label, drug interactions

Antineoplastic agents (e.g., cyclophosphamide, methotrexate): Concomitant use of thiazide diuretics may reduce renal excretion of cytotoxic agents and enhance their myelosuppressive effects.

Source: FDA drug label (Lotensin HCT), Validus Pharmaceuticals LLC, effective February 24, 2026 (SPL set 94c4536f-e28e-48b1-8336-b3939917e99d), via openFDA; the full label on DailyMed

What does the methotrexate label say about benazepril/hydrochlorothiazide?

Methotrexate's label (effective May 27, 2026) and its 3 other brand-application labels do not name benazepril/hydrochlorothiazide in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Methotrexate), Accord Healthcare Inc., effective May 27, 2026 (SPL set 874c7f43-a3be-4236-89cc-24c44e3c5813), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

3Benazepril/hydrochlorothiazide generic labelers
29Methotrexate generic labelers
Benazepril/hydrochlorothiazideMethotrexate
Labeled forHigh blood pressureRheumatoid arthritis, Psoriasis, Leukemia, lymphoma and myeloma, Breast cancer
Boxed warningYesYes
Pharmacy cost (NADAC)$0.222 per tablet 20-12.5 mg tablet$0.158 per tablet 2.5 mg tablet
Shortage nowNo current entryIn shortage

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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