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What the FDA labels say about taking them together

Candesartan/hydrochlorothiazide and cyclophosphamide

Candesartan/hydrochlorothiazide's FDA label of December 22, 2025 names cyclophosphamide in its drug interactions section; cyclophosphamide's label does not name candesartan/hydrochlorothiazide itself but warns about its class (ARBs (angiotensin II receptor blockers), Thiazide diuretics). The candesartan/hydrochlorothiazide label: “Cytotoxic products – Thiazides may reduce the renal excretion of cytotoxic medicinal products and potentiate their myelosuppressive effects.”

Check it at the source: the candesartan/hydrochlorothiazide FDA label on DailyMed (effective December 22, 2025, ANI Pharmaceuticals, Inc.); the cyclophosphamide FDA label on DailyMed (effective January 19, 2026, Amneal Pharmaceuticals LLC).

What does the candesartan/hydrochlorothiazide label say about cyclophosphamide?

Candesartan/hydrochlorothiazide label, drug interactions

Cytotoxic products – Thiazides may reduce the renal excretion of cytotoxic medicinal products (e.g. cyclophosphamide, methotrexate) and potentiate their myelosuppressive effects.

Source: FDA drug label (Candesartan Cilexetil and Hydrochlorothiazide), NDA021093 (Ani Pharms), as published by ANI Pharmaceuticals, Inc., effective December 22, 2025 (SPL set bd8d318d-167a-4b26-935d-265dde3193de), via openFDA; the full label on DailyMed

What does the cyclophosphamide label say about candesartan/hydrochlorothiazide?

Cyclophosphamide's label does not name candesartan/hydrochlorothiazide itself; it warns about its class (ARBs (angiotensin II receptor blockers), Thiazide diuretics):

Cyclophosphamide label, drug interactions

Increased hematotoxicity has been reported when cyclophosphamide was administered after paclitaxel infusion. ● Thiazide diuretics ● Zidovudine Increased cardiotoxicity ● Anthracyclines ● Cytarabine ● Pentostatin ● Radiation therapy of the cardiac region ● Trastuzumab Increased pulmonary toxicity ● Amiodarone ● G-CSF, GM-CSF (granulocyte colony-stimulating factor, granulocyte macrophage colony-stimulating factor) Increased nephrotoxicity ● Amphotericin B ●

Cyclophosphamide label, drug interactions

Thiazide diuretics Zidovudine Increased cardiotoxicity Anthracyclines Cytarabine Pentostatin Radiation therapy of the cardiac region Trastuzumab Increased pulmonary toxicity Amiodarone G-CSF, GM-CSF (granulocyte colony-stimulating factor, granulocyte macrophage colony-stimulating factor) Increased nephrotoxicity

Source: FDA drug label (Cyclophosphamide), Amneal Pharmaceuticals LLC, effective January 19, 2026 (SPL set 520bfe39-dfd5-4a20-9a37-80078afded0d), 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

4Candesartan/hydrochlorothiazide generic labelers
19Cyclophosphamide generic labelers
Candesartan/hydrochlorothiazideCyclophosphamide
Labeled forHigh blood pressureLeukemia, lymphoma and myeloma
Boxed warningYesNo
Pharmacy cost (NADAC)$0.954 per tablet 16-12.5 mg tablet$1.67 per capsule 50 mg capsule
Shortage nowNo current entryNo current entry

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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