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What the FDA labels say about taking them together

Chlorothiazide and colestipol

Chlorothiazide's FDA label (Diuril) of November 1, 2021 names colestipol in its drug interactions section, and colestipol's label names chlorothiazide too. The colestipol label: “Studies in humans show that the absorption of chlorothiazide as reflected in urinary excretion is markedly decreased even when administered one hour before colestipol hydrochloride.”

Check it at the source: the chlorothiazide FDA label on DailyMed (effective August 4, 2026, Sagent Pharmaceuticals); the colestipol FDA label on DailyMed (effective February 19, 2024, Zydus Pharmaceuticals USA Inc.).

What does the chlorothiazide label say about colestipol?

Diuril label (Salix Pharmaceuticals, Inc, November 1, 2021), drug interactions

Cholestyramine and Colestipol Resins - Both cholestyramine and colestipol resins have the potential of binding thiazide diuretics and reducing diuretic absorption from the gastrointestinal tract.

Source: FDA drug label (Diuril, NDA011870), Salix Pharmaceuticals, Inc, effective November 1, 2021 (SPL set bd936e35-1af8-42da-bcc0-f22489d68574), via openFDA

Source: FDA drug label (chlorothiazide sodium), Sagent Pharmaceuticals, effective August 4, 2026 (SPL set 82dd0bdd-e6bd-48ea-8f58-c8bf71bbfe2c), via openFDA; the full label on DailyMed

What does the colestipol label say about chlorothiazide?

Colestipol label, drug interactions

Studies in humans show that the absorption of chlorothiazide as reflected in urinary excretion is markedly decreased even when administered one hour before colestipol hydrochloride.

Source: FDA drug label (Colestipol hydrochloride), Zydus Pharmaceuticals USA Inc., effective February 19, 2024 (SPL set 71f12e0d-373a-4867-b37c-f24d99c5ce95), 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

5Chlorothiazide generic labelers
8Colestipol generic labelers
ChlorothiazideColestipol
Labeled forHeart failure, Edema (fluid retention), High blood pressureHigh cholesterol
Boxed warningNoNo
Pharmacy cost (NADAC)n/a$0.658 per tablet 1 g tablet
Shortage nowA presentation being discontinuedNo 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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