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What the FDA labels say about taking them together

Fosinopril/hydrochlorothiazide and magnesium hydroxide

Fosinopril/hydrochlorothiazide's FDA label of April 28, 2024 names magnesium hydroxide in its drug interactions section; the magnesium hydroxide label PlainMeds reads does not name fosinopril/hydrochlorothiazide. The fosinopril/hydrochlorothiazide label: “Antacids In a clinical pharmacology study, serum levels and urinary excretion of fosinoprilat were reduced when fosinopril was coadministered with an antacid suggesting that antacids may impair absorption of fosinopril.”

Check it at the source: the fosinopril/hydrochlorothiazide FDA label on DailyMed (effective April 28, 2024, Aurobindo Pharma Limited); the magnesium hydroxide FDA label on DailyMed (effective August 21, 2026).

What does the fosinopril/hydrochlorothiazide label say about magnesium hydroxide?

Fosinopril/hydrochlorothiazide label, drug interactions

Antacids In a clinical pharmacology study, serum levels and urinary excretion of fosinoprilat were reduced when fosinopril was coadministered with an antacid (aluminum hydroxide, magnesium hydroxide, and simethicone) suggesting that antacids may impair absorption of fosinopril.

Source: FDA drug label (Fosinopril Sodium and Hydrochlorothiazide), Aurobindo Pharma Limited, effective April 28, 2024 (SPL set 35019655-9a30-4305-a262-936ad0e73071), via openFDA; the full label on DailyMed

What does the magnesium hydroxide label say about fosinopril/hydrochlorothiazide?

Magnesium hydroxide's label (effective August 21, 2026) does not name fosinopril/hydrochlorothiazide in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (MiraFAST soft chews), Bayer HealthCare LLC., effective August 21, 2026 (SPL set 2cee67dd-b71f-32b8-e063-6394a90ae864), 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

2Fosinopril/hydrochlorothiazide generic labelers
0Magnesium hydroxide generic labelers
Fosinopril/hydrochlorothiazideMagnesium hydroxide
Labeled forHigh blood pressureConstipation, Acid reflux and ulcers
Boxed warningYesNo
Pharmacy cost (NADAC)$0.634 per tablet 10-12.5 mg tablet$0.0095 per mL Milk of magnesia suspension
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)

What next?