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Hydrochlorothiazide/Triamterene and Losartan Interaction

Drug interaction information between Hydrochlorothiazide/Triamterene and Losartan.

Hydrochlorothiazide/Triamterene and Losartan have a documented minor interaction in FDA labeling.

FDA drug labeling documents a minor-severity interaction between Hydrochlorothiazide/Triamterene and Losartan. Major interactions are generally avoided, moderate ones may need monitoring or a dose adjustment, and minor ones are usually low-risk. This page shows the documented mechanism and guidance. Label-documented interactions are not a complete safety review, so always confirm your own medications with a pharmacist or doctor. Educational information, not medical advice.

Drug A

Hydrochlorothiazide/Triamterene

Thiazide / Potassium-Sparing Diuretic Combination

Drug B

Losartan

Angiotensin II Receptor Blocker (ARB)

How They Interact

Both of these medicines can cause your body to hold onto too much potassium. Having high potassium levels can be dangerous for your heart and may lead to kidney problems.

What To Do

Your doctor will need to monitor your potassium levels and kidney health with regular blood tests. Seek medical help if you feel muscle weakness or notice a change in your heartbeat.

FDA Label Information

The VA NEPHRON trial enrolled 1448 patients with type 2 diabetes, elevated urinary-albumin-to-creatinine ratio, and decreased estimated glomerular filtration rate (GFR 30 to 89.9 ml/min), randomized them to lisinopril or placebo on a background of losartan therapy and followed them for a median of 2.2 years. Patients receiving the combination of losartan and lisinopril did not obtain any additional benefit compared to monotherapy for the combined endpoint of decline in GFR, end state renal disease, or death, but experienced an increased incidence of hyperkalemia and acute kidney injury...

Frequently Asked Questions

Can I take Hydrochlorothiazide/Triamterene and Losartan together?

This is a minor interaction. Your doctor will need to monitor your potassium levels and kidney health with regular blood tests. Seek medical help if you feel muscle weakness or notice a change in your heartbeat.

How serious is the interaction between Hydrochlorothiazide/Triamterene and Losartan?

This interaction is classified as "minor" severity by the FDA. Minor interactions are unlikely to cause significant problems but should still be mentioned to your healthcare provider.

Why do Hydrochlorothiazide/Triamterene and Losartan interact?

Both of these medicines can cause your body to hold onto too much potassium. Having high potassium levels can be dangerous for your heart and may lead to kidney problems.

Understanding the Hydrochlorothiazide/Triamterene and Losartan Interaction

FDA-approved prescribing information for these two drugs flags their combination as a minor-severity interaction. Hydrochlorothiazide/Triamterene belongs to the Thiazide / Potassium-Sparing Diuretic Combination class and Losartan belongs to the Angiotensin II Receptor Blocker (ARB) class - two categories that can collide when co-prescribed. The mechanism described in FDA labeling is: Both of these medicines can cause your body to hold onto too much potassium. Severity tiers matter: major flags generally advise avoidance, moderate flags often require monitoring or dose adjustment, and minor flags may only call for awareness.

Context around a specific patient determines real-world impact. Hydrochlorothiazide/Triamterene has 13 total documented interactions on file in this dataset, and Losartan has 10. Each additional medication compounds the interaction surface, which is why pharmacists run full-profile checks rather than evaluating one pair at a time. FDA-derived guidance for this pair is: Your doctor will need to monitor your potassium levels and kidney health with regular blood tests. Timing of doses, renal and hepatic function, age, and other concurrent prescriptions all shape whether a labeled interaction matters clinically.

An interaction flag is not a verdict. A large share of labeled interactions are managed routinely in clinical practice, the fix may be as simple as spacing doses or adding a monitoring test. Others require the prescriber to choose a different medication entirely. This page surfaces FDA-sourced labeling and openFDA data for educational purposes only; it is not medical advice and cannot account for your full clinical picture. Never start, stop, or adjust either Hydrochlorothiazide/Triamterene or Losartan based on a web page, speak with your prescriber or pharmacist before making any change.

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. Always consult your healthcare provider about drug interactions.