Bisoprolol and hydrochlorothiazide and Furosemide interaction

Bisoprolol and hydrochlorothiazide and Furosemide: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Bisoprolol and hydrochlorothiazide (bisoprolol fumarate and hydrochlorothiazide) label · effective 2026-08-11

Moderate

Because of the relative beta 1 -selectivity of bisoprolol fumarate, bisoprolol fumarate and hydrochlorothiazide tablets may be used with caution in patients with bronchospastic disease who do not respond to, or who cannot tolerate other antihypertensive treatment.

Warningsby drug classView label on DailyMed
Moderate

Drug Interactions Bisoprolol fumarate and hydrochlorothiazide tablets may potentiate the action of other antihypertensive agents used concomitantly.

Drug interactionsby drug classView label on DailyMed
Moderate

Other antihypertensive drugs - additive effect or potentiation.

Precautionsby drug classView label on DailyMed
Moderate

Diuretic agents reduce the renal clearance of lithium and add a high risk of lithium toxicity.

Precautionsby drug classView label on DailyMed
Moderate

Nonsteroidal anti-inflammatory drugs - In some patients, the administration of a nonsteroidal anti-inflammatory agent can reduce the diuretic, natriuretic, and antihypertensive effects of loop, potassium sparing, and thiazide diuretics.

Precautionsby drug classView label on DailyMed

From the Furosemide label · effective 2026-05-13

Moderate

Monitor for changes in blood pressure and adjust the dose of other antihypertensive drugs if needed.

Drug interactionsby drug classView label on DailyMed
Moderate

Monitor diuretic effects of furosemide and adjust the dose of furosemide if needed.

Drug interactionsby drug classView label on DailyMed
Minor

Patients receiving both indomethacin and furosemide should be observed closely to determine if the desired diuretic and/or antihypertensive effect of furosemide is achieved.

Drug interactionsby drug classView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.