Chlorthalidone and Torsemide interaction

Chlorthalidone and Torsemide: 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 Chlorthalidone (Thalitone) label · effective 2026-06-25

Moderate

Effect of chlorthalidone on other drugs Chlorthalidone may add to or potentiate the action of other antihypertensive drugs.

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Minor

Impaired Renal Function Changes in renal function including acute renal failure can be caused by diuretics.

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From the Torsemide label · effective 2026-07-21

Moderate

Ototoxicity Tinnitus and hearing loss (usually reversible) have been observed with loop diuretics, including torsemide.

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Moderate

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): Reduced diuretic, natriuretic, and antihypertensive effects; risk of renal impairment.

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Moderate

Organic Anion Drugs: May decrease diuretic activity of torsemide.

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Moderate

The antihypertensive and diuretic effects of torsemide can be reduced by NSAIDs.

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Moderate

Monitor diuretic effect and blood pressure when used in combination with CYP2C9 inhibitor or inducer.

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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.