Cholestyramine and Losartan and hydrochlorothiazide interaction

Cholestyramine and Losartan and hydrochlorothiazide: 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 Cholestyramine label · effective 2026-06-15

Moderate

Drug Interactions Cholestyramine for Oral Suspension USP may delay or reduce the absorption of concomitant oral medication such as phenylbutazone, warfarin, thiazide diuretics (acidic), or propranolol (basic), as well as tetracycline, penicillin G, phenobarbital, thyroid and thyroxine preparations, estrogens and progestins, and digitalis.

Drug interactionsby drug classView label on DailyMed

From the Losartan and hydrochlorothiazide (HYZAAR) label · effective 2025-11-26

Moderate

Cholestyramine and colestipol: Reduced absorption of thiazides.

Drug interactionsnames CholestyramineView label on DailyMed
Moderate

Single doses of either cholestyramine or colestipol resins bind the hydrochlorothiazide and reduce its absorption from the gastrointestinal tract by up to 85 and 43 percent, respectively.

Drug interactionsnames CholestyramineView label on DailyMed
Minor

Cholestyramine and colestipol resins — Absorption of hydrochlorothiazide is impaired in the presence of anionic exchange resins.

Drug interactionsnames CholestyramineView label on DailyMed

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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.