Empagliflozin and Telmisartan and hydrochlorothiazide interaction

Empagliflozin and Telmisartan 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 Empagliflozin (Jardiance) label · effective 2026-06-17

Moderate

Patients with impaired renal function (eGFR less than 60 mL/min/1.73 m 2 ), elderly patients, or patients on loop diuretics may be at increased risk for volume depletion or hypotension.

Warnings and precautionsby drug classView label on DailyMed
Moderate

Table 4 Clinically Relevant Interactions with JARDIANCE Diuretics Clinical Impact Coadministration of empagliflozin with diuretics resulted in increased urine volume and frequency of voids, which might enhance the potential for volume depletion.

Drug interactionsby drug classView label on DailyMed
Minor

Volume Depletion: Before initiating JARDIANCE, assess volume status and renal function in patients with impaired renal function, elderly patients, or patients on loop diuretics.

Warnings and precautionsby drug classView label on DailyMed

From the Telmisartan and hydrochlorothiazide (Micardis HCT) label · effective 2024-12-31

Moderate

Antidiabetic drugs: Dosage adjustment may be required ( 7.6 )

Drug interactionsby drug classView label on DailyMed
Moderate

Antidiabetic Drugs (Oral Agents and Insulin) Dosage adjustment of antidiabetic drugs may be required when co-administered with hydrochlorothiazide.

Drug interactionsby drug classView 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.