Enalapril and Sulfamethoxazole and trimethoprim interaction

Enalapril and Sulfamethoxazole and trimethoprim: the Sulfamethoxazole and trimethoprim prescribing label 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 Sulfamethoxazole and trimethoprim (SULFATRIM) label · effective 2026-01-05

Moderate

In the literature, three cases of hyperkalemia in elderly patients have been reported after concomitant intake of sulfamethoxazole/trimethoprim and an angiotensin converting enzyme inhibitor.

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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.