Furosemide and Lithium interaction

Furosemide and Lithium: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Furosemide label · effective 2026-05-13

Major

Avoid concomitant use with lithium.

Drug interactionsnames LithiumView label on DailyMed
Moderate

Lithium : Risk of lithium toxicity ( 7.1 )

Drug interactionsnames LithiumView label on DailyMed
Moderate

Lithium Furosemide reduces lithium’s renal clearance and add a high-risk of lithium toxicity.

Drug interactionsnames LithiumView label on DailyMed

From the Lithium (Lithium Carbonate) label · effective 2026-06-04

Moderate

Diuretics, NSAID, renin-angiotensin system antagonists, or metronidazole may increase lithium serum concentrations.

Drug interactionsby drug classView label on DailyMed
Moderate

Drugs Having Clinically Important Interactions with Lithium Table 4: Clinically Important Drug Interactions with Lithium Diuretics Clinical Impact: Diuretic-induced sodium loss may reduce lithium clearance and increase serum lithium concentrations .

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.