Lithium and Triamterene and hydrochlorothiazide interaction

Lithium and Triamterene 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 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

From the Triamterene and hydrochlorothiazide label · effective 2026-07-16

Moderate

Lithium Lithium generally should not be given with diuretics because they reduce its renal clearance and increase the risk of lithium toxicity.

Drug interactionsnames LithiumView label on DailyMed
Minor

Read prescribing information for lithium preparations before use of such concomitant therapy with triamterene and hydrochlorothiazide.

Drug interactionsnames LithiumView label on DailyMed

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.