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Can I take Acetaminophen and Triamterene hydrochlorothiazide together?

Drug interaction guide

Taking paracetamol (acetaminophen) with triamterene/hydrochlorothiazide may reduce the blood-pressure-lowering effects of the water tablet. There is also a small risk that taking these together regularly could affect how well your kidneys work. Additionally, you should be very careful with alcohol consumption while taking these medicines.

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Why this happens

Paracetamol can interfere with the way the kidneys produce certain natural chemicals (prostaglandins) that help lower blood pressure and maintain blood flow to the kidneys. This can counteract the effects of the diuretic (water tablet). Both paracetamol and alcohol can strain the liver, and combining them increases the risk of liver damage.

It is generally fine to take an occasional dose of paracetamol, but if you need it regularly, you should have your blood pressure monitored by your doctor. It is best to avoid or strictly limit alcohol while taking paracetamol, as the combination increases the risk of liver damage. If you notice any swelling in your ankles or a decrease in how much you urinate, contact your doctor.

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Taking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Disclaimer

This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.

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Article history

The information on this page is written and peer reviewed by qualified clinicians.

  • 14 Mar 2026 | Originally published
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