Drug General Information (ID: DDIZ4DCN76)
  Drug Name Triamterene Drug Info Tacrolimus Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Diuretics Immunosuppressive Agents
  Structure

 Mechanism of Triamterene-Tacrolimus Interaction (Severity Level: Major)
     Increased risk of hyperkalemia Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Triamterene Tacrolimus
      Mechanism Hyperkalemia Hyperkalemia
      Key Mechanism Factor 1
Factor Name Hyperkalemia
Factor Description Hyperkalemia is a condition in which the level of potassium in the blood is higher than normal. While mild cases may not produce symptoms, severe hyperkalemia can lead to fatal arrhythmias if left untreated.
      Mechanism Description
  • Increased risk of hyperkalemia by the combination of Triamterene and Tacrolimus 

Recommended Action
      Management Potassium-sparing diuretics should generally be avoided during tacrolimus therapy. Patients treated with tacrolimus should have serum potassium levels and renal function monitored regularly, and advised to seek medical attention if they experience signs and symptoms of hyperkalemia such as weakness, listlessness, confusion, tingling of the extremities, and irregular heartbeat.

References
1 Perazella MA "Drug-induced hyperkalemia: old culprits and new offenders." Am J Med 109 (2000): 307-14. [PMID: 10996582]
2 Product Information. Prograf (tacrolimus). Fujisawa, Deerfield, IL.
3 Product Information. Midamor (amiloride). Merck & Co, Inc, West Point, PA.
4 Marcy TR, Ripley TL "Aldosterone antagonists in the treatment of heart failure." Am J Health Syst Pharm 63 (2006): 49-58. [PMID: 16373465]