Januvia and Zestoretic drug interactions - a phase IV clinical study of FDA data
Summary:
Drug interactions are reported among people who take Januvia (sitagliptin phosphate) and Zestoretic (hydrochlorothiazide; lisinopril). Common drug interactions include torsade de pointes among females and arthralgia among males.
The phase IV clinical study analyzes what interactions people have when they take Januvia and Zestoretic. It is created by eHealthMe based on reports of 64 people who take the same drugs from the FDA, and is updated regularly.
What is Januvia?
Januvia has active ingredients of sitagliptin phosphate. It is often used in diabetes. eHealthMe is studying from 72,818 Januvia users. Check the latest studies of Januvia.
What is Zestoretic?
Zestoretic has active ingredients of hydrochlorothiazide; lisinopril. It is often used in high blood pressure. eHealthMe is studying from 4,342 Zestoretic users. Check the latest studies of Zestoretic.
64 people who take Januvia and Zestoretic together, and have interactions are studied.

What are the common drug interactions of Januvia and Zestoretic, by gender? *:
female:
- Torsade de pointes (a abnormal heart rate with abnormal beating pattern)
- Abdominal pain
- Abdominal pain upper
- Alanine aminotransferase increased
- Anaemia (lack of blood)
- Anaemia vitamin b12 deficiency
- Aphagia (inability or refusal to swallow)
- Behcet's syndrome (involves inflammation of the blood vessels)
- Blood chloride decreased
- Blood triglycerides increased
male:
- Arthralgia (joint pain)
- Pain
- Diarrhoea
- Emotional distress
- Mobility decreased (ability to move is reduced)
- Hyperhidrosis (abnormally increased sweating)
- Abdominal discomfort
- Blood glucose decreased
- Chronic kidney disease
- Drug ineffective
What are the common drug interactions of Januvia and Zestoretic, by age (0-1 to 60+)? *:
0-1:
n/a
2-9:
n/a
10-19:
n/a
20-29:
- Anxiety
- Arthritis (form of joint disorder that involves inflammation of one or more joints)
- Cholecystitis acute (rapid infection of gallbladder)
- Cholelithiasis (the presence or formation of gallstones in the gallbladder or bile ducts)
- Diarrhoea
- Discomfort
- Ear infection
- Emotional distress
- Haematoma (collection of blood outside the blood vessels)
- Mental disorder (a psychological term for a mental or behavioural pattern or anomaly that causes distress or disability)
30-39:
n/a
40-49:
- Glycosylated haemoglobin decreased
- High density lipoprotein decreased
- Hypertonic bladder (bladder-storage function that causes a sudden urge to urinate)
- Intervertebral disc protrusion (spinal disc protrusion)
- Mean platelet volume decreased (less than normal average size of platelet cells in blood)
- Red cell distribution width increased
- Sleep disorder due to a general medical condition
- Systemic lupus erythematosus (an autoimmune disease, which means the body's immune system mistakenly, attacks healthy tissue)
- Ulcer
- Urinary incontinence (inability to control the flow of urine and involuntary urination)
50-59:
- Dehydration (dryness resulting from the removal of water)
- Peripheral swelling
- Asthenia (weakness)
- Azotaemia (excess of urea or other nitrogenous compounds in the blood)
- Blood creatinine decreased
- Blood glucose increased
- Blood parathyroid hormone decreased
- Blood sodium decreased
- Cytolytic hepatitis (dissolution or destruction of a liver cell)
- Dyspepsia (indigestion)
60+:
- Chronic kidney disease
- Malaise (a feeling of general discomfort or uneasiness)
- Asthenia (weakness)
- Cardiac arrest
- Chest pain
- Decreased appetite
- Depression
- Drug ineffective
- Fatigue (feeling of tiredness)
- Gastrointestinal haemorrhage (bleeding gastrointestinal tract)
What are the existing conditions these people have? *
- Type 2 Diabetes: 20 people, 31.25%
- High Blood Cholesterol: 9 people, 14.06%
- Gastroesophageal Reflux Disease (a condition in which stomach contents leak backward from the stomach into the oesophagus): 9 people, 14.06%
- Pain: 4 people, 6.25%
- Erection Problems: 4 people, 6.25%
* Approximation only. Some reports may have incomplete information.
Do you take Januvia and Zestoretic?
- Personalize this study to your gender, age, symptoms and drugs
- Predict drug outcomes for up to one year with AI
- Get an AI agent to monitor your drugs continuously
Related studies:
Effectiveness of, side effects of, and alternative drugs to the 2 drugs:
- Januvia (72,818 reports)
- Zestoretic (4,342 reports)
Browse all drug interactions of Januvia and Zestoretic:
a b c d e f g h i j k l m n o p q r s t u v w x y zSub-studies by gender and age:
Female: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+
Male: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+
Browse all side effects of Januvia:
a b c d e f g h i j k l m n o p q r s t u v w x y zBrowse all side effects of Zestoretic:
a b c d e f g h i j k l m n o p q r s t u v w x y zBrowse all interactions between Januvia and drugs from A to Z:
a b c d e f g h i j k l m n o p q r s t u v w x y zBrowse all interactions between Zestoretic and drugs from A to Z:
a b c d e f g h i j k l m n o p q r s t u v w x y zRelated publications that referenced our studies
- Liao KF, Lin CL, Lai SW, Chen WC, "Sitagliptin use and risk of acute pancreatitis in type 2 diabetes mellitus: a population-based case-control study in Taiwan", European journal of internal medicine, 2016 Jan .
- Belice T, Yuce S, Kizilkaya B, Kurt A, Cure E, "Noncardiac pulmonary edema induced by sitagliptin treatment", Journal of family medicine and primary care, 2014 Jan .
- Misgar, R. A., Bhat, J. A., Wani, A. I., & Bashir, M. I., "Sitagliptin induced splenic infarcts", Clinical Diabetology, 2014 Jan .
- Stricklin SM, Stoecker WV, Rader RK, Hood AF, Litt JZ, Schuman TP, "Persistent edematous-plaque photosensitivity observed with sitagliptin phosphate (Januvia?)", Dermatology online journal, 2012 Feb .
- Liao KF, Lin CL, Lai SW, Chen WC, "Sitagliptin use and risk of acute pancreatitis in type 2 diabetes mellitus: a population-based case-control study in Taiwan", European journal of internal medicine, 2016 Jan .
- Belice T, Yuce S, Kizilkaya B, Kurt A, Cure E, "Noncardiac pulmonary edema induced by sitagliptin treatment", Journal of family medicine and primary care, 2014 Jan .
- Misgar, R. A., Bhat, J. A., Wani, A. I., & Bashir, M. I., "Sitagliptin induced splenic infarcts", Clinical Diabetology, 2014 Jan .
- Stricklin SM, Stoecker WV, Rader RK, Hood AF, Litt JZ, Schuman TP, "Persistent edematous-plaque photosensitivity observed with sitagliptin phosphate (Januvia?)", Dermatology online journal, 2012 Feb .
How the study uses the data?
The study uses data from the FDA. It is based on sitagliptin phosphate and hydrochlorothiazide; lisinopril (the active ingredients of Januvia and Zestoretic, respectively), and Januvia and Zestoretic (the brand names). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study.
How to use the study?
DO NOT STOP MEDICATIONS without first consulting your doctor. If there are any serious or long term adverse effects discovered in the study, discuss the study with your doctor to ensure that proper medication management will be in place if applicable.
Who is eHealthMe?
With medical big data and proven AI/ML algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5,000 more each day. Results of our real-world drug study have been referenced on 800+ peer-reviewed medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API).
WARNING, DISCLAIMER, USE FOR PUBLICATION
WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.
DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.
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