Lexapro and Zestoretic drug interactions - a phase IV clinical study of FDA data

Summary:

Drug interactions are reported among people who take Lexapro (escitalopram oxalate) and Zestoretic (hydrochlorothiazide; lisinopril). Common drug interactions include arthralgia among females and asthenia among males.

The phase IV clinical study analyzes what interactions people have when they take Lexapro and Zestoretic. It is created by eHealthMe based on reports of 78 people who take the same drugs from the FDA, and is updated regularly.

What is Lexapro?

Lexapro has active ingredients of escitalopram oxalate. It is often used in depression. eHealthMe is studying from 91,464 Lexapro users. Check the latest studies of Lexapro.

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.



On Jul, 17, 2026

78 people who take Lexapro and Zestoretic together, and have interactions are studied.

Lexapro and Zestoretic drug interactions.

What are the common drug interactions of Lexapro and Zestoretic, by gender? *:

female:

  1. Arthralgia (joint pain)
  2. Cystitis (inflammation of the wall of the bladder)
  3. Dyspnoea (difficult or laboured respiration)
  4. Injection site reaction
  5. Nephrogenic anaemia (anaemia due to kidney disease)
  6. Confusional state
  7. Abdominal discomfort
  8. Alopecia (absence of hair from areas of the body)
  9. Bladder discomfort
  10. Candidiasis (candidiasis or thrush is a fungal infection)

male:

  1. Asthenia (weakness)
  2. Gastrooesophageal reflux disease (stomach contents (food or liquid) leak backwards from the stomach into the oesophagus)
  3. Anaemia (lack of blood)
  4. Bone disorder
  5. Bronchitis (inflammation of the mucous membrane in the bronchial tubes)
  6. Cellulitis (infection under the skin)
  7. Cholecystitis chronic (long lasting infection of gallbladder)
  8. Compression fracture (fracture due to pressure caused by injury)
  9. Constipation
  10. Decreased appetite

What are the common drug interactions of Lexapro and Zestoretic, by age (0-1 to 60+)? *:

0-1:

n/a

2-9:

n/a

10-19:

n/a

20-29:

n/a

30-39:

  1. Pain
  2. Arthralgia (joint pain)
  3. Atelectasis (partial or complete collapse of the lung)
  4. Blood albumin decreased
  5. Blood alkaline phosphatase increased
  6. Blood calcium decreased
  7. Blood chloride decreased
  8. Blood creatinine decreased
  9. Blood glucose increased
  10. Blood lactate dehydrogenase increased

40-49:

  1. Hypokalaemia (low potassium)
  2. Dysarthria (speech disorder)
  3. Mental status changes (general changes in brain function, such as confusion, amnesia (memory loss), loss of alertness, loss of orientation)
  4. Headache (pain in head)
  5. Asthenia (weakness)
  6. Musculoskeletal pain (pain affects the bones, muscles, ligaments, tendons, and nerves)
  7. Renal failure acute (rapid kidney dysfunction)
  8. Type 2 diabetes mellitus
  9. Confusional state
  10. Arthralgia (joint pain)

50-59:

  1. Arthralgia (joint pain)
  2. Bone disorder
  3. Candidiasis (candidiasis or thrush is a fungal infection)
  4. Cellulitis (infection under the skin)
  5. Cholecystitis chronic (long lasting infection of gallbladder)
  6. Compression fracture (fracture due to pressure caused by injury)
  7. Confusional state
  8. Constipation
  9. Decreased appetite
  10. Diverticulitis (digestive disease which involves the formation of pouches (diverticula) within the bowel wall)

60+:

  1. Asthenia (weakness)
  2. Dyspnoea (difficult or laboured respiration)
  3. Hypokalaemia (low potassium)
  4. Mental status changes (general changes in brain function, such as confusion, amnesia (memory loss), loss of alertness, loss of orientation)
  5. Abdominal infection
  6. Anaemia (lack of blood)
  7. Atrial fibrillation (fibrillation of the muscles of the atria of the heart)
  8. Bone disorder
  9. Confusional state
  10. Decreased appetite

What are the existing conditions these people have? *

  1. Menopausal Symptoms: 15 people, 19.23%
  2. Insomnia (sleeplessness): 13 people, 16.67%
  3. Bipolar Disorder (mood disorder): 11 people, 14.10%
  4. Post-Traumatic Stress Disorder: 10 people, 12.82%
  5. Fibromyalgia (a long-term condition which causes pain all over the body): 10 people, 12.82%
  6. Seasonal Allergy (allergic condition due to certain season): 9 people, 11.54%
  7. Bipolar I Disorder (mood disorder that is characterized by at least one manic or mixed episode): 9 people, 11.54%
  8. High Blood Cholesterol: 8 people, 10.26%
  9. Multiple Sclerosis (a nervous system disease that affects your brain and spinal cord. it damages the myelin sheath): 6 people, 7.69%
  10. Stress And Anxiety: 4 people, 5.13%

* Approximation only. Some reports may have incomplete information.

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Related studies:

Effectiveness of, side effects of, and alternative drugs to the 2 drugs:

Browse all drug interactions of Lexapro 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 z

Sub-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 Lexapro:

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 z

Browse 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 z

Browse all interactions between Lexapro 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 z

Browse 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 z

Related publications that referenced our studies


How the study uses the data?

The study uses data from the FDA. It is based on escitalopram oxalate and hydrochlorothiazide; lisinopril (the active ingredients of Lexapro and Zestoretic, respectively), and Lexapro 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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