Mercaptopurine and Zide drug interactions - a phase IV clinical study of FDA data

Summary:

Drug interactions are reported among people who take Mercaptopurine (mercaptopurine) and Zide (hydrochlorothiazide). Common drug interactions include cholestasis among females and dizziness among males.

The phase IV clinical study analyzes what interactions people have when they take Mercaptopurine and Zide. It is created by eHealthMe based on reports of 99 people who take the same drugs from the FDA, and is updated regularly.

What is Mercaptopurine?

Mercaptopurine has active ingredients of mercaptopurine. It is often used in crohn's disease. eHealthMe is studying from 23,013 Mercaptopurine users. Check the latest studies of Mercaptopurine.

What is Zide?

Zide has active ingredients of hydrochlorothiazide. It is often used in high blood pressure. eHealthMe is studying from 183,246 Zide users. Check the latest studies of Zide.



On Jul, 28, 2026

99 people who take Mercaptopurine and Zide together, and have interactions are studied.

Mercaptopurine and Zide drug interactions.

What are the common drug interactions of Mercaptopurine and Zide, by gender? *:

female:

  1. Cholestasis (a condition where bile cannot flow from the liver to the duodenum)
  2. Diarrhoea
  3. Hepatic cirrhosis (chronic liver disease characterized by replacement of liver tissue by fibrosis, scar tissue)
  4. Hepatic enzyme increased
  5. Pruritus (severe itching of the skin)
  6. Urticaria (rash of round, red welts on the skin that itch intensely)
  7. Abdominal pain upper
  8. Anger
  9. Arthralgia (joint pain)
  10. Asthenia (weakness)

male:

  1. Dizziness
  2. Back pain
  3. Infusion related reaction
  4. Pain
  5. Anhedonia (inability to experience pleasure from activities usually found enjoyable)
  6. Ankle fracture
  7. Anxiety
  8. Bone density decreased
  9. Cardiac disorder
  10. Dehydration (dryness resulting from the removal of water)

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

0-1:

n/a

2-9:

n/a

10-19:

  1. Anaemia (lack of blood)
  2. Hypothalamo-pituitary disorder (loss of function in an endocrine gland due to failure of the pituitary gland to secrete hormones which stimulate that gland's function)
  3. Neurotoxicity (when the exposure to natural or artificial toxic substances, which are called neurotoxins, alters the normal activity of the nervous system)
  4. Thrombocytopenia (decrease of platelets in blood)

20-29:

  1. Abdominal pain
  2. Nausea (feeling of having an urge to vomit)
  3. Rash
  4. Fatigue (feeling of tiredness)
  5. Gastrointestinal stoma complication (complication of an opening surgically made in digestive tract)
  6. Dental caries
  7. Drug ineffective
  8. Ear discomfort
  9. Feeling of body temperature change
  10. Folliculitis (infection of hair root)

30-39:

  1. Blood bilirubin increased
  2. Bilirubin conjugated increased
  3. Chills (felling of cold)
  4. Device related infection
  5. Febrile neutropenia (fever with reduced white blood cells)
  6. Paranasal sinus discomfort

40-49:

  1. Anhedonia (inability to experience pleasure from activities usually found enjoyable)
  2. Ankle fracture
  3. Anxiety
  4. Arthralgia (joint pain)
  5. Blood pressure systolic increased
  6. Bone density decreased
  7. Cerebral infarction (less blood supply to brain resulting tissue damage)
  8. Emotional distress
  9. Headache (pain in head)
  10. Lung infiltration (a substance that normally includes fluid, inflammatory exudates or cells that fill a region of lung)

50-59:

  1. Chronic kidney disease
  2. Drug ineffective
  3. Drug specific antibody present
  4. Dyspnoea (difficult or laboured respiration)
  5. Formication (a sensation that exactly resembles that of small insects crawling on (or under) the skin)
  6. Infected varicose vein
  7. Metabolic acidosis (body produces too much acid, or when the kidneys are not removing enough acid from the body)
  8. Musculoskeletal pain (pain affects the bones, muscles, ligaments, tendons, and nerves)
  9. Pain in extremity
  10. Peripheral swelling

60+:

  1. Myocardial infarction (destruction of heart tissue resulting from obstruction of the blood supply to the heart muscle)
  2. Arthralgia (joint pain)
  3. Anger
  4. Asthenia (weakness)
  5. Blood creatinine increased
  6. Blood urea increased
  7. Chronic obstructive pulmonary disease (a progressive disease that makes it hard to breathe)
  8. Depression
  9. Diffuse large b-cell lymphoma (cancer of b cells, a type of white blood cell)
  10. Drug hypersensitivity

What are the existing conditions these people have? *

  1. Ulcerative Colitis (inflammatory bowel disease (ibd). it causes swelling, ulcerations, and loss of function of the large intestine): 21 people, 21.21%
  2. Pain: 15 people, 15.15%
  3. High Blood Cholesterol: 10 people, 10.10%
  4. Diabetes: 9 people, 9.09%
  5. Hypothyroidism (abnormally low activity of the thyroid gland, resulting in retardation of growth and mental development): 8 people, 8.08%
  6. Stress And Anxiety: 7 people, 7.07%
  7. Nausea (feeling of having an urge to vomit): 7 people, 7.07%
  8. Hypersensitivity: 6 people, 6.06%
  9. Diarrhea: 6 people, 6.06%
  10. Autoimmune Hepatitis: 6 people, 6.06%

* Approximation only. Some reports may have incomplete information.

Do you take Mercaptopurine and Zide?

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Related studies:

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

Browse all drug interactions of Mercaptopurine and Zide:

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 Mercaptopurine:

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 Zide:

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 Mercaptopurine 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 Zide 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

How the study uses the data?

The study uses data from the FDA. It is based on mercaptopurine and hydrochlorothiazide (the active ingredients of Mercaptopurine and Zide, respectively), and Mercaptopurine and Zide (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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