Gossypol - Hydrochlorothiazide, Spironolactone Interaction
Herbal: Gossypol
Also Known As: Coton Velu, Cotonnier Herbacé, Cottonseed Oil Extract, Extrait d'Huile de Coton, Gosipol, Karpasa
Drug: Hydrochlorothiazide, Spironolactone
Brand names:
Spirozine, Aldactazide, Aldactide 25, Aldactide 50
Medical Content Editor Dr. Brian Staiger, PharmD
Last updated
May 04, 2025
Interaction Details
Hydrochlorothiazide, Spironolactone is classified as belonging to the following category: Diuretic Drugs
Theoretically, gossypol might increase the risk of hypokalemia when taken with potassium-depleting diuretic drugs.
Clinical research shows that gossypol has potassium-depleting effects and can cause hypokalemia. Initiation of potassium supplementation or an increase in potassium supplement dose may be necessary for some patients.
Interaction Rating
Likelihood of Occurrence
PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
References
- Woolley, R. J. Contraception--a look forward, Part II: Mifepristone and gossypol. J.Am.Board Fam.Pract. 1991;4(2):103-113.
- Bushunow, P., Reidenberg, M. M., Wasenko, J., Winfield, J., Lorenzo, B., Lemke, S., Himpler, B., Corona, R., and Coyle, T. Gossypol treatment of recurrent adult malignant gliomas. J.Neurooncol. 1999;43(1):79-86.
- Reidenberg, M. M. Environmental inhibition of 11beta-hydroxysteroid dehydrogenase. Toxicology 4-3-2000;144(1-3):107-111.
- Song, D., Lorenzo, B., and Reidenberg, M. M. Inhibition of 11 beta-hydroxysteroid dehydrogenase by gossypol and bioflavonoids. J.Lab Clin.Med. 1992;120(5):792-797.
- Fu, Y. F., Zhang, S. L., Lu, Z. M., and Wang, W. Effects of gossypol on the activity of kidney (Na+ + K+)-ATPase and the functions of erythrocyte membrane. Contraception 1988;37(2):179-184.
- Fu, Y. F., Zhang, S. L., Lu, Z. M., and Wang, W. Effects of gossypol on the activity of rabbit kidney Na,K-ATPase and the functions of human erythrocyte membrane. Prog.Clin.Biol.Res. 1988;268B:385-392.
- Kjaergaard, N. [Male contraception]. Ugeskr.Laeger 9-8-1986;148(37):2335-2338.
- Bi, X. F., Ye, Y. X., Yang, H. F., and Zhang, Z. R. [Preliminary study on gossypol in causing hypokalemia (author's transl)]. Zhongguo Yi.Xue.Ke.Xue.Yuan Xue.Bao. 1981;3(3):175-178.
- Aitken, R. J., Liu, J., Best, F. S., and Richardson, D. W. An analysis of the direct effects of gossypol on human spermatozoa. Int.J.Androl 1983;6(2):157-167.
- Waites, G. M. Male fertility regulation: the challenges for the year 2000. Br.Med Bull. 1993;49(1):210-221.
- Reidenberg, M. M., Gu, Z. P., Lorenzo, B., Coutinho, E., Athayde, C., Frick, J., Alvarez, F., Brache, V., and Emuveyan, E. E. Differences in serum potassium concentrations in normal men in different geographic locations. Clin.Chem. 1993;39(1):72-75.
Gossypol Overview
Gossypol is a natural compound found in cotton plants (Gossypium species) and other related plants. It's known for its potential use as a male contraceptive due to its ability to inhibit sperm production. However, gossypol also poses health risks in high doses, including potential toxicity to the heart and other organs, which has limited its widespread medical application.
Gossypol - More Interactions
Gossypol interacts with 104 drugs
Interaction Rating Key
These severity listings are for informational use only. Never start, stop or otherwise change your therapy before speaking with your provider.
| Major | The combined use of these agents is strongly discouraged as serious side effects or other negative outcomes could occur. |
| Moderate | Use cautiously under the care of a healthcare professional or avoid this combination. A significant interaction or negative outcome could occur. |
| Minor | Be aware that there is a chance of an interaction. Watch for warning signs of a potential interaction. |
| Unknown | No interactions have been reported or no interaction data is currently available. |
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Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC
Drug descriptions are provided by MedlinePlus.
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