Drug & supplement interaction

Quercetin + Hydrochlorothiazide, Pindolol

Hydrochlorothiazide, Pindolol brand name: Viskazide.

Moderate Interaction
The bottom line Moderate

Hydrochlorothiazide, Pindolol falls into 4 drug categories that Quercetin can interact with; the most serious is rated moderate. Theoretically, taking quercetin with antihypertensive drugs might increase the risk of hypotension.

Read the full interaction report
SeverityModerate
LikelihoodPossible
Interactions4
EvidenceB
What do Severity, Likelihood & Evidence mean?
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Interaction report

Quercetin and Hydrochlorothiazide, Pindolol

These two interact in 4 distinct ways. Each one is explained separately below.

Why Are There 4 Interactions?

Quercetin interacts with whole categories of medication. Hydrochlorothiazide, Pindolol falls into 4 of those categories, so it can interact with Quercetin in 4 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Moderate).

Moderate

ANTIHYPERTENSIVE DRUGS

1 of 4

Why this applies to Hydrochlorothiazide, Pindolol

Hydrochlorothiazide, Pindolol falls under ANTIHYPERTENSIVE DRUGS — the group Quercetin interacts with.

Theoretically, taking quercetin with antihypertensive drugs might increase the risk of hypotension.

Quercetin can modestly decrease blood pressure in people with mild hypertension. Theoretically, it might have additive blood pressure lowering effects when used with antihypertensive drugs.
Severity Moderate Likelihood Possible Evidence B

Interaction 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.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Viskazide combines two blood pressure medicines: hydrochlorothiazide (a water pill) and pindolol (a beta-blocker). Both work to bring your blood pressure down. Here's the thing about quercetin: in some studies it slightly lowered blood pressure on its own. So when you stack it on top of medicines already doing that job, the effects could add up and push your blood pressure a little too low.

If that happens, you might feel dizzy, lightheaded, tired, or a bit faint, especially when you stand up quickly. Keep in mind this concern is mostly theoretical and the supporting evidence is modest. Food amounts of quercetin are very unlikely to matter, but concentrated supplements are worth a chat with your pharmacist or doctor first.

References
  1. Edwards RL, Lyon T, Litwin SE, et al. Quercetin reduces blood pressure in hypertensive subjects. J Nutr 2007;137:2405-11.
  2. Larson A, Witman MA, Guo Y, et al. Acute, quercetin-induced reductions in blood pressure in hypertensive individuals are not secondary to lower plasma angiotensin-converting enzyme activity or endothelin-1: nitric oxide. Nutr Res. 2012;32(8):557-64. PubMed
Moderate

ORGANIC ANION TRANSPORTER 3 (OAT3) SUBSTRATES

2 of 4

Hydrochlorothiazide, Pindolol also falls under ORGANIC ANION TRANSPORTER 3 (OAT3) SUBSTRATES.

Theoretically, concomitant use might increase the effects and adverse effects of OAT3 substrates.

In vitro research shows that quercetin is a strong non-competitive inhibitor of OAT3, with half-maximal inhibitory concentration (IC50) values as low as 0.75 mcM. So far, this interaction has not been reported in humans.
Severity Moderate Likelihood Possible Evidence D

Interaction 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.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Your blood pressure pill combines hydrochlorothiazide (a water pill) with pindolol (a beta-blocker). The hydrochlorothiazide part relies on a kidney transporter called OAT3 to get shuttled into your urine. In test-tube studies, quercetin blocks that transporter pretty strongly. In theory, that could slow how fast the water pill leaves your body, so a bit more might hang around than expected.

If that happened, you might notice more of the usual hydrochlorothiazide effects, like extra urination, dizziness, low potassium, or feeling lightheaded when you stand. Here's the honest part: this is only lab data and has never been reported in actual people. Food amounts of quercetin are very unlikely to matter. Before starting a high-dose supplement, just run it by your pharmacist or doctor.

References
  1. Li C, Wang X, Bi Y, et al. Potent Inhibitors of Organic Anion Transporters 1 and 3 From Natural Compounds and Their Protective Effect on Aristolochic Acid Nephropathy. Toxicol Sci. 2020;175(2):279-291. PubMed
  2. Ni Y, Duan Z, Zhou D, et al. Identification of Structural Features for the Inhibition of OAT3-Mediated Uptake of Enalaprilat by Selected Drugs and Flavonoids. Front Pharmacol. 2020;11:802. PubMed
Moderate

ORGANIC ANION TRANSPORTER 1 (OAT1) SUBSTRATES

3 of 4

Hydrochlorothiazide, Pindolol also falls under ORGANIC ANION TRANSPORTER 1 (OAT1) SUBSTRATES.

Theoretically, concomitant use might increase the effects and adverse effects of OAT1 substrates.

In vitro research shows that quercetin is a strong non-competitive inhibitor of OAT1, with half-maximal inhibitory concentration (IC50) values less than 10 mcM. So far, this interaction has not been reported in humans.
Severity Moderate Likelihood Possible Evidence D

Interaction 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.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Viskazide combines two blood pressure medicines: hydrochlorothiazide (a water pill) and pindolol (a beta-blocker). The hydrochlorothiazide part is the piece that matters here. Your kidneys use a tiny transporter called OAT1 to push this water pill out into your urine. In lab dish studies, quercetin appears to block that transporter, which could theoretically slow how fast hydrochlorothiazide leaves your body and let it build up a bit.

If that happened, you might notice more of the drug's usual effects, like extra urination, dizziness, dehydration, or low potassium. The important thing: this has only been seen in test tubes, never reported in real people, so it's a theoretical concern. Food amounts of quercetin are very unlikely to matter, but check with your pharmacist before starting high-dose supplements.

References
  1. Ni Y, Duan Z, Zhou D, et al. Identification of Structural Features for the Inhibition of OAT3-Mediated Uptake of Enalaprilat by Selected Drugs and Flavonoids. Front Pharmacol. 2020;11:802. PubMed
Moderate

CYTOCHROME P450 2D6 (CYP2D6) SUBSTRATES

4 of 4

Hydrochlorothiazide, Pindolol also falls under CYTOCHROME P450 2D6 (CYP2D6) SUBSTRATES.

Theoretically, concomitant use might increase the levels and adverse effects of CYP2D6 substrates.

In vitro research show that quercetin inhibits CYP2D6. This effect has not been reported in humans.
Severity Moderate Likelihood Possible Evidence D

Interaction 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.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Your Viskazide combines two medicines: hydrochlorothiazide (a water pill) and pindolol (a beta-blocker). The piece that matters here is pindolol, which the body partly clears using a liver enzyme called CYP2D6. In test-tube studies, quercetin appears to slow that enzyme down. If that happened in a real person, pindolol could build up a bit and push its effects too far.

What that might feel like is a slower heart rate, more tiredness, lightheadedness, or lower blood pressure than usual. Here is the reassuring part: this has only been seen in lab studies, never confirmed in people, so the concern is largely theoretical. Food amounts of quercetin are very unlikely to matter. Before starting a high-dose supplement, just run it by your pharmacist or doctor.

References
  1. Obach RS. Inhibition of human cytochrome P450 enzymes by constituents of St. John's wort, an herbal preparation used in the treatment of depression. J Pharmacol Exp Ther 2000;294:88-95. DOI
  2. DiCenzo R, Frerichs V, Larppanichpoonphol P, et al. Effect of quercetin on the plasma and intracellular concentrations of saquinavir in healthy adults. Pharmacotherapy 2006;26:1255-61. PubMed

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • 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.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Quercetin Also Interacts With Other Medications

Quercetin has 1,168 moderate known drug interactions in our database — the Hydrochlorothiazide, Pindolol one above is among them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Quercetin

Covers the 2,830 medications we’ve checked against Quercetin. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Hydrochlorothiazide, Pindolol

This page covers Quercetin only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Hydrochlorothiazide, Pindolol page lists 276 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), American Mistletoe (major), Asarabacca (major) and Dolomite (major).

By severity: 11 major · 234 moderate · 31 minor.

From our pharmacist’s overview on the Hydrochlorothiazide, Pindolol page

“Viskazide is a two-in-one blood pressure treatment, hydrochlorothiazide (a water pill) plus pindolol (a beta blocker), which means supplements that touch blood pressure, fluid balance, or potassium can hit it from both directions. This combination deserves genuine caution, since 11 of the 276 interactions on file are rated major, and m…”

Reviewed by 2 · Jul 18, 2026

Open the Hydrochlorothiazide, Pindolol interaction page

One more smart check

Taking Quercetin as Part of a Dietary Supplement Product? Check It for Interactions

We hold 4,589 real supplement products containing Quercetin, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Quercetin. Your product may carry other ingredients that interact with Hydrochlorothiazide, Pindolol too, on top of Quercetin — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Quercetin and Hydrochlorothiazide, Pindolol Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Quercetin
Top 5%

#44 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Hydrochlorothiazide, Pindolol
Top half

#1,384 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Quercetin

What is Quercetin?

Quercetin
  • Seasonal allergies
  • Antioxidant support
  • Heart and blood pressure health
  • Anti-inflammatory support
  • Immune support
  • Exercise recovery

Quercetin is a plant flavonoid with antioxidant and anti-inflammatory properties found in many common foods and sold as a supplement. While early research is interesting for allergies, blood pressure, and inflammation, strong human evidence is limited for most uses. It is generally well tolerated in food amounts, but talk to your pharmacist or doctor before taking high-dose supplements.

Read the full Quercetin monograph & all interactions
Keep checking

Other Drugs & Quercetin

Browse every other medication we’ve checked against Quercetin — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
1,168Moderate
0Minor
1,661No known interaction
Moderate

1,168 interactions

Showing 60 of 1,168 moderate interactions — see all 1,168 on the Quercetin page.

No interaction 1,661 drugs checked — show the list

We also checked Quercetin against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 1,661 medications checked with no known interaction — see the full Quercetin list.

Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

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

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Pharmacist Counseling Corner

Taking Quercetin and Hydrochlorothiazide, Pindolol Together: Common Questions

Can you take Quercetin with Hydrochlorothiazide, Pindolol?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
Why are there 4 interactions listed for Quercetin and Hydrochlorothiazide, Pindolol?
Hydrochlorothiazide, Pindolol belongs to more than one drug category, and Quercetin interacts with each of those categories a little differently. We list every one so nothing is missed — your overall risk is driven by the most serious of them.
How serious is the Quercetin and Hydrochlorothiazide, Pindolol interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.