Hydrochlorothiazide

— THERAPEUTIC CATEGORIES —
  • Edema
  • Hypertension

Hydrochlorothiazide Generic Name & Formulations

General Description

Hydrochlorothiazide 12.5mg, 25mg+, 50mg+; tabs; +scored

Pharmacological Class

Diuretic (thiazide).

How Supplied

Contact supplier

Hydrochlorothiazide Indications

Indications

Edema.

Hydrochlorothiazide Dosage and Administration

Adult

25–100mg daily in single or divided doses; may give on intermittent schedule (every other day or 3–5 days/wk).

Children

<6mos: up to 3mg/kg/day in 2 divided doses. ≥6mos: 1–2mg/kg/day in 1–2 divided doses. Max (<2yrs): 37.5mg/day; (2–12yrs): 100mg/day.

Hydrochlorothiazide Contraindications

Contraindications

Anuria. Sulfonamide allergy.

Hydrochlorothiazide Boxed Warnings

Not Applicable

Hydrochlorothiazide Warnings/Precautions

Warnings/Precautions

Renal or hepatic impairment. Arrhythmia. Diabetes. Gout. Asthma. SLE. Postsympathectomy. Excessive fluid loss. Monitor electrolytes, BUN (if high). K+ supplements or K+ sparing diuretics may be needed. Discontinue if electrolyte disorders develop rapidly. Pregnancy (Cat.B). Nursing mothers: not recommended.

Hydrochlorothiazide Pharmacokinetics

See Literature

Hydrochlorothiazide Interactions

Interactions

Digitalis, lithium toxicity. Adjust antidiabetic, antigout medications. NSAIDs may cause renal failure. ACTH, corticosteroids, amphotericin B increase hypokalemia risk. Orthostatic hypotension with alcohol, CNS depressants. Hyperglycemia, hyperuricemia more likely with diazoxide. Antagonized by NSAIDs. May potentiate nondepolarizing muscle relaxants. May antagonize norepinephrine. May interfere with parathyroid tests.

Hydrochlorothiazide Adverse Reactions

Adverse Reactions

Electrolyte disorders (esp. hypokalemia), hyperglycemia, hyperuricemia, photosensitivity, orthostatic hypotension, GI disturbances, adverse lipid values.

Hydrochlorothiazide Clinical Trials

See Literature

Hydrochlorothiazide Note

Notes

Formerly known under the brand names Esidrix, Hydro-D, Hydrodiuril, Microzide.

Hydrochlorothiazide Patient Counseling

See Literature

Hydrochlorothiazide Generic Name & Formulations

General Description

Hydrochlorothiazide 12.5mg, 25mg+, 50mg+; tabs; +scored

Pharmacological Class

Diuretic (thiazide).

How Supplied

Contact supplier

Hydrochlorothiazide Indications

Indications

Hypertension.

Hydrochlorothiazide Dosage and Administration

Adult

Initially 25mg once daily; usual max 50mg/day in 1–2 divided doses.

Children

<6mos: up to 3mg/kg/day in 2 divided doses. ≥6mos: 1–2mg/kg/day in 1–2 divided doses. Max (<2yrs): 37.5mg/day; (2–12yrs): 100mg/day.

Hydrochlorothiazide Contraindications

Contraindications

Anuria. Sulfonamide allergy.

Hydrochlorothiazide Boxed Warnings

Not Applicable

Hydrochlorothiazide Warnings/Precautions

Warnings/Precautions

Renal or hepatic impairment. Arrhythmia. Diabetes. Gout. Asthma. SLE. Postsympathectomy. Excessive fluid loss. Monitor electrolytes, BUN (if high). K+ supplements or K+ sparing diuretics may be needed. Discontinue if electrolyte disorders develop rapidly. Pregnancy (Cat.B). Nursing mothers: not recommended.

Hydrochlorothiazide Pharmacokinetics

See Literature

Hydrochlorothiazide Interactions

Interactions

Digitalis, lithium toxicity. Adjust antidiabetic, antigout medications. NSAIDs may cause renal failure. ACTH, corticosteroids, amphotericin B increase hypokalemia risk. Orthostatic hypotension with alcohol, CNS depressants. Hyperglycemia, hyperuricemia more likely with diazoxide. Antagonized by NSAIDs. May potentiate nondepolarizing muscle relaxants. May antagonize norepinephrine. May interfere with parathyroid tests.

Hydrochlorothiazide Adverse Reactions

Adverse Reactions

Electrolyte disorders (esp. hypokalemia), hyperglycemia, hyperuricemia, photosensitivity, orthostatic hypotension, GI disturbances, adverse lipid values.

Hydrochlorothiazide Clinical Trials

See Literature

Hydrochlorothiazide Note

Notes

Formerly known under the brand names Esidrix, Hydro-D, Hydrodiuril, Microzide.

Hydrochlorothiazide Patient Counseling

See Literature