Metolazone

— THERAPEUTIC CATEGORIES —
  • Edema
  • Hypertension

Metolazone Generic Name & Formulations

General Description

Metolazone 2.5mg, 5mg, 10mg; tabs.

Pharmacological Class

Diuretic (quinazoline).

How Supplied

Contact supplier

Metolazone Indications

Indications

Edema.

Metolazone Dosage and Administration

Adult

Individualize. 5–20mg once daily.

Children

Not established.

Metolazone Contraindications

Contraindications

Anuria. Hepatic coma or precoma.

Metolazone Boxed Warnings

Not Applicable

Metolazone Warnings/Precautions

Warnings/Precautions

Monitor fluids, electrolytes, BUN. K+ supplements or K+-sparing diuretics may be needed. Discontinue if severe electrolyte imbalance develops rapidly. Diabetes. Gout. SLE. Sulfonamide allergy. Severe renal impairment: discontinue if azotemia and oliguria worsen. Pregnancy (Cat.B). Nursing mothers: not recommended.

Metolazone Pharmacokinetics

See Literature

Metolazone Interactions

Interactions

Digitalis, lithium toxicity. Furosemide, other diuretics increase fluid loss. May antagonize methenamine. May potentiate nondepolarizing muscle relaxants, tubocurarine. ACTH, corticosteroids increase hypokalemia risk. May be antagonized by NSAIDs, salicylates. Orthostatic hypotension, enhanced antihypertensive effects with alcohol, barbiturates, narcotics, other antihypertensives. Monitor anticoagulants.

Metolazone Adverse Reactions

Adverse Reactions

Electrolyte/metabolic disturbances (esp. hypokalemia), syncope, hyperglycemia, hyperuricemia, hypercalcemia, orthostatic hypotension, photosensitivity, GI disturbances, chest or joint pain, rash (may be severe).

Metolazone Clinical Trials

See Literature

Metolazone Note

Notes

Formerly known under the brand name Zaroxolyn.

Metolazone Patient Counseling

See Literature

Metolazone Generic Name & Formulations

General Description

Metolazone 2.5mg, 5mg, 10mg; tabs.

Pharmacological Class

Diuretic (quinazoline).

How Supplied

Contact supplier

Metolazone Indications

Indications

Hypertension.

Metolazone Dosage and Administration

Adult

Individualize. 2.5–5mg once daily.

Children

Not established.

Metolazone Contraindications

Contraindications

Anuria. Hepatic coma or precoma.

Metolazone Boxed Warnings

Not Applicable

Metolazone Warnings/Precautions

Warnings/Precautions

Monitor fluids, electrolytes, BUN. K+ supplements or K+-sparing diuretics may be needed. Discontinue if severe electrolyte imbalance develops rapidly. Diabetes. Gout. SLE. Sulfonamide allergy. Severe renal impairment: discontinue if azotemia and oliguria worsen. Pregnancy (Cat.B). Nursing mothers: not recommended.

Metolazone Pharmacokinetics

See Literature

Metolazone Interactions

Interactions

Digitalis, lithium toxicity. Furosemide, other diuretics increase fluid loss. May antagonize methenamine. May potentiate nondepolarizing muscle relaxants, tubocurarine. ACTH, corticosteroids increase hypokalemia risk. May be antagonized by NSAIDs, salicylates. Orthostatic hypotension, enhanced antihypertensive effects with alcohol, barbiturates, narcotics, other antihypertensives. Monitor anticoagulants.

Metolazone Adverse Reactions

Adverse Reactions

Electrolyte/metabolic disturbances (esp. hypokalemia), syncope, hyperglycemia, hyperuricemia, hypercalcemia, orthostatic hypotension, photosensitivity, GI disturbances, chest or joint pain, rash (may be severe).

Metolazone Clinical Trials

See Literature

Metolazone Note

Notes

Formerly known under the brand name Zaroxolyn.

Metolazone Patient Counseling

See Literature