Hydrochlorothiazide: Difference between revisions

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* Dosing Information
* Dosing Information


:* 0.5–2 mg/kg/day<ref>{{Cite journal | issn = 0022-5347 | volume = 128 | issue = 5 | pages = 903–907 | last = Scholz | first = D. | coauthors = P. O. Schwille, A. Sigel | title = Double-blind study with thiazide in recurrent calcium lithiasis | journal = The Journal of Urology | date = 1982-11 | pmid = 7176047 }}</ref>
:* '''0.5–2 mg/kg/day'''<ref>{{Cite journal | issn = 0022-5347 | volume = 128 | issue = 5 | pages = 903–907 | last = Scholz | first = D. | coauthors = P. O. Schwille, A. Sigel | title = Double-blind study with thiazide in recurrent calcium lithiasis | journal = The Journal of Urology | date = 1982-11 | pmid = 7176047 }}</ref>


=====Bronchopulmonary Dysplasia of Newborn=====
=====Bronchopulmonary Dysplasia of Newborn=====
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* Dosing Information
* Dosing Information


:* 1 mg/kd/day<ref>{{Cite journal | issn = 0022-3476 | volume = 115 | issue = 4 | pages = 615–620 | last = Albersheim | first = S. G. | coauthors = A. J. Solimano, A. K. Sharma, J. A. Smyth, A. Rotschild, B. J. Wood, S. B. Sheps | title = Randomized, double-blind, controlled trial of long-term diuretic therapy for bronchopulmonary dysplasia | journal = The Journal of Pediatrics | date = 1989-10 | pmid = 2677293 }}</ref>
:* '''1 mg/kd/day'''<ref>{{Cite journal | issn = 0022-3476 | volume = 115 | issue = 4 | pages = 615–620 | last = Albersheim | first = S. G. | coauthors = A. J. Solimano, A. K. Sharma, J. A. Smyth, A. Rotschild, B. J. Wood, S. B. Sheps | title = Randomized, double-blind, controlled trial of long-term diuretic therapy for bronchopulmonary dysplasia | journal = The Journal of Pediatrics | date = 1989-10 | pmid = 2677293 }}</ref>


<!--Contraindications-->
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Revision as of 23:38, 6 July 2014

Hydrochlorothiazide
Adult Indications & Dosage
Pediatric Indications & Dosage
Contraindications
Warnings & Precautions
Adverse Reactions
Drug Interactions
Use in Specific Populations
Administration & Monitoring
Overdosage
Pharmacology
Clinical Studies
How Supplied
Images
Patient Counseling Information
Precautions with Alcohol
Brand Names
Look-Alike Names

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Gerald Chi

Disclaimer

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Overview

Hydrochlorothiazide is a thiazide diuretic that is FDA approved for the {{{indicationType}}} of hypertension either as the sole therapeutic agent, or in combination with other antihypertensives. Common adverse reactions include hypotension, phototoxicity, and vertigo.

Adult Indications and Dosage

FDA-Labeled Indications and Dosage (Adult)

Hypertension
  • Dosing Information
  • 12.5 mg once daily whether given alone or in combination with other antihypertensives.
  • Total daily doses greater than 50 mg are not recommended.

Off-Label Use and Dosage (Adult)

Guideline-Supported Use

There is limited information regarding Off-Label Guideline-Supported Use of Hydrochlorothiazide in adult patients.

Non–Guideline-Supported Use

Hypercalciuria
  • Dosing Information
Osteoporosis
  • Dosing Information

Pediatric Indications and Dosage

FDA-Labeled Indications and Dosage (Pediatric)

There is limited information regarding FDA-Labeled Use of Hydrochlorothiazide in pediatric patients.

Off-Label Use and Dosage (Pediatric)

Guideline-Supported Use

There is limited information regarding Off-Label Guideline-Supported Use of Hydrochlorothiazide in pediatric patients.

Non–Guideline-Supported Use

Hypercalciuria
  • Dosing Information
  • 0.5–2 mg/kg/day[8]
Bronchopulmonary Dysplasia of Newborn
  • Dosing Information

Contraindications

  • Condition1

Warnings

  • Description

Precautions

  • Description

Adverse Reactions

Clinical Trials Experience

There is limited information regarding Clinical Trial Experience of Hydrochlorothiazide in the drug label.

Central Nervous System
Cardiovascular
Respiratory
Gastrointestinal
Hypersensitivity
Miscellaneous

Postmarketing Experience

There is limited information regarding Postmarketing Experience of Hydrochlorothiazide in the drug label.

Central Nervous System
Cardiovascular
Respiratory
Gastrointestinal
Hypersensitivity
Miscellaneous

Drug Interactions

  • Drug
  • Description

Use in Specific Populations

Pregnancy

Pregnancy Category (FDA):

  • Pregnancy Category


Pregnancy Category (AUS):

  • Australian Drug Evaluation Committee (ADEC) Pregnancy Category

There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Hydrochlorothiazide in women who are pregnant.

Labor and Delivery

There is no FDA guidance on use of Hydrochlorothiazide during labor and delivery.

Nursing Mothers

There is no FDA guidance on the use of Hydrochlorothiazide with respect to nursing mothers.

Pediatric Use

There is no FDA guidance on the use of Hydrochlorothiazide with respect to pediatric patients.

Geriatic Use

There is no FDA guidance on the use of Hydrochlorothiazide with respect to geriatric patients.

Gender

There is no FDA guidance on the use of Hydrochlorothiazide with respect to specific gender populations.

Race

There is no FDA guidance on the use of Hydrochlorothiazide with respect to specific racial populations.

Renal Impairment

There is no FDA guidance on the use of Hydrochlorothiazide in patients with renal impairment.

Hepatic Impairment

There is no FDA guidance on the use of Hydrochlorothiazide in patients with hepatic impairment.

Females of Reproductive Potential and Males

There is no FDA guidance on the use of Hydrochlorothiazide in women of reproductive potentials and males.

Immunocompromised Patients

There is no FDA guidance one the use of Hydrochlorothiazide in patients who are immunocompromised.

Administration and Monitoring

Administration

  • Oral
  • Intravenous

Monitoring

There is limited information regarding Monitoring of Hydrochlorothiazide in the drug label.

Condition1
  • Description

IV Compatibility

There is limited information regarding IV Compatibility of Hydrochlorothiazide in the drug label.

Overdosage

Acute Overdose

Signs and Symptoms

  • Description

Management

  • Description

Chronic Overdose

There is limited information regarding Chronic Overdose of Hydrochlorothiazide in the drug label.

Pharmacology

Template:Px
Template:Px
Hydrochlorothiazide
Systematic (IUPAC) name
6-chloro-1,1-dioxo-3,4-dihydro-2H-1,2,4-benzothiadiazine-7-sulfonamide
Identifiers
CAS number 58-93-5
ATC code C03AA03
PubChem 3639
DrugBank DB00999
Chemical data
Formula Template:OrganicBox atomTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox 
Mol. mass 297.74
SMILES eMolecules & PubChem
Pharmacokinetic data
Bioavailability Variably absorbed from GI tract. Bioavailability ~ 70%
Metabolism does not undergo significant metabolism (>95% excreted unchanged in urine)[10]
Half life 5.6–14.8 h
Excretion Primarily excreted unchanged in urine
Therapeutic considerations
Pregnancy cat.

B (D if used to treat pregnancy-induced hypertension)

Legal status

Template:Unicode Prescription only

Routes Oral (capsules, tablets, oral solution)

Mechanism of Action

Structure

This image is provided by the National Library of Medicine.

Pharmacodynamics

There is limited information regarding Pharmacodynamics of Hydrochlorothiazide in the drug label.

Pharmacokinetics

There is limited information regarding Pharmacokinetics of Hydrochlorothiazide in the drug label.

Nonclinical Toxicology

There is limited information regarding Nonclinical Toxicology of Hydrochlorothiazide in the drug label.

Clinical Studies

There is limited information regarding Clinical Studies of Hydrochlorothiazide in the drug label.

Condition1
  • Description

How Supplied

Storage

There is limited information regarding Hydrochlorothiazide Storage in the drug label.

Images

Drug Images

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Package and Label Display Panel

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Patient Counseling Information

There is limited information regarding Patient Counseling Information of Hydrochlorothiazide in the drug label.

Precautions with Alcohol

  • Alcohol-Hydrochlorothiazide interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.

Brand Names

Look-Alike Drug Names

  • Microzide® — Maxzide®[12]
  • Microzide® — Micronase®[12]

Drug Shortage Status

Price

References

The contents of this FDA label are provided by the National Library of Medicine.

  1. Scholz, D. (1982-11). "Double-blind study with thiazide in recurrent calcium lithiasis". The Journal of Urology. 128 (5): 903–907. ISSN 0022-5347. PMID 7176047. Unknown parameter |coauthors= ignored (help); Check date values in: |date= (help)
  2. Laerum, E. (1984). "Metabolic effects of thiazide versus placebo in patients under long-term treatment for recurrent urolithiasis". Scandinavian Journal of Urology and Nephrology. 18 (2): 143–149. ISSN 0036-5599. PMID 6463598.
  3. Laerum, E. (1984). "Thiazide prophylaxis of urolithiasis. A double-blind study in general practice". Acta Medica Scandinavica. 215 (4): 383–389. ISSN 0001-6101. PMID 6375276. Unknown parameter |coauthors= ignored (help)
  4. Bentur, L. (1987-03). "Hypercalciuria in chronically institutionalized bedridden children: frequency, predictive factors and response to treatment with thiazides". The International Journal of Pediatric Nephrology. 8 (1): 29–34. ISSN 0391-6510. PMID 3583554. Unknown parameter |coauthors= ignored (help); Check date values in: |date= (help)
  5. Wasnich, R. D. (1986-04). "Differential effects of thiazide and estrogen upon bone mineral content and fracture prevalence". Obstetrics and Gynecology. 67 (4): 457–462. ISSN 0029-7844. PMID 3960416. Unknown parameter |coauthors= ignored (help); Check date values in: |date= (help)
  6. Ray, W. A. (1989-04-01). "Long-term use of thiazide diuretics and risk of hip fracture". Lancet. 1 (8640): 687–690. ISSN 0140-6736. PMID 2564506. Unknown parameter |coauthors= ignored (help)
  7. LaCroix, A. Z. (2000-10-03). "Low-dose hydrochlorothiazide and preservation of bone mineral density in older adults. A randomized, double-blind, placebo-controlled trial". Annals of Internal Medicine. 133 (7): 516–526. ISSN 0003-4819. PMID 11015164. Unknown parameter |coauthors= ignored (help)
  8. Scholz, D. (1982-11). "Double-blind study with thiazide in recurrent calcium lithiasis". The Journal of Urology. 128 (5): 903–907. ISSN 0022-5347. PMID 7176047. Unknown parameter |coauthors= ignored (help); Check date values in: |date= (help)
  9. Albersheim, S. G. (1989-10). "Randomized, double-blind, controlled trial of long-term diuretic therapy for bronchopulmonary dysplasia". The Journal of Pediatrics. 115 (4): 615–620. ISSN 0022-3476. PMID 2677293. Unknown parameter |coauthors= ignored (help); Check date values in: |date= (help)
  10. Beermann B, Groschinsky-Grind M, Rosén A. (1976). "Absorption, metabolism, and excretion of hydrochlorothiazide". Clin Pharmacol Ther. 19 (5 (Pt 1)): 531–7.
  11. "MICROZIDE (hydrochlorothiazide) capsule, gelatin coated".
  12. 12.0 12.1 "http://www.ismp.org". External link in |title= (help)


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