Hydrochlorothiazide

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    About this medicine

    Generic name Hydrochlorothiazide
    Active ingredients Hydrochlorothiazide
    Brand names (as verified) Hydrodiuril (historic/common name); brand and combination products vary by market
    Dosage form Tablet
    Strength 12.5 mg, 25 mg, 50 mg tablets; combination product strengths vary.
    Prescription classification Prescription only (Schedule H / verified)
    Approved routes of administration Oral
    Applies to IN; product status and availability may vary by jurisdiction

    Approved indications

    • Hydrochlorothiazide (HCTZ) is a thiazide diuretic used to lower high blood pressure and treat certain fluid-retention conditions. It works by increasing salt and water excretion through urine.

    Contraindications (do not use if…)

    • Do not take hydrochlorothiazide if you have had a serious allergic reaction to it or any product ingredient. Severe kidney impairment or inability to pass urine (anuria) may make it unsuitable — check the product label.

    Important precautions

    • HCTZ can affect sodium, potassium, magnesium, uric acid, blood glucose, and kidney function. Take extra care if you have gout, diabetes, dehydration, kidney or liver disease, or take medicines that affect electrolytes.

    Common side effects

    • Common effects include increased urination, dizziness, low blood pressure, electrolyte changes, and increased sun sensitivity.

    Serious side effects — seek urgent medical care

    • Seek urgent help for a severe skin reaction, fainting, confusion, marked weakness, severe eye pain, sudden vision change, or signs of a serious allergic reaction.

    Important interactions

    • Hydrochlorothiazide can interact with lithium, digoxin, other blood-pressure medicines, corticosteroids, NSAIDs, diabetes medicines, and other drugs that affect electrolytes.

    Allergy considerations

    • Tell your prescriber about serious reactions to hydrochlorothiazide or sulfonamide-containing medicines — cross-sensitivity is assessed on an individual basis.

    Pregnancy and lactation

    Pregnancy safety Use with caution — see notes
    Notes
    • Blood-pressure treatment choices in pregnancy depend on individual circumstances — discuss hydrochlorothiazide use with your clinician.

    Information

    Lactation safety Use with caution — see notes
    Notes
    • Ask your doctor before taking HCTZ while breastfeeding; the dose and any effect on milk production may be relevant.

    Children and older adults

    • Older adults may be more sensitive to dehydration, low blood pressure, and electrolyte changes. Monitoring needs depend on the individual.

    Storage

    • Store in original packaging in a dry place away from excess heat and out of children's reach.

    Missed dose

    • Follow your prescription instructions. If you are close to your next dose, skip the missed one — do not double up or change your schedule without advice.

    Overdose

    • Taking too much can cause dehydration, low blood pressure, and serious electrolyte problems. Seek urgent medical assessment.

    This page is general information, not personal advice. Never change, start or stop any medicine without speaking to your doctor or pharmacist.