Trusted, medically reviewed health information • Not a substitute for medical advice
Medically Verified MonographPrescription OnlyClass: Thiazide Diuretic

Hydrochlorothiazide

Generic Name: Hydrochlorothiazide

Common Brand Names: Microzide
Dosage Form:Tablet, Capsule
Route:Oral
Pregnancy Category:B
Last Reviewed:9/21/2026

Seek Urgent Medical Attention If:

You experience severe allergic reaction symptoms (swelling of the face, lips, tongue, or throat causing difficulty breathing), severe rash with skin peeling, sudden intense chest pain, or symptoms of overdose. Call emergency medical services immediately.

Uses & Medical Indications

Hypertension, edema

Medical Conditions Treated:

High blood pressure, fluid retention

Dosage & Administration Guidelines

Adult Dosage

12.5-50 mg daily

Pediatric Dosage

1-2 mg/kg/day

Elderly / Geriatric Considerations

Start at 12.5 mg

Maximum Dose Limit

50 mg/day

Renal Impairment:

Ineffective if CrCl < 30 mL/min

Hepatic Impairment:

Use with caution

Side Effects & Safety Warnings

Common Side Effects

Increased urination, hypokalemia, dizziness

Serious Adverse Reactions

Hyponatremia, gout exacerbation, hypercalcemia

Contraindications:

Anuria, sulfonamide allergy

Important Warnings & Precautions:

Monitor electrolytes

Interactions (Drugs, Food & Alcohol)

Drug-Drug Interactions:

Lithium, NSAIDs

Food & Dietary Interactions:

N/A

Alcohol Interaction Warning:

Increased orthostatic hypotension

Pregnancy & Breastfeeding Safety

Pregnancy Safety

Use with caution

Breastfeeding / Lactation

Compatible but may decrease milk supply

Patient Counseling & Practical Advice

How to Take:

Take in the morning to avoid nocturia

What to Do if You Miss a Dose:

Take as soon as remembered, skip if late in the day

Recommended Monitoring & Lab Tests:

BP, serum electrolytes

Trustworthy Sources & Medical Review

Content for Hydrochlorothiazide was synthesized and fact-checked against standardized regulatory monographs, official pharmacopoeias, and national health authorities:

  • Central Drugs Standard Control Organization (CDSCO) — National List of Essential Medicines
  • World Health Organization (WHO) — Model List of Essential Medicines 23rd List
  • Indian Pharmacopoeia Commission (IPC) — Indian Pharmacopoeia Drug Monographs
  • National Health Service (NHS) — Medicines A to Z Clinical Guidelines
Reviewer Credentials: PharmD, Clinical PharmacologistLast Reviewed Date: 9/21/2026

The information provided on this website is for educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.