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Educational Medication GuidePrescription 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

Uses & Medical Indications

Hypertension, edema

Medical Conditions Treated:

High blood pressure, fluid retention

Work Mechanism & Pharmacology

How It Works

Patient Overview of Work Mechanism

Hydrochlorothiazide works at the cellular level to correct underlying biochemical imbalances, reduce clinical symptoms, and support overall health.

Clinical Mechanism of Action (MoA)

Hydrochlorothiazide exerts targeted therapeutic activity by interacting with specific cellular receptors, enzymatic pathways, or biological signaling cascades to relieve symptoms and restore physiological balance.

Primary TargetHydrochlorothiazide
Therapeutic FamilyAntihypertensive, Diuretic
Administration RouteOral

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

Identified Clinical Drug Interactions for Hydrochlorothiazide:

Lithium + HydrochlorothiazideMajor Interaction

Lithium Intoxication & Acute Nephrotoxicity

Check in Tool →

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

Emergency Medical Warning

When to Seek Urgent Medical Attention

Seek immediate emergency medical care (call emergency services or proceed to the nearest emergency department) if you experience signs of a life-threatening allergic reaction (anaphylaxis: facial, lip, tongue, or throat swelling causing airway obstruction), severe cutaneous blistering with skin peeling, sudden intense chest pain, or symptoms of overdose.

Emergency Safety Protocol: If an intentional or accidental overdose is suspected, contact your regional Poison Control Center or emergency services immediately. Do not induce vomiting unless strictly advised by emergency healthcare personnel.
Educational Sources & References

Content for Hydrochlorothiazide was synthesized from standardized public health monographs, official pharmacopoeias, and health authorities:

  • Central Drugs Standard Control Organization (CDSCO) — National List of Essential Medicines
  • World Health Organization (WHO) — Model List of Essential Medicines
  • Indian Pharmacopoeia Commission (IPC) — Indian Pharmacopoeia Drug Monographs
  • National Health Service (NHS) — Medicines A to Z Clinical Guidelines
Published by: Medi Info Hub TeamLast Updated: 10/19/2026

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.