Chlorothiazide (tablet): Difference between revisions
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* Chlorothiazide is indicated in the management of [[hypertension]] either as the sole therapeutic agent or to enhance the effectiveness of other antihypertensive drugs in the more severe forms of [[hypertension]]. | * Chlorothiazide is indicated in the management of [[hypertension]] either as the sole therapeutic agent or to enhance the effectiveness of other antihypertensive drugs in the more severe forms of [[hypertension]]. | ||
==Use in Pregnancy== | |||
* Routine use of diuretics during normal pregnancy is inappropriate and exposes mother and fetus to unnecessary hazard. Diuretics do not prevent development of toxemia of pregnancy, and there is no satisfactory evidence that they are useful in the treatment of toxemia. | |||
* [[Edema]] during pregnancy may arise from pathologic causes or from the physiologic and mechanical consequences of pregnancy. Thiazides are indicated in pregnancy when edema is due to pathologic causes, just as they are in the absence of pregnancy. Dependent [[edema]] in pregnancy, resulting from restriction of venous return by the gravid uterus, is properly treated through elevation of the lower extremities and use of support stockings. Use of diuretics to lower intravascular volume in this instance is illogical and unnecessary. During normal pregnancy there is hypervolemia which is not harmful to the fetus or the mother in the absence of cardiovascular disease. However, it may be associated with [[edema]], rarely generalized edema. If such edema causes discomfort, increased recumbency will often provide relief. Rarely this [[edema]] may cause extreme discomfort which is not relieved by rest. In these instances, a short course of diuretic therapy may provide relief and be appropriate. | |||
|offLabelAdultGuideSupport=There is limited information regarding <i>Off-Label Guideline-Supported Use</i> of {{PAGENAME}} in adult patients. | |||
|offLabelAdultNoGuideSupport=There is limited information regarding <i>Off-Label Non–Guideline-Supported Use</i> of {{PAGENAME}} in adult patients. | |offLabelAdultNoGuideSupport=There is limited information regarding <i>Off-Label Non–Guideline-Supported Use</i> of {{PAGENAME}} in adult patients. | ||
|fdaLIADPed=There is limited information regarding <i>FDA-Labeled Use</i> of {{PAGENAME}} in pediatric patients. | |fdaLIADPed=There is limited information regarding <i>FDA-Labeled Use</i> of {{PAGENAME}} in pediatric patients. | ||
|offLabelPedGuideSupport=There is limited information regarding <i>Off-Label Guideline-Supported Use</i> of {{PAGENAME}} in pediatric patients. | |offLabelPedGuideSupport=There is limited information regarding <i>Off-Label Guideline-Supported Use</i> of {{PAGENAME}} in pediatric patients. | ||
|offLabelPedNoGuideSupport=There is limited information regarding <i>Off-Label Non–Guideline-Supported Use</i> of {{PAGENAME}} in pediatric patients. | |offLabelPedNoGuideSupport=There is limited information regarding <i>Off-Label Non–Guideline-Supported Use</i> of {{PAGENAME}} in pediatric patients. | ||
|contraindications=* [[Anuria]]. | |||
* [[Hypersensitivity]] to this product or to other sulfonamide-derived drugs. | |||
|warnings=* Use with caution in severe renal disease. In patients with renal disease, thiazides may precipitate [[azotemia]]. Cumulative effects of the drug may develop in patients with impaired renal function. | |||
* Thiazides should be used with caution in patients with impaired hepatic function or progressive liver disease, since minor alterations of fluid and electrolyte balance may precipitate [[hepatic coma]]. | |||
* Thiazides may add to or potentiate the action of other antihypertensive drugs. | |||
* | * Sensitivity reactions may occur in patients with or without a history of allergy or [[asthma|bronchial asthma]]. | ||
* The possibility of exacerbation or activation of [[systemic lupus erythematosus]] has been reported. | |||
* Lithium generally should not be given with diuretics | |||
|clinicalTrials=There is limited information regarding <i>Clinical Trial Experience</i> of {{PAGENAME}} in the drug label. | |clinicalTrials=There is limited information regarding <i>Clinical Trial Experience</i> of {{PAGENAME}} in the drug label. | ||
|postmarketing=There is limited information regarding <i>Postmarketing Experience</i> of {{PAGENAME}} in the drug label. | |postmarketing=There is limited information regarding <i>Postmarketing Experience</i> of {{PAGENAME}} in the drug label. | ||
|drugInteractions=* Drug | |drugInteractions=* Drug | ||
:* Description | :* Description |
Revision as of 12:23, 12 May 2015
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]
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Overview
Chlorothiazide (tablet) is a {{{drugClass}}} that is FDA approved for the treatment of {{{indication}}}. Common adverse reactions include .
Adult Indications and Dosage
FDA-Labeled Indications and Dosage (Adult)
Indications
- Chlorothiazide is indicated as adjunctive therapy in edema associated with congestive heart failure, hepatic cirrhosis, and corticosteroid and estrogen therapy.
- Chlorothiazide has also been found useful in edema due to various forms of renal dysfunction such as nephrotic syndrome, acute glomerulonephritis, and chronic renal failure.
- Chlorothiazide is indicated in the management of hypertension either as the sole therapeutic agent or to enhance the effectiveness of other antihypertensive drugs in the more severe forms of hypertension.
Use in Pregnancy
- Routine use of diuretics during normal pregnancy is inappropriate and exposes mother and fetus to unnecessary hazard. Diuretics do not prevent development of toxemia of pregnancy, and there is no satisfactory evidence that they are useful in the treatment of toxemia.
- Edema during pregnancy may arise from pathologic causes or from the physiologic and mechanical consequences of pregnancy. Thiazides are indicated in pregnancy when edema is due to pathologic causes, just as they are in the absence of pregnancy. Dependent edema in pregnancy, resulting from restriction of venous return by the gravid uterus, is properly treated through elevation of the lower extremities and use of support stockings. Use of diuretics to lower intravascular volume in this instance is illogical and unnecessary. During normal pregnancy there is hypervolemia which is not harmful to the fetus or the mother in the absence of cardiovascular disease. However, it may be associated with edema, rarely generalized edema. If such edema causes discomfort, increased recumbency will often provide relief. Rarely this edema may cause extreme discomfort which is not relieved by rest. In these instances, a short course of diuretic therapy may provide relief and be appropriate.
Off-Label Use and Dosage (Adult)
Guideline-Supported Use
There is limited information regarding Off-Label Guideline-Supported Use of Chlorothiazide (tablet) in adult patients.
Non–Guideline-Supported Use
There is limited information regarding Off-Label Non–Guideline-Supported Use of Chlorothiazide (tablet) in adult patients.
Pediatric Indications and Dosage
FDA-Labeled Indications and Dosage (Pediatric)
There is limited information regarding FDA-Labeled Use of Chlorothiazide (tablet) in pediatric patients.
Off-Label Use and Dosage (Pediatric)
Guideline-Supported Use
There is limited information regarding Off-Label Guideline-Supported Use of Chlorothiazide (tablet) in pediatric patients.
Non–Guideline-Supported Use
There is limited information regarding Off-Label Non–Guideline-Supported Use of Chlorothiazide (tablet) in pediatric patients.
Contraindications
- Hypersensitivity to this product or to other sulfonamide-derived drugs.
Warnings
- Use with caution in severe renal disease. In patients with renal disease, thiazides may precipitate azotemia. Cumulative effects of the drug may develop in patients with impaired renal function.
- Thiazides should be used with caution in patients with impaired hepatic function or progressive liver disease, since minor alterations of fluid and electrolyte balance may precipitate hepatic coma.
- Thiazides may add to or potentiate the action of other antihypertensive drugs.
- Sensitivity reactions may occur in patients with or without a history of allergy or bronchial asthma.
- The possibility of exacerbation or activation of systemic lupus erythematosus has been reported.
- Lithium generally should not be given with diuretics
Adverse Reactions
Clinical Trials Experience
There is limited information regarding Clinical Trial Experience of Chlorothiazide (tablet) in the drug label.
Postmarketing Experience
There is limited information regarding Postmarketing Experience of Chlorothiazide (tablet) in the drug label.
Drug Interactions
- Drug
- Description
Use in Specific Populations
Pregnancy
- Pregnancy Category
- Australian Drug Evaluation Committee (ADEC) Pregnancy Category
There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Chlorothiazide (tablet) in women who are pregnant.
Labor and Delivery
There is no FDA guidance on use of Chlorothiazide (tablet) during labor and delivery.
Nursing Mothers
There is no FDA guidance on the use of Chlorothiazide (tablet) with respect to nursing mothers.
Pediatric Use
There is no FDA guidance on the use of Chlorothiazide (tablet) with respect to pediatric patients.
Geriatic Use
There is no FDA guidance on the use of Chlorothiazide (tablet) with respect to geriatric patients.
Gender
There is no FDA guidance on the use of Chlorothiazide (tablet) with respect to specific gender populations.
Race
There is no FDA guidance on the use of Chlorothiazide (tablet) with respect to specific racial populations.
Renal Impairment
There is no FDA guidance on the use of Chlorothiazide (tablet) in patients with renal impairment.
Hepatic Impairment
There is no FDA guidance on the use of Chlorothiazide (tablet) in patients with hepatic impairment.
Females of Reproductive Potential and Males
There is no FDA guidance on the use of Chlorothiazide (tablet) in women of reproductive potentials and males.
Immunocompromised Patients
There is no FDA guidance one the use of Chlorothiazide (tablet) in patients who are immunocompromised.
Administration and Monitoring
Administration
- Oral
- Intravenous
Monitoring
There is limited information regarding Monitoring of Chlorothiazide (tablet) in the drug label.
- Description
IV Compatibility
There is limited information regarding IV Compatibility of Chlorothiazide (tablet) in the drug label.
Overdosage
Acute Overdose
Signs and Symptoms
- Description
Management
- Description
Chronic Overdose
There is limited information regarding Chronic Overdose of Chlorothiazide (tablet) in the drug label.
Pharmacology
There is limited information regarding Chlorothiazide (tablet) Pharmacology in the drug label.
Mechanism of Action
Structure
Pharmacodynamics
There is limited information regarding Pharmacodynamics of Chlorothiazide (tablet) in the drug label.
Pharmacokinetics
There is limited information regarding Pharmacokinetics of Chlorothiazide (tablet) in the drug label.
Nonclinical Toxicology
There is limited information regarding Nonclinical Toxicology of Chlorothiazide (tablet) in the drug label.
Clinical Studies
There is limited information regarding Clinical Studies of Chlorothiazide (tablet) in the drug label.
How Supplied
Storage
There is limited information regarding Chlorothiazide (tablet) Storage in the drug label.
Images
Drug Images
{{#ask: Page Name::Chlorothiazide (tablet) |?Pill Name |?Drug Name |?Pill Ingred |?Pill Imprint |?Pill Dosage |?Pill Color |?Pill Shape |?Pill Size (mm) |?Pill Scoring |?NDC |?Drug Author |format=template |template=DrugPageImages |mainlabel=- |sort=Pill Name }}
Package and Label Display Panel
{{#ask: Label Page::Chlorothiazide (tablet) |?Label Name |format=template |template=DrugLabelImages |mainlabel=- |sort=Label Page }}
Patient Counseling Information
There is limited information regarding Patient Counseling Information of Chlorothiazide (tablet) in the drug label.
Precautions with Alcohol
- Alcohol-Chlorothiazide (tablet) interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.
Brand Names
- CHLOROTHIAZIDE ®[1]
Look-Alike Drug Names
- A® — B®[2]
Drug Shortage Status
Price
References
The contents of this FDA label are provided by the National Library of Medicine.
- ↑ "chlorothiazide tablet".
- ↑ "http://www.ismp.org". External link in
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