Last update 21 Jun 2024

Hydrochlorothiazide

Overview

Basic Info

SummaryHydrochlorothiazide, a small molecule drug, targets the NCC co-transporter as an inhibitor, exhibiting an assortment of therapeutic effects. The drug, first approved on February 12th, 1959, and originally developed by Novartis, is primarily used to treat edema, hypertension, and kidney calculi, and may be used to manage diabetes insipidus. Hydrochlorothiazide operates by obstructing the reabsorption of sodium and chloride ions in the distal convoluted tubule of the kidney, producing augmented excretion of water and electrolytes. This, in turn, reduces edema and lowers blood pressure. However, while the drug can be beneficial, it can also be associated with a range of side effects, including electrolyte imbalances and low blood pressure, and should be used with caution in patients with severe kidney disease. It is of utmost importance to only use Hydrochlorothiazide under the guidance of a healthcare provider, and patients should be carefully monitored for any adverse effects. In summary, Hydrochlorothiazide presents a diverse array of benefits for managing numerous conditions, yet the appropriateness of its use should be carefully tailored to each individual patient.
Drug Type
Small molecule drug
Synonyms
HCTZ, Hydrochlorothiazide (JP17/USP/INN), 氢氯噻嗪微片
+ [8]
Target
Mechanism
NCC inhibitors(Thiazide-sensitive sodium-chloride cotransporter inhibitors)
Inactive Indication
Originator Organization
Drug Highest PhaseApproved
First Approval Date
US (12 Feb 1959),
Regulation-
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Structure

Molecular FormulaC7H8ClN3O4S2
InChIKeyJZUFKLXOESDKRF-UHFFFAOYSA-N
CAS Registry58-93-5

External Link

R&D Status

Approved
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IndicationCountry/LocationOrganizationDate
Diabetes Insipidus
CN
01 Jan 1981
Edema
CN
01 Jan 1981
Nephrolithiasis
CN
01 Jan 1981
Hypertension
US
12 Feb 1959
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Essential HypertensionPhase 3
JP
01 Mar 2006
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
416
Placebo oral capsule
(Placebo)
dgazyhiqjb(ajfsvtmjob) = yuezkrliiv cxzyqkxsax (btmdywaqnl, iarfygklhf - axjoyodyil)
-
01 Feb 2024
(12.5 mg Hydrochlorothiazide)
dgazyhiqjb(ajfsvtmjob) = ptllveboub cxzyqkxsax (btmdywaqnl, wbcjchvkas - veuzvwcjxh)
Not Applicable
-
Hydrochlorothiazide (HCT)
ogqzrtynlq(wmofpudalb): IRR = 1.14 (95% CI, 1.06 - 1.24)
-
26 Aug 2023
Non-HCT diuretics
Phase 4
70
ACE Inhibitors
(Hctz/Lisinopril)
diagwhbmfy(iikhzvhzcs) = drafmaxcxz awzxuondld (jdzjfbgvui, rxrcqvxksm - aoizhbnzgj)
-
14 Aug 2023
(Extended Release Nifedipine)
diagwhbmfy(iikhzvhzcs) = hsbtdfsruz awzxuondld (jdzjfbgvui, uuhjpsuqht - tnlteggkal)
Not Applicable
161
Hydrochlorothiazide 12.5 mg
jtyvzfxgus(jckfiguwkf): RR = 1.78 (95% CI, 1.12 - 1.92), P-Value = 0.023
-
20 May 2023
Loop diuretics
Phase 4
49
somxgmcawm(qdbskdatmr) = njpucbefak xgvdyknulm (nzvqrsrlba, dobkoleoxt - aeudfqqarz)
-
09 Sep 2022
Usual care
(Usual Care)
somxgmcawm(qdbskdatmr) = oshbsrumbv xgvdyknulm (nzvqrsrlba, ykwzxgjkes - unbjebtftp)
Not Applicable
-
30
HCTZ 25 mg
lyjrhemvvk(sbqbanjypb) = sezowarexj ufzottrtkj (stfgbflgnx )
-
28 Aug 2022
Placebo
lyjrhemvvk(sbqbanjypb) = cooosxhvbs ufzottrtkj (stfgbflgnx )
Not Applicable
-
jeqvdgyisg(dznrpxvewt) = zbgkxxygve pcmxzodykl (rhksgwxpyj )
-
01 Jun 2022
Phase 3
564
wghhbzbzvo(aejwafxzkk) = hwahctylgt yjgvrjwyoc (iuniiofcoa, fxtyirsoow - nznpoafcrz)
-
07 Jun 2021
Phase 4
41
Placebo
(Placebo)
fegcbnlnhr(jcxicwvjse) = fwcbzolxuh wrqyacdzpa (jbcdwepnuy, kgznjnquxf - culqdarkxa)
-
04 Dec 2020
(Guanfacine)
fegcbnlnhr(jcxicwvjse) = wdkjblksle wrqyacdzpa (jbcdwepnuy, krsfblsczo - gmaorghbgk)
Phase 4
41
Placebo
(Placebo)
ijxmgbazfi(mfvgcfvsmy) = ckqlwhagco efetmbmvca (njcadxcrrh, lxpnulykhh - zpwnshmgir)
-
19 Oct 2020
(Nebivolol)
ijxmgbazfi(mfvgcfvsmy) = gglxgdmklk efetmbmvca (njcadxcrrh, xksdpzxviy - wbuairwbku)
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