Common side effects of hydrochlorothiazide include more frequent urination, constipation or diarrhea, headache, erectile dysfunction, loss of appetite, nausea, vomiting, vision problems, and weakness, and higher doses are more likely to cause more side effects, past research has found.
Table of Contents
Can diuretics cause loss of appetite?
Types of diuretics include: Headache. Loss of appetite. Hair loss.
What are the side effects of HCTZ?
- blood pressure that’s lower than normal (especially when standing up after sitting or lying down)
- dizziness.
- headache.
- weakness.
- erectile dysfunction (trouble getting or keeping an erection)
- tingling in your hands, legs, and feet.
What is the most serious side effect of diuretics?
Side effects include increased urination and sodium loss. Diuretics can also affect blood potassium levels. If you take a thiazide diuretic, your potassium level can drop too low (hypokalemia), which can cause life-threatening problems with your heartbeat.
How much weight can you lose with hydrochlorothiazide?
The effective dose of hydrochlorothiazide in 52% of these responders was 50 mg/day, and this was associated with weight loss averaging 1.58 kg.
Who should not take hydrochlorothiazide?
tell your doctor if you have kidney disease. Your doctor may tell you not to take hydrochlorothiazide. tell your doctor if you have or have ever had diabetes, asthma, gout, systemic lupus erythematosus (SLE, a chronic inflammatory condition), high cholesterol, or kidney or liver disease.
Does HCTZ cause weight gain?
Hydrochlorothiazide (Microzide) works to get rid of extra fluid in your body. By getting rid of this fluid, it can cause weight loss. Keep in mind that this is water weight, not fat loss.
What happens when you stop taking hydrochlorothiazide?
Hydrochlorothiazide does not cause specific withdrawal symptoms, but quitting this medication suddenly can lead to higher blood pressure, heart problems, and an increase in water retention from the underlying medical conditions that the prescription drug treats.
How long do hydrochlorothiazide side effects last?
Treatment varies, but following discontinuation of hydrochlorothiazide most patients respond, with symptoms resolving in a mean 3.5 days. Rechallenge can result in a more severe reaction, even months to years after the initial exposure.
How safe is hydrochlorothiazide?
The drug has been widely used to treat hypertension globally and is relatively very safe. Hydrochlorothiazide acts on the distal convoluted tubules and inhibits the sodium chloride co-transporter system. This action leads to a diuretic action that lowers blood pressure, but there is also a potassium loss in the urine.
Why is hydrochlorothiazide being recalled?
Pfizer has issued a voluntarily recall of certain lots of quinapril HCl/hydrochlorothiazide tablets and additional lots distributed by Greenstone due to high levels of a nitrosamine known to be carcinogenic in high doses.
Who should not take diuretics?
- Have severe liver or kidney disease.
- Are dehydrated.
- Have an irregular heartbeat.
- Are in the third trimester of pregnancy and/or have developed high blood pressure during your pregnancy.
- Are age 65 or older.
- Have gout.
What are the long term effects of diuretics?
In addition to their antihypertensive effects, diuretics have putatively adverse effects on levels of several other cardiovascular disease (CVD) risk factors, especially glucose, cholesterol, triglyceride, uric acid, and potassium.
What is the safest diuretic?
TUESDAY, Feb. 18, 2020 (HealthDay News) — Patients taking a common diuretic to help lower blood pressure may be better off with a similarly effective but safer one, a new study suggests. Current guidelines recommend the drug chlorthalidone (Thalitone) as the first-line diuretic.
What to expect when stopping diuretics?
Conclusion: Withdrawal of long-term diuretic treatment in elderly patients leads to symptoms of heart failure or increase in blood pressure to hypertensive values in most cases. Any attempt to withdraw diuretic therapy requires careful monitoring conditions, notably during the initial four weeks.
Can hydrochlorothiazide cause depression?
Hydrochlorothiazide was associated with a trend for several negative mood changes in black subjects; depression scores of black subjects were significantly increased with hydrochlorothiazide.
Can you stop taking hydrochlorothiazide suddenly?
Do not stop using hydrochlorothiazide and metoprolol suddenly, even if you feel fine. Stopping suddenly may cause serious or life-threatening heart problems. Follow your doctor’s instructions about tapering your dose.
Will I gain weight if I stop taking a diuretic?
Health care providers aren’t sure exactly why some beta blockers cause weight gain. It could be that beta blockers slow the metabolism. Also, switching from taking a water pill (diuretic) to a beta blocker as a treatment for high blood pressure might cause a gain of a few pounds of fluid that the diuretic kept off.
Is 25mg of hydrochlorothiazide too much?
For oral dosage form (tablets): Adults—The usual dose is 25 to 100 milligrams (mg) daily as a single or divided dose. Your doctor may want you to take this dose every other day or on 3 to 5 days each week. Children—Dose is based on body weight and must be determined by your doctor.
What should I check before giving hydrochlorothiazide?
- Monitor signs of fluid, electrolyte, or acid-base imbalances, including dizziness, drowsiness, blurred vision, confusion, hypotension, or muscle cramps and weakness.
- Assess dizziness and weakness that might affect gait, balance, and other functional activities (See Appendix C).
Can hydrochlorothiazide damage your kidneys?
Popular diuretics include hydrochlorothiazide, furosemide, and spironolactone. They are associated with a risk for acute kidney injury.
Do diuretics make you hungry?
In fact, they might make you gain weight. Yep, you read that right. If you take any type of diuretic over a long period of time, your kidneys will eventually compensate for their use and you’ll end up holding on to more water weight than you did before you started taking them.
Do I need to drink a lot of water with hydrochlorothiazide?
Diuretics, such as hydrochlorothiazide, can lead to or worsen dehydration due to the increase in urination. As a result, it’s important to drink enough fluids to prevent dehydration from occurring, although the specific recommended amount will vary.
What is the best time of day to take hydrochlorothiazide?
If you are to take a single dose a day, take it in the morning after breakfast. If you are to take more than one dose a day, take the last dose no later than 6 p.m., unless otherwise directed by your doctor.
How long does HCTZ take to work?
It usually takes about two to four days until you notice hydrochlorothiazide working. For example, you might notice less fluid retention and lower blood pressure readings. If you don’t see any improvements after this amount of time, your doctor may increase your dose or recommend a different course of treatment.