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Hydrochlorothiazide

Structure of Hydrochlorothiazide

  • Hydrochlorothiazide is a thiazide diuretic similar to chlorothiazide but with a hydrochloride salt form to enhance solubility.

  • Chemical Formula: C₇H₇ClN₃O₄S₂·HCl

    Structure of Hydrochlorothiazide
    Structure of Hydrochlorothiazide

Mode of Action

  • Thiazide Receptor Blocking: Inhibits the sodium-chloride symporter in the distal convoluted tubule.

  • Sodium and Chloride Excretion: Promotes diuresis by increasing excretion of sodium and chloride ions.

  • Potassium Loss: Enhances potassium and hydrogen ion excretion, potentially causing hypokalemia and metabolic alkalosis.

Uses

  1. Hypertension: Widely used as a first-line agent to manage essential hypertension.

  2. Edema: Treats edema associated with congestive heart failure, liver cirrhosis, and renal disorders.

  3. Nephrolithiasis Prevention: Aids in preventing calcium-containing kidney stones.

  4. Heart Failure: Part of diuretic therapy to reduce fluid retention.


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