Chlorothiazide is usually taken once a day. For oral tablets, it is typically recommended to take it in the morning, as it increases urination. You can take it with or without food, depending on your preference and your doctor’s advice.
If you are receiving chlorothiazide through an injection, it will be administered by a healthcare provider, often in a hospital or clinic setting. The injectable form is usually used in more severe cases or when the oral form is not suitable for the patient.
If you miss a dose, take it as soon as you remember, unless it is nearly time for the next dose. In that case, skip the missed dose. Do not take two doses at once.
Chlorothiazide works by affecting the kidneys. It blocks the reabsorption of sodium and chloride in the kidneys, which in turn promotes the excretion of water and salt from the body. This process reduces the amount of fluid circulating in the bloodstream, which helps lower blood pressure and reduces swelling (edema). It also allows the body to remove excess fluid that might be causing the swelling and pressure in tissues, particularly in the legs, abdomen, and lungs.
In essence, chlorothiazide works to reduce the volume of fluid in the blood vessels, thus lowering blood pressure and decreasing fluid retention. Its mechanism of action also contributes to an overall improvement in heart and kidney function when used for patients with conditions like heart failure or chronic kidney disease.
While chlorothiazide is generally well-tolerated, it can cause some side effects, including:
- Common Side Effects:
- Dizziness or lightheadedness, particularly when standing up quickly
- Increased urination
- Dehydration
- Dry mouth or thirst
- Fatigue
- Headaches
- Serious Side Effects:
- Electrolyte imbalances, such as low potassium (hypokalemia) or low sodium (hyponatremia)
- Severe allergic reactions (swelling of the face, lips, tongue, or throat)
- Heart arrhythmias due to electrolyte disturbances
- Jaundice (yellowing of the skin or eyes)
- Severe dizziness or fainting
If you experience any of the serious side effects listed above, seek medical attention immediately. Regular blood tests may be necessary to monitor electrolyte levels while using chlorothiazide.
Before using chlorothiazide, inform your healthcare provider if you have:
- Kidney or Liver Disease: Chlorothiazide may affect kidney or liver function, so dosage adjustments may be necessary.
- Diabetes: Chlorothiazide can alter blood sugar levels, so careful monitoring is essential.
- Gout: Chlorothiazide can increase uric acid levels, which may trigger gout attacks.
- Pregnancy or Breastfeeding: Chlorothiazide should only be used during pregnancy if absolutely necessary. It is unknown whether it passes into breast milk, so consult with your doctor if you are breastfeeding.
Additionally, be aware that chlorothiazide may make you more sensitive to sunlight, so it is important to protect your skin from prolonged sun exposure.
Chlorothiazide may interact with other medications, such as:
- Lithium: Chlorothiazide may increase lithium levels in the body, leading to a risk of toxicity.
- Digoxin: This drug may increase the effects of digoxin, raising the risk of side effects.
- Other antihypertensives: Using chlorothiazide with other blood pressure medications may lead to excessively low blood pressure.
- NSAIDs (non-steroidal anti-inflammatory drugs): These may reduce the effectiveness of chlorothiazide.
- Steroids and certain heart medications: These can increase the risk of electrolyte imbalances, particularly low potassium.
It is important to inform your healthcare provider about all other drugs you are taking to avoid dangerous interactions.
The recommended dosage for chlorothiazide depends on the condition being treated:
- For Hypertension: The typical starting dose is 500 mg once daily. If needed, the dose can be gradually increased.
- For Edema: The starting dose is often higher, around 500 mg to 1000 mg daily, with adjustments based on the patient’s response.
The dosage for children or elderly patients may differ, so it is essential to follow the guidance provided by your healthcare provider.
Chlorothiazide requires a prescription from a licensed healthcare provider. It is important to obtain it through legal means and to use it only under the supervision of a doctor. Misuse or self-medication can lead to serious health risks, particularly related to blood pressure, fluid balance, and kidney function.