Thiazide diureticPrescription only

Hydrochlorothiazide

Tablet

Quick Summary

Hydrochlorothiazide helps the kidneys remove extra salt and water.

High blood pressure
Fluid retention

Medical Uses

High blood pressure: Alone or in combinations.
Fluid retention: Some cases.

How it's taken

Usually taken in the morning so you don't have to get up at night to pass urine. Keep taking it even if you feel well, and don't stop suddenly without talking to your doctor.

Your doctor decides the right dose for you and how long to take it.

Your doctor decides the right dose for you. Follow their instructions and the label.

Common Side Effects

Passing more urine

Especially in the first hours.

Dizziness

From low blood pressure or salts.

Cramps

From low potassium or sodium.

Interactions

Other blood pressure medicines

Together they can lower blood pressure too much.

Lithium

Levels can rise.

Anti-inflammatory painkillers

Such as ibuprofen can reduce the effect and affect the kidneys.

Critical Warnings

Blood tests

Salt and kidney levels are checked regularly.

Dehydration

Take extra care in hot weather or with vomiting and diarrhoea.

Sources and further reading

Last updated 21 October 2026. For more detail, see these trusted health organisations.

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