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Molecule

Chlorthalidone

Thiazide-like Diuretic
Available on requestCardiology
Presentations
4
Brands
2
Manufacturers
2
Available from stock
0

Chlorthalidone is a thiazide-like diuretic indicated for the treatment of hypertension, to lower blood pressure, among other approved uses. It is available as tablets for oral use. MedsAcross supplies Chlorthalidone for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Thiazide-like Diuretic, Increased Diuresis
ATC classification
C03BA04 Chlorthalidone · Diuretics, subgroup C03B, subgroup C03BA
US FDA first approval
7 April 1960
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet
Identifiers
UNII Q0MQD1073QRxCUI 2409CAS 77-36-1DrugBank DB00310Q425289

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

THALITONE is a thiazide-like diuretic indicated: • For the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. • as adjunctive therapy in edema associated with heart failure, cirrhosis of the liver, and renal disease, including nephrotic syndrome.

Source: US FDA prescribing information

How it works

Chlorthalidone is a long-acting oral diuretic with antihypertensive activity. The diuretic effects of chlorthalidone and the benzothiadiazine (thiazide) diuretics appear to arise from similar mechanisms and the maximal effect of chlorthalidone and the thiazides appear to be similar. The site of the action appears to be the distal convoluted tubule of the nephron. Although the mechanism of action of chlorthalidone and related drugs is not wholly clear, sodium and water depletion appear to provide a basis for its antihypertensive effect.

Source: US FDA prescribing information

Dosing overview

• Initiate therapy with the lowest possible dose, then titrate according to individual patient response. • Hypertension: Recommended initial dose is 15 mg daily with food. If additional blood pressure reduction is needed, increase the dose to 25 mg. • Edema: Recommended initial dose is 50 mg to 100 mg daily or 100 mg on alternate days. Depending on response, dosage can be decreased or increased up to a maximum of 200 mg daily.

Source: US FDA prescribing information

Contraindications

THALITONE is contraindicated in patients with anuria or hypersensitivity to chlorthalidone or other sulfonamide-derived drugs. • Anuria. • Hypersensitivity.

Source: US FDA prescribing information

Warnings and precautions

• Hypotension: Higher risk for patients with impaired sympathetic response, volume-depletion or salt restriction. • Renal Impairment: Patients with pre-existing kidney disease may be at higher risk. • Monitor serum electrolytes periodically.

Source: US FDA prescribing information

Side effects

The following adverse reactions are described in more detail elsewhere in the label, • Hypotension • Impaired Renal Function • Electrolyte Abnormalities • Metabolic Disturbances The following adverse reactions have been observed, but there is not enough systematic collection of data to support an estimate of their frequency. Gastrointestinal System Reactions: anorexia, gastric irritation, nausea, vomiting, cramping, diarrhea, constipation, jaundice (intrahepatic cholestatic jaundice), pancreatitis. Central Nervous System Reactions: dizziness, paresthesias, headache. Hematologic Reactions: leukopenia, agranulocytosis, thrombocytopenia, aplastic anemia. Dermatologic-Hypersensitivity Reactions: purpura, photosensitivity, rash, urticaria, necrotizing angiitis (vasculitis) (cutaneous vasculitis), Lyell’s syndrome (toxic epidermal necrolysis). Cardiovascular Reaction: Orthostatic hypotension.

Source: US FDA prescribing information

Interactions

Effect of chlorthalidone on other drugs Chlorthalidone may add to or potentiate the action of other antihypertensive drugs. Chlorthalidone and related drugs may increase the responsiveness to tubocurarine. Lithium renal clearance is reduced by chlorthalidone, increasing the risk of lithium toxicity. Monitor serum lithium levels during concomitant use. • Antihypertensive drugs: Chlorthalidone may add to or potentiate the action of other antihypertensive drugs. • Lithium: Lithium renal clearance is reduced by chlorthalidone, increasing the risk of lithium toxicity.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

4 presentations of Chlorthalidone, sorted by availability.

MedicineManufacturerRegisterAvailability
Chlorthalidone 25 mg tabletOralGeneric name—US FDAAvailable on request
Chlorthalidone 50 mg tabletOralGeneric name—US FDAAvailable on request
Hemiclor 12.5 mg tabletOralIngenus PharmaceuticalsUS FDAAvailable on request
Thalitone 15 mg tabletOralCasper PharmaUS FDAAvailable on request

Brands by market

2 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 7 April 1960Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Chlorthalidone in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Chlorthalidone available for export from India?

Yes, on request. MedsAcross lists 4 presentations of Chlorthalidone and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Chlorthalidone have?

The catalogue lists 2 brand names for Chlorthalidone, including Hemiclor, Thalitone.

Is Chlorthalidone approved by the US FDA?

Yes. The US FDA first approved Chlorthalidone on 7 April 1960, according to Drugs@FDA.

Does Chlorthalidone need cold chain shipping?

No listed presentation of Chlorthalidone is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Chlorthalidone in?

Chlorthalidone is classified under ATC code C03BA04 (Chlorthalidone).

References

  1. Thalitone prescribing information (Casper Pharma). U.S. National Library of Medicine, DailyMed. Retrieved 25 June 2026

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