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Two medicines, side by side

Chlorthalidone vs furosemide

Chlorthalidone and furosemide are both labeled for high blood pressure, heart failure and edema (fluid retention). Drugs@FDA records approvals of chlorthalidone since 1960 and of furosemide since 1966. Pharmacies paid $0.0743 per chlorthalidone 25 mg tablet and $0.490 per mL (Furosemide 20 mg/2 mL vial) (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Chlorthalidone's other strengths are brand-only: $0.957 per Hemiclor 12.5 mg tablet. In FDA's classes, chlorthalidone is a thiazide-like diuretic and furosemide a loop diuretic.

Check it at the source: the chlorthalidone FDA label on DailyMed (effective August 5, 2026); the furosemide FDA label on DailyMed (effective September 30, 2025).

Highlights of the chlorthalidone record

Chlorthalidone (Hygroton) · label of August 5, 2026

Used for

From the label: indications

Diuretics such as chlorthalidone are indicated in the management of hypertension either as the sole therapeutic agent or to enhance the effect of other antihypertensive drugs in the more severe forms of hypertension. Chlorthalidone is indicated as adjunctive therapy in edema associated with congestive heart failure, hepatic cirrhosis, and corticosteroid and estrogen therapy. […]

On the market

Earliest approval on file
April 7, 1960
Generic labelers
36 labelers
Pharmacy cost
$0.0743 per tablet

Supply and safety

Shortage
No current entry
Recalls
5

Highlights of the furosemide record

Furosemide (Lasix) · label of September 30, 2025

Used for

From the label: indications

Edema LASIX is indicated in adults and pediatric patients for the treatment of edema associated with congestive heart failure, cirrhosis of the liver, and renal disease, including the nephrotic syndrome. LASIX is particularly useful when an agent with greater diuretic potential is desired. […]

On the market

Earliest approval on file
July 1, 1966
Generic labelers
52 labelers
Pharmacy cost
$0.490 per mL

Supply and safety

Shortage
In shortage
Recalls
8

Source: FDA drug labels via openFDA (Chlorthalidone label of August 5, 2026, Furosemide label of September 30, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do chlorthalidone and furosemide differ on the record?

In FDA's classes, chlorthalidone is a thiazide-like diuretic and furosemide a loop diuretic.

Half-life, in each label's words: Chlorthalidone, “The mean half-life following a 50 to 200 mg dose is 40 hours.”; Furosemide, “The terminal half-life of furosemide is approximately 2 hours.”

Generics: chlorthalidone since 1981; furosemide since 1985 (Drugs@FDA).

ChlorthalidoneFurosemide
Labeled forHigh blood pressure, Heart failure, Edema (fluid retention)Heart failure, High blood pressure, Edema (fluid retention)
Pharmacologic classThiazide-like DiureticLoop Diuretic
How it works (label)n/an/a
Half-life (label)The mean half-life following a 50 to 200 mg dose is 40 hours.The terminal half-life of furosemide is approximately 2 hours.
Earliest approval on file (Drugs@FDA)April 7, 1960July 1, 1966
First generic approvedFebruary 26, 1981September 26, 1985
Generic labelers (NDC)36 labelers52 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0743 per tablet (Chlorthalidone 25 mg tablet)$0.490 per mL (Furosemide 20 mg/2 mL vial)
12-month price change-12%+31%
Boxed warningNoNo
Shortage nowNo current entryIn shortage
Recalls recorded58
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)11,545398,354
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

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