Skip to main content

Two medicines, side by side

Indapamide vs chlorthalidone

Indapamide and chlorthalidone are both labeled for high blood pressure, heart failure and edema (fluid retention). Drugs@FDA records approvals of indapamide since 1983 and of chlorthalidone since 1960. Pharmacies paid $0.109 per indapamide 1.25 mg tablet and $0.0743 per chlorthalidone 25 mg tablet (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.

Check it at the source: the indapamide FDA label on DailyMed (effective October 1, 2022); the chlorthalidone FDA label on DailyMed (effective August 5, 2026).

Highlights of the indapamide record

Indapamide (Lozol) · label of October 1, 2022

Used for

From the label: indications

Indapamide tablets are indicated for the treatment of hypertension, alone or in combination with other antihypertensive drugs. Indapamide tablets are also indicated for the treatment of salt and fluid retention associated with congestive heart failure. Usage in Pregnancy: The routine use of diuretics in an otherwise healthy woman is inappropriate and exposes mother and fetus to unnecessary hazard (see PRECAUTIONS ). […]

On the market

Earliest approval on file
July 6, 1983
Generic labelers
8 labelers
Pharmacy cost
$0.109 per tablet

Supply and safety

Shortage
No current entry
Recalls
0

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

Source: FDA drug labels via openFDA (Indapamide label of October 1, 2022, Chlorthalidone label of August 5, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do indapamide and chlorthalidone differ on the record?

Both are in FDA's class thiazide-like diuretics.

Half-life, in each label's words: Indapamide, “The half-life of indapamide in whole blood is approximately 14 hours.”; Chlorthalidone, “The mean half-life following a 50 to 200 mg dose is 40 hours.”

Generics: indapamide since 1995; chlorthalidone since 1981 (Drugs@FDA).

IndapamideChlorthalidone
Labeled forHigh blood pressure, Heart failure, Edema (fluid retention)High blood pressure, Heart failure, Edema (fluid retention)
Pharmacologic classThiazide-like DiureticThiazide-like Diuretic
How it works (label)n/an/a
Half-life (label)The half-life of indapamide in whole blood is approximately 14 hours.The mean half-life following a 50 to 200 mg dose is 40 hours.
Earliest approval on file (Drugs@FDA)July 6, 1983April 7, 1960
First generic approvedJuly 27, 1995February 26, 1981
Generic labelers (NDC)8 labelers36 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.109 per tablet (Indapamide 1.25 mg tablet)$0.0743 per tablet (Chlorthalidone 25 mg tablet)
12-month price change+9%-12%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded05
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)17,81711,545
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?

Alternatives to indapamide
every medicine labeled for the same conditions