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dapagliflozin vs hydrochlorothiazide

Side-by-side comparison of dapagliflozin and hydrochlorothiazide. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

minor Known Drug Interaction

No dosing adjustments required for the following: Oral Antidiabetic Agents Metformin (1000 mg) 20 mg ↔ ↔ Pioglitazone (45 mg) 50 mg ↔ ↔ Sitagliptin (100 mg) 20 mg ↔ ↔ Glimepiride (4 mg) 20 mg ↔ ↔ Voglibose (0.2 mg three times daily) 10 mg ↔ ↔ Other Medications Hydrochlorothiazide (25 mg) 50 mg ↔ ↔ Bumetanide (1 mg) 10 mg once daily for 7 days ↔ ↔ Valsartan (320 mg) 20 mg ↓12% [↓3%, ↓20%] ↔ Simvastatin (40 mg) 20 mg ↔ ↔ Anti-infective Agent Rifampin (600 mg once daily for 6 days) 10 mg ↓7% [↓22%, ↑11%] ↓22% [↓27%, ↓17%] Nonsteroidal Anti-inflammatory Agent Mefenamic Acid (loading dose of...

Recommendation: You can take these medicines together without changing your dose.

Drug Class
dapagliflozin SGLT2 Inhibitor
hydrochlorothiazide Thiazide Diuretic
Type
dapagliflozin Prescription
hydrochlorothiazide Prescription
Summary
dapagliflozin

Dapagliflozin (Farxiga) helps lower blood sugar in adults with type 2 diabetes. It also helps adults with heart failure or chronic kidney disease.

hydrochlorothiazide

No summary available.

What It Treats
dapagliflozin

This medicine can help adults with chronic kidney disease by reducing the risk of kidney problems, heart problems, and needing to go to the hospital for heart failure. It can also help adults with heart failure by reducing the risk of heart problems and needing urgent care for heart failure. For adults with type 2 diabetes, it can help lower the risk of needing to go to the hospital for heart failure.

hydrochlorothiazide

Information not available.

How It Works
dapagliflozin

Dapagliflozin is a type of medicine called an SGLT2 inhibitor. It works in the kidneys to remove extra sugar from your body through your urine. This helps to lower your blood sugar levels.

hydrochlorothiazide

Information not available.

Common Side Effects
dapagliflozin
  • Yeast infections of the vagina
  • Common cold
  • Urinary tract infections
hydrochlorothiazide
  • Dizziness
  • Headache
  • Cough
  • Fatigue
FAERS Reports
dapagliflozin
  • Death 7,017
  • Tiredness 2,250
  • Feeling sick to your stomach 2,218
  • Feeling lightheaded 2,096
  • Loose stools 2,074
hydrochlorothiazide
  • Tiredness 10,013
  • Feeling sick to your stomach 9,706
  • Loose stools 8,311
  • Discomfort 7,665
  • Difficulty breathing 7,584
Serious Warnings
dapagliflozin

Dapagliflozin can cause a serious condition called diabetic ketoacidosis (DKA), especially if you have type 1 diabetes. Symptoms include nausea, vomiting, stomach pain, and trouble breathing. If you have these symptoms, stop taking this medicine and get medical help right away. This medicine can also cause serious infections in the area between your genitals and anus. Get medical help right away if you have pain, tenderness, redness, or swelling in this area, along with a fever or feeling unwell.

hydrochlorothiazide

No specific warnings noted.

Pregnancy
dapagliflozin

This medicine may harm your unborn baby, especially during the second and third trimesters. It is not recommended while breastfeeding.

hydrochlorothiazide

No pregnancy information available.

Also Compare, Nearby Drugs

How to Read This dapagliflozin vs hydrochlorothiazide Comparison

dapagliflozin is classified in the SGLT2 Inhibitor drug class, while hydrochlorothiazide sits within the Thiazide Diuretic class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, dapagliflozin has 15,655 submissions while hydrochlorothiazide has 43,279. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known minor interaction flagged in FDA labeling, attributed to these two drugs do not have a meaningful effect on each other's levels in the body.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between dapagliflozin and hydrochlorothiazide - always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.