Skip to main content

Two medicines, side by side

Furosemide vs hydrochlorothiazide

Furosemide and hydrochlorothiazide are both labeled for high blood pressure, heart failure and edema (fluid retention). Drugs@FDA records approvals of furosemide since 1966 and of hydrochlorothiazide since 1959. Pharmacies paid $0.490 per mL (Furosemide 20 mg/2 mL vial) and $0.0115 per hydrochlorothiazide 25 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Hydrochlorothiazide's other strengths are brand-only: $4.46 per mL (Inzirqo 10 mg/mL oral suspension). In FDA's classes, furosemide is a loop diuretic and hydrochlorothiazide a thiazide diuretic.

Check it at the source: the furosemide FDA label on DailyMed (effective September 30, 2025); the hydrochlorothiazide FDA label on DailyMed (effective June 12, 2026).

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

Highlights of the hydrochlorothiazide record

Hydrochlorothiazide (Inzirqo) · label of June 12, 2026

Used for

From the label: indications

Hydrochlorothiazide tablets USP are indicated as adjunctive therapy in edema associated with congestive heart failure, hepatic cirrhosis, and corticosteroid and estrogen therapy. Hydrochlorothiazide tablets USP have also been found useful in edema due to various forms of renal dysfunction such as nephrotic syndrome, acute glomerulonephritis, and chronic renal failure. […]

On the market

Earliest approval on file
February 12, 1959
Generic labelers
43 labelers
Pharmacy cost
$0.0115 per tablet

Supply and safety

Shortage
A presentation being discontinued
Recalls
7

Source: FDA drug labels via openFDA (Furosemide label of September 30, 2025, Hydrochlorothiazide label of June 12, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do furosemide and hydrochlorothiazide differ on the record?

In FDA's classes, furosemide is a loop diuretic and hydrochlorothiazide a thiazide diuretic.

Half-life, in each label's words: Furosemide, “The terminal half-life of furosemide is approximately 2 hours.”; Hydrochlorothiazide, “When plasma levels have been followed for at least 24 hours, the plasma half-life has been observed to vary between 5.6 …”

Generics: furosemide since 1985; hydrochlorothiazide since 1973 (Drugs@FDA).

FurosemideHydrochlorothiazide
Labeled forHeart failure, High blood pressure, Edema (fluid retention)Heart failure, High blood pressure, Edema (fluid retention)
Pharmacologic classLoop DiureticThiazide Diuretic
How it works (label)n/an/a
Half-life (label)The terminal half-life of furosemide is approximately 2 hours.When plasma levels have been followed for at least 24 hours, the plasma half-life has been observed to vary between 5.6 and 14.8 hours.
Earliest approval on file (Drugs@FDA)July 1, 1966February 12, 1959
First generic approvedSeptember 26, 1985January 12, 1973
Generic labelers (NDC)52 labelers43 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.490 per mL (Furosemide 20 mg/2 mL vial)$0.0115 per tablet (Hydrochlorothiazide 25 mg tablet)
12-month price change+31%-7%
Boxed warningNoNo
Shortage nowIn shortageA presentation being discontinued
Recalls recorded87
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)398,354144,413
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 furosemide
every medicine labeled for the same conditions