Prescription medication · Loop Diuretic

ethacrynic acid

Also sold as Edecrin. This medicine treats swelling (edema) caused by heart failure, liver problems like cirrhosis, and kidney disease.

Data updated 2026-05-15

520
FDA reportsRarely reported
5
InteractionsFew interactions
$1.16
Generic price (NADAC)

What the data shows

ethacrynic acid (Edecrin) is a prescription Loop Diuretic, among the least-reported drugs the FDA tracks (520 FDA reports), with 5 documented drug interactions.

Reporting volume reflects how widely a drug is used and studied, not how dangerous it is, a FAERS report documents a temporal association, never proof of cause.

ethacrynic acid (Edecrin) is a prescription Loop Diuretic. This medicine treats swelling (edema) caused by heart failure, liver problems like cirrhosis, and kidney disease.

Ethacrynic acid (Edecrin) is a strong diuretic, also known as a water pill. It helps your body get rid of extra fluid.

Drug Pricing (NADAC)

Generic Price

$1.16/unit

Generic Available

Yes (6 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

NADAC price trail: ETHACRYNIC ACID 25 MG TABLET

Same CMS presentation as the headline generic unit price above (2 effective dates). Adjacent % compares consecutive NADAC releases for this description only, not a patient out-of-pocket quote. Latest step: -3.6% vs prior release.

Effective NADAC / unit vs prior NDCs
November 20, 2024 $1.20/EA - 1
December 18, 2024 $1.16/EA -3.6% 6
View Alternatives → Compare with Another Drug → Full Side Effects Report →

What it does

This medicine treats swelling (edema) caused by heart failure, liver problems like cirrhosis, and kidney disease.

Common side effects

Loss of appetite, Feeling unwell, Stomach discomfort or pain

Key warnings

You should not take this medicine if you cannot urinate.

The sections below are summarized in plain English from ethacrynic acid's FDA-approved prescribing information. They describe what the official label says, and are not personal medical advice.

How It Works

Ethacrynic acid helps your kidneys remove extra salt and water from your body. It works in a specific part of the kidney called the loop of Henle. This reduces fluid buildup and lowers blood pressure.

Side Effects (from patient reports)

Based on 520 FDA adverse event reports.

Most-reported reactions

Adverse reactions in FAERS for ethacrynic acid, by number of reports

reports

What this shows Bars show how often each reaction was reported, not how likely it is to happen, a report records a temporal association, never proof that the drug caused it.

Source FDA Adverse Event Reporting System (FAERS) As of 2025

Reports over time

Adverse-event reports filed for ethacrynic acid each year to the FDA Adverse Event Reporting System (FAERS).

0204060 199720062009201220152018202120242025 26

Year-to-year volume tracks usage, prescribing, and scrutiny, not a change in per-patient risk. Source: FDA FAERS.

Where ethacrynic acid sits

ethacrynic acid has more FDA adverse-event reports than 3% of the drugs FAERS tracks. A high position reflects how widely a drug is used and watched, not how dangerous it is.

fewest reports most reports

Percentile across all drugs PlainMeds tracks by FAERS report volume. The dot is ethacrynic acid; the line is the median (50th percentile).

FDA Adverse Event Report Analysis

Detailed analysis of 520 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 1997–2025.

Total Reports

520

Reports Mentioning Death

64

12.3% of reports — not proof of cause

Hospitalization Reports

212

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 295 (61%)
Male 188 (39%)

Age Distribution

0–17 17
18–44 41
45–64 85
65–74 132
75+ 106

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS 59
3 NAUSEA 43
4 DYSPNOEA 42
6 ACUTE KIDNEY INJURY 33
7 FATIGUE 32
8 DIARRHOEA 31
9 VOMITING 31
10 DRUG HYPERSENSITIVITY 28
11 ASTHENIA 25
12 DEATH 24
13 WEIGHT DECREASED 24
14 DIZZINESS 23
15 HEADACHE 23
16 MALAISE 23
17 HYPOTENSION 21

Reactions in Death Reports

DEATH 24
FATIGUE 9
PYREXIA 9
CONSTIPATION 6
RESPIRATORY DISTRESS 6
TOXIC EPIDERMAL NECROLYSIS 6
VOMITING 6
ACUTE KIDNEY INJURY 5
APLASIA PURE RED CELL 5
ASPIRATION 5

Reactions in Hospitalization Reports

DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS 46
PNEUMONIA 19
ACUTE KIDNEY INJURY 18
DIARRHOEA 18
DYSPNOEA 18
DRUG HYPERSENSITIVITY 17
FATIGUE 16
NAUSEA 14
MALAISE 13
ASTHENIA 12

Source: FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

You should not take this medicine if you cannot urinate. If you develop increasing electrolyte imbalance, increased nitrogen in your blood, and/or decreased urination during treatment for severe, worsening kidney disease, stop taking this medicine. If you experience severe, watery diarrhea, stop taking Edecrin and do not take it again. Edecrin can sometimes cause deafness, ringing in the ears, and dizziness.

Known Drug Interactions

moderate lithium

Drug Interactions Lithium generally should not be given with diuretics because they reduce its renal clearance and add a high risk of lithium toxicity. Read circulars for lithium preparations before use of such concomitant therapy.

Mechanism: Ethacrynic acid makes it harder for the kidneys to remove lithium from the body. This can cause lithium to build up to dangerous levels.

A number of drugs, including ethacrynic acid, have been shown to displace warfarin from plasma protein; a reduction in the usual anticoagulant dosage may be required in patients receiving both drugs.

Mechanism: Ethacrynic acid knocks warfarin off the proteins it usually sticks to in your blood. This leaves more active warfarin in your system, which can increase the risk of bleeding.

Amphotericin B or potassium-depleting diuretics (benzothiadiazines and related drugs, ethacrynic acid and furosemide) – enhanced hypokalemia.

Mechanism: Both drugs cause the body to get rid of potassium through the urine. This can lead to very low potassium levels in your blood.

Furosemide should not be used concomitantly with ethacrynic acid because of the possibility of ototoxicity.

Mechanism: Using these two medicines together can increase the risk of hearing loss or ear damage.

7.6 Ototoxic Drugs Loop diuretics increase the ototoxic potential of other ototoxic drugs, including aminoglycoside antibiotics and ethacrynic acid.

Mechanism: Both drugs can be harmful to your ears. Taking them together increases the chance of hearing loss or balance problems.

This is a plain-language summary of FDA-label interaction records and does not provide individual medication-combination directions.

Common Questions

Can I take Edecrin if I have kidney problems?
You should not take Edecrin if you are unable to urinate. If you have severe, progressive kidney disease, your doctor will monitor you closely.
What should I do if I get diarrhea while taking Edecrin?
If you develop severe, watery diarrhea, stop taking Edecrin and contact your doctor.
Can Edecrin affect my hearing?
Yes, Edecrin can sometimes cause hearing problems, including deafness, ringing in the ears, and dizziness.
How quickly will Edecrin start working?
You should start to lose weight gradually, about 1 to 2 pounds per day.
Can I take Edecrin with other diuretics?
Edecrin can have additive effects when used with other diuretics. Your doctor will determine if this is safe for you.
What if I am allergic to Edecrin?
You should not take Edecrin if you are allergic to any of its ingredients.
Will Edecrin affect my blood sugar?
Edecrin can affect your blood sugar levels. If you have diabetes, monitor your blood sugar closely.
Can Edecrin cause gout?
Yes, Edecrin can increase uric acid levels in your blood, which can trigger gout.
Does Edecrin interact with other medications?
Yes, Edecrin can interact with several medications, including lithium, some antibiotics, and blood thinners. Tell your doctor about all the medicines you take.
How will my doctor monitor me while I am taking Edecrin?
Your doctor will monitor your weight, electrolytes, and kidney function to make sure the medicine is working safely and effectively.
What are the common side effects of ethacrynic acid?
The registry lists Loss of appetite, Feeling unwell, Stomach discomfort or pain, Difficulty swallowing, Nausea among the most-reported FAERS reaction terms for ethacrynic acid. The compiled record contains 520 FDA adverse-event reports. These counts are not an individual symptom assessment.
Does ethacrynic acid interact with other medications?
The registry has 5 documented interaction rows for ethacrynic acid. Notable source-record pairings include lithium, warfarin, fludrocortisone. These rows are not a complete medication review.
What drug class is ethacrynic acid?
ethacrynic acid belongs to the Loop Diuretic drug class. It requires a prescription (Rx). This medicine treats swelling (edema) caused by heart failure, liver problems like cirrhosis, and kidney disease.
What pregnancy or breastfeeding source fields are listed for ethacrynic acid?
The FDA label for ethacrynic acid contains product-specific pregnancy or breastfeeding language. PlainMeds does not apply that source text to an individual.

Other drugs grouped near ethacrynic acid - same-class peers and common alternatives.

Compare ethacrynic acid vs adenosine side-by-side →

Compare beyond drug class

Nationwide peers by FAERS volume & death-report share

Two PlainMeds-derived comparison paths for ethacrynic acid: nearest FDA FAERS report volume and nearest death-report share among drugs with at least 1,000 logged reports, excluding same-class neighbors listed above. Counts reflect reporting volume, not proven individual harm.

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What the FDA Data Shows for ethacrynic acid

The FDA label for ethacrynic acid (sold under brand names such as Edecrin) classifies it as a prescription-only medication in the Loop Diuretic class. This medicine treats swelling (edema) caused by heart failure, liver problems like cirrhosis, and kidney disease. Official labeling lists 14 commonly reported side effects, including Loss of appetite, Feeling unwell, Stomach discomfort or pain.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 520 voluntary reports. The database also lists 5 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated moderate severity. NADAC pricing from CMS shows a generic unit cost of $1.16.

Report counts do not establish causation, a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information are separate source-record fields. This page is a public FDA/CMS registry and does not provide medical, treatment, substitution, or medication-change directions.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. This registry does not provide medication decisions.

Last updated: August 31, 2020

PlainMeds is rendered directly from FDA openFDA/FAERS extracts, DailyMed labels, and CMS drug-pricing files, no number is typed in by an editor. FAERS counts, recalls, shortages, and price figures on this page are queried live from those federal extracts. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026-05-15. Primary sources: openFDA / FAERS, DailyMed and CMS Part B ASP.

Data currency: FDA FAERS adverse-event reports through 2025, CMS NADAC acquisition-cost pricing effective December 2024, compiled from the source snapshot dated . See our methodology for per-source dates and refresh cadence. Spot a figure that looks wrong? Report a data issue.

All federal data sources used on this page