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Prescription medicine

Hydrochlorothiazide and triamterene First approved as Dyazide

Hydrochlorothiazide and triamterene (Dyazide) is a prescription medicine with an FDA approval on record since 1965. FDA's NDC Directory lists it from 24 generic labelers, and pharmacies paid $0.0969 per triamterene-hydrochlorothiazide 37.5-25 mg tablet in the October 7, 2026 NADAC survey.

  • Generic listed

Check it at the source: the hydrochlorothiazide and triamterene FDA label on DailyMed (effective February 17, 2026, Apotex Corp.); the NDA 16042 record on Drugs@FDA; every hydrochlorothiazide and triamterene label on DailyMed.

Highlights of the record

FDA label of February 17, 2026; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

This fixed combination drug is not indicated for the initial therapy of edema or hypertension except in individuals in whom the development of hypokalemia cannot be risked.

Forms and strengths

  • 37.5 mg / 25 mg
  • 75 mg / 50 mg

Tablet; capsule.

On the market

Earliest approval on file
December 2, 1965 Dyazide, Glaxosmithkline Llc; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
19 first December 8, 1987; 10 with a marketed status in Drugs@FDA
Labelers listed (NDC)
24 of which 24 under generic applications, 0 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
$0.0969 per tablet Triamterene-hydrochlorothiazide 37.5-25 mg tablet
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
5 since 2013 0 Class I among all firms' recalls; latest November 9, 2022; 1 more by firms not listed as its makers
FAERS reports
6,109 through July 30, 2026

What is hydrochlorothiazide and triamterene used for?

From the label: indications and usage

This fixed combination drug is not indicated for the initial therapy of edema or hypertension except in individuals in whom the development of hypokalemia cannot be risked. Triamterene and hydrochlorothiazide tablets are indicated for the treatment of hypertension or edema in patients who develop hypokalemia on hydrochlorothiazide alone. Triamterene and hydrochlorothiazide is also indicated for those patients who require a thiazide diuretic and in whom the development of hypokalemia cannot be risked (e.g., patients on concomitant digitalis preparations, or with a history of cardiac arrhythmias, etc.). […]

Conditions named in the indications of hydrochlorothiazide and triamterene's FDA labels, with every medicine labeled for each:

FDA pharmacologic class: Potassium-sparing Diuretic and Thiazide Diuretic.

Source: FDA drug label (Triamterene and Hydrochlorothiazide), Apotex Corp., effective February 17, 2026 (SPL set bd6c3495-ec70-908b-482a-a979506659e9), via openFDA; the full label on DailyMed

Is there a generic for hydrochlorothiazide and triamterene (Dyazide)?

The FDA approved the first generic hydrochlorothiazide and triamterene on December 8, 1987. 19 generic applications are approved; 10 of them carry a current (not discontinued) marketing status in Drugs@FDA; that status is not evidence that the generic is on sale.

FDA's NDC Directory lists hydrochlorothiazide and triamterene from 24 labelers under a generic (ANDA) application. A listing means the company has registered the product for sale; it does not show that every pharmacy stocks it.

  • 1965 earliest approval on file
  • 1987 first generic approved
  • red ticks recalls

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What do pharmacies pay for hydrochlorothiazide and triamterene (Dyazide)?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $0.0969 per Triamterene-hydrochlorothiazide 37.5-25 mg tablet, up 6% from $0.0916 on October 8, 2025. The chart's scale runs from the lowest to the highest price shown, not from zero. NADAC is what retail pharmacies paid their wholesalers, per unit, in CMS's monthly survey; what a patient pays depends on insurance and the pharmacy.

  • Triamterene-hydrochlorothiazide 37.5-25 mg tablet (generic)
$0.107
$0.0721
January 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Triamterene-hydrochlorothiazide 37.5-25 mg capsuleGeneric$0.118 per capsule$3.54-1%
Triamterene-hydrochlorothiazide 37.5-25 mg tabletGeneric$0.0969 per tablet$2.91+6%
Triamterene-hydrochlorothiazide 75-50 mg tabletGeneric$0.131 per tablet$3.94+17%

Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price

Has hydrochlorothiazide and triamterene been recalled?

The FDA's Enforcement Report lists 6 recalls naming hydrochlorothiazide and triamterene since 2013: 0 Class I (the most serious), 2 Class II, 4 Class III; 0 still ongoing. 1 of them is by a firm that FDA's NDC Directory does not list as a maker of hydrochlorothiazide and triamterene and that holds no application for it in Drugs@FDA, such as compounding pharmacies or bulk-ingredient suppliers; the recall notice names the product recalled. A recall names products and lots, not every product of the medicine.

StartedClassCompanyReason
November 9, 2022Class IIILannett Company Inc.Failed Impurity/Degradation Specifications
January 26, 2022Class IICARDINAL HEALTHCARECGMP Deviations: Products were exposed to temperatures outside of the products labeled storage conditions.
July 9, 2018Class IIIMylan Pharmaceuticals Inc.Subpotent Drug
April 6, 2018Class IIISandoz IncorporatedCross Contamination With Other Products: presence of unrelated ingredients (i.e. traces of Lisinopril, Mannitol, Iron, Calcium and Phosphorous).
July 2, 2013Class IIAidapak Services, LLC not a listed makerLabeling: Label Mixup: TRIAMTERENE/ HYDROCHLOROTHIAZIDE, Tablet, 37.5 mg/25 mg may have potentially been mislabeled as the following drug: SEVELAMER HCL …

Source: FDA Enforcement Report (drug recalls) via openFDA, through October 8, 2026

What does the hydrochlorothiazide and triamterene label say about other medicines?

The hydrochlorothiazide and triamterene label names 7 other medicines in its interaction, contraindication or warning sections. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
AmiloridecontraindicationsAntikaliuretic Therapy or Potassium Supplementation Triamterene and hydrochlorothiazide should not be given to patients receiving other potassium-conserving agents such as spironolactone, amiloride hydrochloride or other formulations containing triamterene.
Calcium chloridewarningsThese include the intravenous administration of calcium chloride solution, sodium bicarbonate solution and/or the oral or parenteral administration of glucose with a rapid-acting insulin preparation.
Indomethacindrug interactionsAcute renal failure has been reported in a few patients receiving indomethacin and formulations containing triamterene and hydrochlorothiazide.
Lithiumdrug interactionsLithium generally should not be given with diuretics because they reduce its renal clearance and add a high risk of lithium toxicity.
Sodium bicarbonatewarningsThese include the intravenous administration of calcium chloride solution, sodium bicarbonate solution and/or the oral or parenteral administration of glucose with a rapid-acting insulin preparation.
Sodium polystyrene sulfonatewarningsCationic exchange resins such as sodium polystyrene sulfonate may be orally or rectally administered.
SpironolactonecontraindicationsAntikaliuretic Therapy or Potassium Supplementation Triamterene and hydrochlorothiazide should not be given to patients receiving other potassium-conserving agents such as spironolactone, amiloride hydrochloride or other formulations containing triamterene.

Check hydrochlorothiazide and triamterene against other medicines

Source: FDA drug label (Triamterene and Hydrochlorothiazide), Apotex Corp., effective February 17, 2026 (SPL set bd6c3495-ec70-908b-482a-a979506659e9), via openFDA; the full label on DailyMed

What do FAERS reports show for hydrochlorothiazide and triamterene?

The FDA Adverse Event Reporting System holds 6,109 reports that list hydrochlorothiazide and triamterene among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 352 are coded as a death and 1,567 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

Reports received each year

The most reported reactions

  • Drug Ineffective (a use or a product term, not a reaction)409
  • Nausea (named in the label)407
  • Fatigue (named in the label)400
  • Pain328
  • Dizziness (named in the label)317
  • Diarrhoea (named in the label)309
  • Headache (named in the label)290
  • Dyspnoea286

Side effects: the label's list and every FAERS reaction

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What else is labeled for the same conditions as hydrochlorothiazide and triamterene?

57 other medicines are given the same way (oral) and in the same FDA class as hydrochlorothiazide and triamterene or labeled mainly for the same use (high blood pressure), the same class first. High blood pressure lists all 88 medicines labeled for it, by any route. The first 8 are below. They are listed as records, not as substitutes: whether one can replace another is a prescriber's decision.

MedicineShared indicationGeneric labelers (oral)Pharmacy costShortage
AmilorideHigh blood pressure2 labelers$0.190 per tablet 5 mg tabletNo current entry
ChlorothiazideHigh blood pressure, Edema (fluid retention)none listedn/aA presentation being discontinued
MetoprololHigh blood pressure64 labelers$0.085 per tablet 100 mg tabletA presentation being discontinued
DiltiazemHigh blood pressure42 labelers$0.144 per capsule 24h ER(cd) 120 mg capsuleA presentation being discontinued
LisinoprilHigh blood pressure36 labelers$0.0254 per tablet 20 mg tabletNo current entry
PropranololHigh blood pressure38 labelers$0.0493 per tablet 20 mg tabletIn shortage
LosartanHigh blood pressure44 labelers$0.0327 per tablet 50 mg tabletNo current entry
AmlodipineHigh blood pressure42 labelers$0.0102 per tablet 5 mg tabletNo current entry

Every medicine labeled for the same conditions as hydrochlorothiazide and triamterene

Source: FDA drug labels (indications), NDC Directory, NADAC of October 7, 2026, FDA shortages (October 8, 2026)

How does hydrochlorothiazide and triamterene compare with medicines for the same use?

2 side-by-side pages set hydrochlorothiazide and triamterene beside a medicine whose label shares a use: approvals, generics, pharmacy cost, warnings and supply.

What next?

Other potassium-sparing diuretics
the pharmacologic class, with prices and generics
Hydrochlorothiazide and triamterene side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other