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indapamide

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Brand names: Lozol

Thiazide-Like Diuretic Rx

Indapamide is a water pill that helps lower blood pressure and reduce fluid buildup in the body. It is used to treat high blood pressure and heart failure.

Drug Pricing (NADAC)

Generic Price

$0.10/unit

Generic Available

Yes (3 manufacturers)

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

What it does

Indapamide is used to treat high blood pressure, either alone or with other medicines.

Common side effects

Headache, Weakness, Constipation

Key warnings

If you have anuria (inability to urinate), you should not take this medicine.

How It Works

Indapamide is a diuretic, also known as a water pill. It helps your kidneys remove more salt and water from your blood, which lowers blood pressure. It also reduces fluid buildup in your body.

How to Take It

Take indapamide once a day in the morning. The starting dose for high blood pressure is usually 1.25 mg. Your doctor may increase the dose every 4 weeks up to 5 mg daily. For edema from heart failure, the starting dose is 2.5 mg, which may be increased to 5 mg after 1 week.

Pregnancy & Breastfeeding

Talk to your doctor before taking indapamide if you are pregnant or breastfeeding. This medicine should only be used during pregnancy if it is clearly needed.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule.

Storage

Store indapamide tablets at room temperature (68° to 77°F) in a tight, light-resistant container, away from excessive heat.

Side Effects (from patient reports)

Based on 8,671 FDA adverse event reports.

Low sodium levels in the blood
1,286
Sudden damage to the kidneys
925
Shortness of breath
898
Feeling unsteady or lightheaded
875
Feeling sick to your stomach
863
Loose or watery stools
842
Feeling very tired
781
When a drug affects how another drug works
756
Low potassium levels in the blood
746
Throwing up
699

FDA Adverse Event Report Analysis

Detailed analysis of 17,199 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

17,199

Death-Related Reports

1,091

Hospitalization Reports

8,087

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 9,087 (58%)
Male 6,696 (42%)

Age Distribution

0–17 78
18–44 605
45–64 4,127
65–74 4,429
75+ 4,518

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 HYPONATRAEMIA 1,286
2 ACUTE KIDNEY INJURY 925
3 DYSPNOEA 898
4 DIZZINESS 875
5 NAUSEA 863
6 DIARRHOEA 843
7 FATIGUE 781
8 DRUG INTERACTION 756
9 HYPOKALAEMIA 746
10 VOMITING 699
11 MALAISE 695
12 DRUG INEFFECTIVE 660
13 FALL 652
14 HEADACHE 640
15 ASTHENIA 639

Reactions in Death Reports

DEATH 194
ACUTE KIDNEY INJURY 86
DIARRHOEA 70
CARDIAC ARREST 61
PNEUMONIA 61
VOMITING 52
DYSPNOEA 49
LACTIC ACIDOSIS 48
FALL 45
RENAL FAILURE 45

Reactions in Hospitalization Reports

HYPONATRAEMIA 1,110
ACUTE KIDNEY INJURY 671
HYPOKALAEMIA 568
DYSPNOEA 498
VOMITING 492
FALL 477
DRUG INTERACTION 456
DIARRHOEA 437
NAUSEA 426
CONFUSIONAL STATE 424

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

Serious Warnings

If you have anuria (inability to urinate), you should not take this medicine. Also, you should not take this medicine if you are allergic to indapamide or other sulfa drugs.

Known Drug Interactions

minor lithium

Lithium : See WARNINGS .

Mechanism: Indapamide changes how your kidneys handle salt, which can cause lithium to stay in your body too long. This can lead to high and potentially harmful lithium levels.

What to do: Your doctor should regularly test your blood to make sure your lithium levels stay in a safe range.

Norepinephrine : Indapamide, like the thiazides, may decrease arterial responsiveness to norepinephrine, but this diminution is not sufficient to preclude effectiveness of the pressor agent for therapeutic use.

Mechanism: Indapamide makes your blood vessels less reactive to norepinephrine. This can make norepinephrine slightly less effective at raising your blood pressure.

What to do: Your doctor should monitor your blood pressure to ensure the medication is still doing its job.

Diuretics Coadministration of tolterodine immediate release up to 8 mg (4 mg bid) for up to 12 weeks with diuretic agents, such as indapamide, hydrochlorothiazide, triamterene, bendroflumethiazide, chlorothiazide, methylchlorothiazide, or furosemide, did not cause any adverse electrocardiographic (ECG) effects.

Mechanism: These two drugs do not appear to have any negative combined effects on the heart's electrical activity.

What to do: No special precautions are typically needed when taking these medications together.

Common Questions

Can I take indapamide with other blood pressure medicines?
Yes, but your doctor may need to adjust the doses of your medicines.
What should I do if I feel dizzy after taking indapamide?
Get up slowly from a sitting or lying position to avoid dizziness.
Does indapamide affect my potassium levels?
Yes, indapamide can lower your potassium levels. Your doctor may monitor your potassium levels with blood tests.
Can indapamide cause dehydration?
Yes, indapamide can cause dehydration. Drink plenty of fluids while taking this medicine.
How long does it take for indapamide to start working?
Indapamide starts working within a few hours to lower blood pressure and reduce fluid retention.
Can I drink alcohol while taking indapamide?
Talk to your doctor about drinking alcohol while taking indapamide, as it may increase the risk of side effects.
Does indapamide interact with lithium?
Yes, indapamide can interact with lithium. Talk to your doctor if you are taking lithium.
Can indapamide affect my blood sugar?
Indapamide may increase your blood sugar levels. If you have diabetes, monitor your blood sugar carefully.
What are the signs of low potassium?
Signs of low potassium include muscle weakness, cramps, and irregular heartbeat.
Can I stop taking indapamide suddenly?
Do not stop taking indapamide without talking to your doctor first.
What are the common side effects of indapamide?
The most commonly reported side effects of indapamide include Headache, Weakness, Constipation, Dizziness, Lightheadedness. Based on 8,671 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does indapamide interact with other medications?
Yes, indapamide has 3 known drug interactions. Notable interactions include lithium, norepinephrine, tolterodine. Always inform your doctor about all medications you are taking.
What drug class is indapamide?
indapamide belongs to the Thiazide-Like Diuretic drug class. It requires a prescription (Rx). Indapamide is used to treat high blood pressure, either alone or with other medicines.
Is indapamide safe during pregnancy?
Talk to your doctor before taking indapamide if you are pregnant or breastfeeding. This medicine should only be used during pregnancy if it is clearly needed. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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What the FDA Data Shows for indapamide

The FDA label for indapamide (sold under brand names such as Lozol) classifies it as a prescription-only medication in the Thiazide-Like Diuretic class. Indapamide is used to treat high blood pressure, either alone or with other medicines. Official labeling lists 6 commonly reported side effects, including Headache, Weakness, Constipation.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 8,671 voluntary reports. The database also lists 3 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated minor severity. NADAC pricing from CMS shows a generic unit cost of $0.10.

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 further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

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. Always consult a healthcare professional before making medication decisions.

Last updated: June 26, 2023

All federal data sources used on this page