Name Indapamide
Classes Cardiovascular Agent
Diuretic
Thiazide Diuretic
Diseases Cardiovascular Disease
Congestive Heart Failure (CHF)
Edema
Hypertension (High Blood Pressure)

Indapamide

Indapamide is a thiazide-like diuretic drug belonging to the class of sulfonamides. It acts on the distal convoluted tubules of the nephron in the kidneys, where it inhibits the reabsorption of sodium and chloride ions, leading to increased urine output and decreased blood pressure.

 

Indapamide is indicated for the treatment of hypertension, alone or in combination with other antihypertensive agents. It may also be used in the management of edema associated with congestive heart failure, hepatic cirrhosis, and renal disease.

 

  • The usual recommended starting dose of indapamide for hypertension is 1.25 mg once daily, taken in the morning. The dose may be increased to 2.5 mg once daily, depending on the patient's response to treatment. The maximum daily dose is 5 mg.
  • The adult starting indapamide dose for edema of congestive heart failure is 2.5 mg as a single daily dose taken in the morning. If the response to 2.5 mg is not satisfactory after one week, the daily dose may be increased to 5.0 mg taken once daily. 

 

Side effects associated with Indapamide may include-

  • Headache
  • Pain
  • Dizziness
  • Rhinitis
  • Hyperuricemia
  • Hyperglycemia
  • Hypertriglyceridemia
  • Infection

 

  • Indapamide may cause electrolyte imbalances (such as low blood potassium or sodium levels), especially in elderly patients or those with renal impairment. Therefore, serum electrolyte levels should be monitored regularly.
  • The drug may also cause hyperuricemia, which may lead to gout attacks in susceptible individuals.
  • Indapamide should be used with caution in patients with impaired liver function or diabetes mellitus.
  • The drug may cause dizziness, fatigue, or other symptoms that may impair the patient's ability to drive or operate machinery.
  • Indapamide should be avoided in patients with a history of sulfonamide allergy or hypersensitivity to any of the drug's components.

 

Contraindication

Indapamide is contraindicated in patients with known hypersensitivity to indapamide or to other sulfonamide-derived drugs such as-

 

Indapamide is contraindicated in patients with Anuria.