{"id":628573,"date":"2024-07-11T09:30:32","date_gmt":"2024-07-11T13:30:32","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=628573"},"modified":"2024-10-25T09:51:14","modified_gmt":"2024-10-25T13:51:14","slug":"how-long-does-it-take-for-hydrochlorothiazide-to-lower-blood-pressure","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/how-long-does-it-take-for-hydrochlorothiazide-to-lower-blood-pressure\/","title":{"rendered":"How long does hydrochlorothiazide take to lower blood pressure?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/hydrochlorothiazide\/what-is\"><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span><\/a><span style=\"font-weight: 400;\"> (HCTZ) is part of a class of medications called <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9289336\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">thiazide diuretics<\/span><\/a><span style=\"font-weight: 400;\">. Sometimes called water pills, these medications help remove excess fluid from the body. Also sold under the brand name Microzide, HCTZ is commonly used to treat hypertension (high blood pressure)&mdash;alone or in conjunction with other blood pressure medications. The medication will start to take effect just a <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=7b38ac8a-4540-4eb2-aedd-9aa966d22190\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">few hours<\/span><\/a><span style=\"font-weight: 400;\"> after you take it. However, it can take a week or two to meaningfully impact your blood pressure readings. HCTZ is also<\/span> <a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2011\/040735s004,040770s003lbl.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">FDA approved to treat<\/span><\/a><span style=\"font-weight: 400;\"> edema (fluid retention) caused by congestive heart failure, cirrhosis of the liver, estrogen therapy, and corticosteroid therapy.<\/span><\/p>\n<h2 id=\"how-long-does-it-take-for-hydrochlorothiazide-to-lower-blood-pressure\"><span style=\"font-weight: 400;\">How long does it take for hydrochlorothiazide to lower blood pressure?&nbsp;<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Hydrochlorothiazide &ldquo;takes approximately two hours to reach peak effect,&rdquo; explains <\/span><a href=\"https:\/\/www.linkedin.com\/in\/hosam-sam-hmoud-m-d-81aab842\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Hosam Hmoud, MD<\/span><\/a><span style=\"font-weight: 400;\">, a cardiology fellow at<\/span> <a href=\"https:\/\/lenoxhill.northwell.edu\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Northwell Lenox Hill Hospital<\/span><\/a><span style=\"font-weight: 400;\">. However, it takes longer than that to reduce blood pressure. &ldquo;I wouldn&rsquo;t anticipate seeing a significant change in blood pressure for at least two weeks,&rdquo; says<\/span> <a href=\"https:\/\/www.northwell.edu\/find-care\/find-a-doctor\/dr-jean-marie-cacciabaudo-md-11311698\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Jean M. Cacciabaudo, MD<\/span><\/a><span style=\"font-weight: 400;\">, cardiologist medical director at Huntington Hospital.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span><span style=\"font-weight: 400;\"> works on a specific part of the kidneys by blocking the reabsorption of sodium (Na) and chloride (Cl) from the urine to the bloodstream. By increasing sodium and chloride excretion in the urine, water follows the excretion of Na and Cl, which helps to reduce the overall volume of fluid in the body, thus reducing blood pressure with consistent use over time.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As the medication starts working, you may not notice any difference in how you feel. However, you may need to use the bathroom more frequently. <\/span><span style=\"font-weight: 400;\">&ldquo;Hydrochlorothiazide is a very gentle diuretic, and you may or may not see a notable increase in the frequency of urination,&rdquo; Dr. Cacciabaudo notes. &ldquo;It doesn&rsquo;t cause the kind of urgency to urinate that other diuretics can have.&rdquo; To track how it&rsquo;s affecting your hypertension, try monitoring your <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/blood-pressure-levels\/\"><span style=\"font-weight: 400;\">blood pressure<\/span><\/a><span style=\"font-weight: 400;\"> at home. Just don&rsquo;t get discouraged if you don&rsquo;t see immediate reductions, says Dr. Cacciabaudo.<\/span><\/p>\n<h2 id=\"what-can-affect-how-long-it-takes-hydrochlorothiazide-to-work\"><span style=\"font-weight: 400;\">What can affect how long it takes hydrochlorothiazide to work?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Several factors influence how the medication is absorbed and how long hydrochlorothiazide takes to work:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Kidney disease: <\/b><span style=\"font-weight: 400;\">&ldquo;Because hydrochlorothiazide is cleared by the kidneys, patients with <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/chronic-kidney-disease\/\"><span style=\"font-weight: 400;\">kidney problems<\/span><\/a><span style=\"font-weight: 400;\"> may have decreased clearance of hydrochlorothiazide, which can increase blood concentrations and duration of efficacy,&rdquo; Dr. Hmound explains. In other words, the medication effects last longer between doses.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Gastrointestinal disorders:<\/b><span style=\"font-weight: 400;\"> &ldquo;How quickly the drug is absorbed is largely due to gastrointestinal (GI) motility, how fast the stomach moves food\/drugs\/fluid through the entire GI tract,&rdquo; says <\/span><a href=\"https:\/\/www.linkedin.com\/in\/brad-serwer-md-facc-fscai-63437310a\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Bradley Serwer, MD<\/span><\/a><span style=\"font-weight: 400;\">, cardiologist and Chief Medical Officer at<\/span> <a href=\"https:\/\/vitalsolution.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">VitalSolution<\/span><\/a><span style=\"font-weight: 400;\">. Hydrochlorothiazide may work more slowly for people with conditions such as gastroesophageal reflux disease (GERD) that slow down digestion.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Metabolism:<\/b><span style=\"font-weight: 400;\"> Your unique body chemistry might cause you to metabolize hydrochlorothiazide more rapidly or slowly than others, says Dr. Cacciabaudo.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Other medications:<\/b><span style=\"font-weight: 400;\"> &ldquo;Other medications can impact effectiveness, like other blood pressure medications, oral diabetes medications, steroids, and NSAIDs like ibuprofen,&rdquo; explains Dr. Cacciabaudo. Tell your provider about any prescriptions or over-the-counter supplements you are taking to avoid a drug interaction with hydrochlorothiazide.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Adherence:<\/b><span style=\"font-weight: 400;\"> Forgetting to take your daily dose can make the medication less effective.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">&ldquo;Dosage amounts won&#8217;t affect the rate of onset,&rdquo; says Dr. Hmoud. However, there are some things you can do to increase hydrochlorothiazide&rsquo;s absorption. &ldquo;Taking hydrochlorothiazide at the same time each day on an empty stomach helps the absorption and efficacy of the medication by maintaining a consistent drug concentration in the body,&rdquo; explains Dr. Cacciabaudo.<\/span><\/p>\n<h2 id=\"what-is-the-standard-hydrochlorothiazide-dosage\"><span style=\"font-weight: 400;\">What is the standard hydrochlorothiazide dosage?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Adults can take 12.5 mg to 100 mg of hydrochlorothiazide in a single dose or in divided doses throughout the day, according to the <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/fda\/fdaDrugXsl.cfm?setid=babb1b20-fe82-40ba-8e7a-0c56fe433b4a\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">National Library of Medicine.<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">&ldquo;The dosage of hydrochlorothiazide does vary based on what it is being used for,&rdquo; says<\/span> <a href=\"https:\/\/memorialhermann.org\/doctors\/cardiovascular-disease-specialists\/dr-kevin-rabii-do-1326579277\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Kevin Rabii, DO,<\/span><\/a><span style=\"font-weight: 400;\"> a cardiologist with Memorial Hermann in Houston, Texas. &ldquo;For high blood pressure, the dosage usually varies from 12.5 mg to 50 mg daily.&rdquo; The average dose of hydrochlorothiazide for the treatment of hypertension is 25 mg daily, says Dr. Cacciabaudo.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Often, healthcare providers start you on the lowest dose and then evaluate your blood pressure after two to four weeks. &ldquo;If blood pressure goals are not met, your prescriber can increase hydrochlorothiazide to up to 50 mg once per day,&rdquo; says Dr. Hmoud. Increased dosages will result in modest increases in blood pressure-lowering efficacy.&rdquo;<\/span><\/p>\n<h2 id=\"who-should-avoid-taking-hydrochlorothiazide\"><span style=\"font-weight: 400;\">Who should avoid taking hydrochlorothiazide?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">While hydrochlorothiazide can be effective at lowering blood pressure, it&rsquo;s not for everyone. Here&rsquo;s what to know:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Pregnant and breastfeeding women<\/b><span style=\"font-weight: 400;\"> should use caution. The <\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2020\/020504s026lbl.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">safety of hydrochlorothiazide<\/span><\/a><span style=\"font-weight: 400;\"> for these groups is not proven, and <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK500965\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">high doses can lower milk supply<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>People who do not make urine<\/b><span style=\"font-weight: 400;\">, which is known as anuria, should not take hydrochlorothiazide.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Caution should be used in people with gout, liver disease, diabetes, and kidney disease. <\/b><span style=\"font-weight: 400;\">Patients should have labs,&nbsp; blood sugar, and kidney function monitored while taking the medication.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Hydrochlorothiazide can make you more prone to dehydration and electrolyte imbalances&mdash;specifically high calcium levels and low sodium, magnesium, and potassium levels.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Serious side effects of hydrochlorothiazide are not common, but they can happen:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trouble passing urine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Extreme <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/vertigo-treatment-and-medications\"><span style=\"font-weight: 400;\">lightheadedness<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Passing out<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Signs of allergic reaction, such as rash, hives, trouble breathing, chest tightness, swelling of face, mouth, or throat<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Seek immediate medical advice from a healthcare professional if you experience <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=7b38ac8a-4540-4eb2-aedd-9aa966d22190\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">any of these side effects<\/span><\/a><span style=\"font-weight: 400;\"> when taking hydrochlorothiazide.<\/span><\/p>\n<h2 id=\"the-bottom-line\"><span style=\"font-weight: 400;\">The bottom line<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Hydrochlorothiazide starts to work in your body within two to four hours of taking it. However, it may take several weeks to lower your blood pressure significantly. Kidney disease, gut motility, metabolism, other medications you are taking, and how regularly you take the medication can affect how quickly it works.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hydrochlorothiazide (HCTZ) is part of a class of medications called thiazide diuretics. Sometimes called water pills, these medications help remove excess fluid from the body. Also sold under the brand name Microzide, HCTZ is commonly used to treat hypertension (high blood pressure)&mdash;alone or in conjunction with other blood pressure medications. The medication will start to [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":628720,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[788,737,20951],"coauthors":[20899],"class_list":["post-628573","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-drug-safety","tag-heart-health","tag-high-blood-pressure","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How long does hydrochlorothiazide take to lower blood pressure?<\/title>\n<meta name=\"description\" content=\"Learn how hydrochlorothiazide works to lower blood pressure, including how long it takes to take effect, factors that influence its effectiveness, and side effects.\" \/>\n<meta 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