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DSSTox_CID_3132
Also known as: 135-09-1, Diuredemina, Glomerulin, Hidroflumetiazid, Diucardin, Diurometon
Molecular Formula
C8H8F3N3O4S2
Molecular Weight
331.3  g/mol
InChI Key
DMDGGSIALPNSEE-UHFFFAOYSA-N
FDA UNII
501CFL162R

A thiazide diuretic with actions and uses similar to those of HYDROCHLOROTHIAZIDE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p822)
Hydroflumethiazide is a Thiazide Diuretic. The physiologic effect of hydroflumethiazide is by means of Increased Diuresis.
1 2D Structure

DSSTox_CID_3132

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
1,1-dioxo-6-(trifluoromethyl)-3,4-dihydro-2H-16,2,4-benzothiadiazine-7-sulfonamide
2.1.2 InChI
InChI=1S/C8H8F3N3O4S2/c9-8(10,11)4-1-5-7(2-6(4)19(12,15)16)20(17,18)14-3-13-5/h1-2,13-14H,3H2,(H2,12,15,16)
2.1.3 InChI Key
DMDGGSIALPNSEE-UHFFFAOYSA-N
2.1.4 Canonical SMILES
C1NC2=C(C=C(C(=C2)C(F)(F)F)S(=O)(=O)N)S(=O)(=O)N1
2.2 Other Identifiers
2.2.1 UNII
501CFL162R
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Diucardin

2. Trifluoromethylhydrothiazide

2.3.2 Depositor-Supplied Synonyms

1. 135-09-1

2. Diuredemina

3. Glomerulin

4. Hidroflumetiazid

5. Diucardin

6. Diurometon

7. Flutizide

8. Saluron

9. Hydroflumethizide

10. Hidroalogen

11. Spandiuril

12. Bristab

13. Robezon

14. Enjit

15. Trifluoromethylhydrothiazide

16. Bristurin

17. Elodrine

18. Hydrenox

19. Leodrine

20. Olmagran

21. Rodiuran

22. Vergonil

23. Finuret

24. Rontyl

25. Sisuril

26. Hydol

27. Naclex

28. Trifluoromethylhydrazide

29. Di-ademil

30. Dihydroflumethazide

31. Dihydroflumethiazide

32. Hydroflumethazide

33. Elodrin

34. Metforylthiadiazin

35. Metflorylthiazidine

36. Methforylthiazidine

37. Idroflumetiazide

38. Hidroflumetiazida

39. Hydroflumethiazidum

40. 6-(trifluoromethyl)-3,4-dihydro-2h-benzo[e][1,2,4]thiadiazine-7-sulfonamide 1,1-dioxide

41. Component Of Salutensin

42. Nsc 44627

43. 6-(trifluoromethyl)-3,4-dihydro-2h-1,2,4-benzothiadiazine-7-sulfonamide 1,1-dioxide

44. 2h-1,2,4-benzothiadiazine-7-sulfonamide, 3,4-dihydro-6-(trifluoromethyl)-, 1,1-dioxide

45. 6-trifluoromethyl-3,4-dihydro-7-sulfamoyl-2h-1,2,4-benzothiadiazine 1,1-dioxide

46. 1,1-dioxo-6-(trifluoromethyl)-3,4-dihydro-2h-1$l^{6},2,4-benzothiadiazine-7-sulfonamide

47. 3,4-dihydro-6-(trifluoromethyl)-2h-1,2,4-benzothiadiazine-7-sulfonamide 1,1-dioxide

48. Nsc-44627

49. 3,4-dihydro-6-trifluoromethyl-7-sulfamoylbenzo-1,2,4-thiadiazine 1,1-dioxide

50. 3,4-dihydro-7-sulfamyl-6-trifluoromethyl-2h-1,2,4-benzothiadiazine 1,1-dioxide

51. 6-trifluoromethyl-7-sulfamyl-3,4-dihydro-1,2,4-benzothiadiazine-1,1-dioxide

52. 7-sulfamyl-6-trifluoromethyl-3,4-dihydro-1,2,4-benzothiadiazine 1,1-dioxide

53. Mls000028516

54. Chebi:5784

55. Rivosil

56. Di-adenil

57. Metforylthiazidin

58. 501cfl162r

59. Nsc44627

60. Naciex (glaxo)

61. 6-(trifluoromethyl)-3,4-dihydro-2h-benzo-[e][1,2,4]thiadiazine-7-sulfonamide 1,1-dioxide

62. Ncgc00016401-01

63. Cas-135-09-1

64. Smr000058284

65. Dsstox_cid_3132

66. Idroflumetiazide [dcit]

67. 3,4-dihydro-6-(trifluoromethyl)-2h-1,2,4-benzothiadiazine-7-sulphonamide-1,1-dioxide

68. Dsstox_rid_76886

69. Dsstox_gsid_23132

70. Hydroflumethiazide-13c-d2

71. Hidroflumetiazida [inn-spanish]

72. Hydroflumethiazidum [inn-latin]

73. Saluron (tn)

74. Hsdb 3340

75. Sr-01000003094

76. Einecs 205-173-8

77. Brn 0342692

78. River

79. Unii-501cfl162r

80. 1,1-dioxo-6-(trifluoromethyl)-3,4-dihydro-2h-1?^{6},2,4-benzothiadiazine-7-sulfonamide

81. Hydroflumethiazide (jan/usp/inn)

82. Prestwick_268

83. 7-sulfamyl-6-trifluoromethyl-3,4-dihydro-1,2,4-benzothiadiazine 1, 1-dioxide

84. Hydroflumethiazide [usp:inn:ban:jan]

85. Spectrum_000905

86. Opera_id_326

87. Prestwick0_000013

88. Prestwick1_000013

89. Prestwick2_000013

90. Prestwick3_000013

91. Spectrum2_001010

92. Spectrum3_000460

93. Spectrum4_000010

94. Spectrum5_000832

95. Cid_3647

96. Chembl1763

97. Schembl27028

98. Bspbio_000045

99. Bspbio_002140

100. Kbiogr_000359

101. Kbioss_001385

102. 4-27-00-08035 (beilstein Handbook Reference)

103. Mls001148090

104. Divk1c_000512

105. Spectrum1500341

106. Bmcl182567 Compound 6b

107. Spbio_001139

108. Spbio_001966

109. Hydroflumethiazide [mi]

110. Bpbio1_000051

111. Gtpl7197

112. Hydroflumethiazide [inn]

113. Hydroflumethiazide [jan]

114. Dtxsid3023132

115. Bdbm25897

116. Hms501j14

117. Hydroflumethiazide [hsdb]

118. Kbio1_000512

119. Kbio2_001385

120. Kbio2_003953

121. Kbio2_006521

122. Kbio3_001360

123. Hydroflumethiazide [vandf]

124. Ninds_000512

125. 3,2,4-thiadiazine 1,1-dioxide

126. Hms1568c07

127. Hms1920f05

128. Hms2091l13

129. Hms2095c07

130. Hms2235e09

131. Hms3259c15

132. Hms3371h03

133. Hms3712c07

134. Hydroflumethiazide [mart.]

135. Pharmakon1600-01500341

136. Zinc897225

137. Hydroflumethiazide [usp-rs]

138. Hydroflumethiazide [who-dd]

139. Tox21_110422

140. Ccg-40228

141. Mfcd00057316

142. Nsc757071

143. S9504

144. 3,2,4-benzothiadiazine 1,1-dioxide

145. 6-trifluoromethyl-7-sulfamoyl-3,4-dihydro-1,2,4-benzothiadiazine-1,1-dioxide

146. 7-sulfamoyl-6-trifluoromethyl-3,4-dihydro-1,2,4-benzothiadiazine 1,1-dioxide

147. Akos015913797

148. Tox21_110422_1

149. Cs-w011956

150. Db00774

151. Hy-w011240

152. Nc00496

153. Nsc-757071

154. 1,1-dioxo-6-(trifluoromethyl)-3,4-dihydro-2h-1lambda6,2,4-benzothiadiazine-7-sulfonamide

155. 2h-1,2, 4-benzothiadiazine-7-sulfonamide, 3, 4-dihydro-6-(trifluoromethyl)-, 1,1-dioxide

156. 3, 4-dihydro-6-trifluoromethyl-7-sulfamoylbenzo-1,2,4-thiadiazine 1, 1-dioxide

157. 3,4-dihydro-6-trifluoromethyl-2h-1,2,4-benzothiadiazine-7-sulfonamide 1,1-dioxide

158. 3,4-dihydro-7-sulfamoyl-6-trifluoromethyl-2h-1,2,4-benzothiadiazine 1,1-dioxide

159. 6-trifluoromethyl-3, 4-dihydro-7-sulfamoyl-2h-1,2,4-benzothiadiazine 1,1-dioxide

160. 6-trifluoromethyl-7-sulfamoyl-3,4-dihydro-1,2, 4-benzothiadiazine-1,1-dioxide

161. Hydroflumethiazide [orange Book]

162. Idi1_000512

163. Ncgc00016401-02

164. Ncgc00016401-03

165. Ncgc00016401-04

166. Ncgc00016401-05

167. Ncgc00016401-06

168. Ncgc00016401-09

169. Ncgc00023353-03

170. Ncgc00023353-04

171. Hydroflumethiazide [usp Monograph]

172. Wln: T66 Bswm Em Dhj Hxfff Iszw

173. Sbi-0051411.p003

174. Db-042267

175. Ab00052016

176. Ft-0614319

177. Hydroflumethiazide, Analytical Standard, ~97%

178. Salutensin Component Hydroflumethiazide

179. C07763

180. D00654

181. Ab00052016_15

182. Hydroflumethiazide Component Of Salutensin

183. A806882

184. 3,2,4-benzothiadiazine-7-sulfonamide 1,1-dioxide

185. J-006640

186. Q3791957

187. Sr-01000003094-2

188. Sr-01000003094-3

189. Sr-01000003094-5

190. 6-trifluoromethyl-3,2,4-benzothiadiazine 1,1-dioxide

191. Brd-k36862742-001-05-8

192. Brd-k36862742-001-15-7

193. Brd-k36862742-001-24-9

194. 6-trifluoromethyl-7-sulfamoyl-3,2,4-benzothiadiazine-1,1-dioxide

195. 7-sulfamoyl-6-trifluoromethyl-3,2,4-benzothiadiazine 1,1-dioxide

196. Hydroflumethiazide, United States Pharmacopeia (usp) Reference Standard

197. 1,1-dioxo-6-(trifluoromethyl)-1,2,3,4-tetrahydro-2,4-benzothiadiazine-7-sulfonamide

198. 1,1-dioxo-6-(trifluoromethyl)-3,4-dihydro-2h-1$l^{6,2,4-benzothiadiazine-7-sulfonamide

199. 1,1-dioxo-6-(trifluoromethyl)-3,4-dihydro-2h-16,2,4-benzothiadiazine-7-sulfonamide

200. 1,1-dioxo-6-(trifluoromethyl)-3,4-dihydro-2h-benzo[e][1,2,4]thiadiazine-7-sulfonamide

201. 2h-1,4-benzothiadiazine-7-sulfonamide, 3,4-dihydro-6-(trifluoromethyl)-, 1,1-dioxide

202. 3, 4-dihydro-6-trifluoromethyl-2h-1,2, 4-benzothiadiazine-7-sulfonamide 1,1-dioxide

203. 3,4-dihydro-6-(trifluoromethyl)-2h-1,2,4-benzothiadiazine-7-sulfonamide-1,1-dioxide

204. 3,4-dihydro-6-trifluoromethyl-2h-1,2,4-benzothiadiazine-7-sulphonamide-1,1-dioxide

205. 3,4-dihydro-6-trifluoromethyl-2h-1,2,4-benzothiadiazine-7sulphonamide-1,1-dioxide

206. 3,4-dihydro-7-sulfamoyl-6-trifluoromethyl-2h-1,2, 4-benzothiadiazine 1,1-dioxide

207. 6-(trifluoromethyl)-3,4-dihydro-2h-1,2,4-benzothiadiazine-7-sulfonamide 1,1-dioxide #

208. 6-(trifluoromethyl)-3,4-dihydro-2h-benzo[e][1,2,4]thiadiazine-7-sulfonamide1,1-dioxide

209. 7-sulfamoyl-6-trifluoromethyl-3, 4-dihydro-1,2,4-benzothiadiazine 1,1-dioxide

210. 1,1-bis(oxidanylidene)-6-(trifluoromethyl)-3,4-dihydro-2h-1$l^{6},2,4-benzothiadiazine-7-sulfonamide

211. 1,1-dioxo-6-(trifluoromethyl)-1,2,3,4-tetrahydro-1l-6-2-4-benzathiadiazine-7-sulfonamide

2.4 Create Date
2005-03-25
3 Chemical and Physical Properties
Molecular Weight 331.3 g/mol
Molecular Formula C8H8F3N3O4S2
XLogP30.4
Hydrogen Bond Donor Count3
Hydrogen Bond Acceptor Count10
Rotatable Bond Count1
Exact Mass330.99083258 g/mol
Monoisotopic Mass330.99083258 g/mol
Topological Polar Surface Area135 Ų
Heavy Atom Count20
Formal Charge0
Complexity578
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Information
1 of 2  
Drug NameSaluron
Drug LabelSaluron (hydroflumethiazide) is a potent oral diuretic-antihypertensive agent of low toxicity. Each tablet contains 50 mg of hydroflumethiazide.Saluron is 2H-1,2,4-Benzothiadiazine-7-sulfonamide, 3,4-dihydro-6-(trifluoromethyl)-, 1,1-dioxide. Hyd...
Active IngredientHydroflumethiazide
Dosage FormTablet
RouteOral
Strength50mg
Market StatusPrescription
CompanyShire

2 of 2  
Drug NameSaluron
Drug LabelSaluron (hydroflumethiazide) is a potent oral diuretic-antihypertensive agent of low toxicity. Each tablet contains 50 mg of hydroflumethiazide.Saluron is 2H-1,2,4-Benzothiadiazine-7-sulfonamide, 3,4-dihydro-6-(trifluoromethyl)-, 1,1-dioxide. Hyd...
Active IngredientHydroflumethiazide
Dosage FormTablet
RouteOral
Strength50mg
Market StatusPrescription
CompanyShire

4.2 Therapeutic Uses

Antihypertensive Agents; Diuretics, Thiazide

National Library of Medicine's Medical Subject Headings online file (MeSH, 1999)


POTENT ORALLY ADMIN DIURETIC USEFUL IN MGMNT OF EDEMA ASSOC WITH CARDIAC FAILURE, HEPATIC CIRRHOSIS, PREMENSTRUAL TENSION, & STEROID ADMIN. ...ALSO RECOMMENDED FOR TREATMENT OF MILD TO MODERATE HYPERTENSION EITHER ALONE OR IN COMBINATION WITH OTHER ANTIHYPERTENSIVE AGENTS.

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 870


EXCEPT FOR FACT THAT SMALLER DOSAGE IS REQUIRED FOR HYDROFLUMETHIAZIDE...NO CONVINCING EVIDENCE OF SIGNIFICANT DIFFERENCES IN THERAPEUTIC, METABOLIC, OR TOXIC OR SENSITIZATION IN EDEMATOUS OR HYPERTENSIVE PT OVER THAT OF PARENT COMPD, FLUMETHIAZIDE, OR PROTOTYPE CHLOROTHIAZIDE.

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 870


REFRACTORY CASES MAY REQUIRE AS MUCH AS 200 MG/DAY IN DIVIDED DOSES. DOSAGE SHOULD BE ADJUSTED TO PROVIDE MIN EFFECTIVE DOSE FOR INDIVIDUAL PT.

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 870


For more Therapeutic Uses (Complete) data for HYDROFLUMETHIAZIDE (11 total), please visit the HSDB record page.


4.3 Drug Warning

PERIODIC SERUM ELECTROLYTE DETERMINATION SHOULD BE DONE ON ALL PATIENTS IN ORDER TO DETECT ELECTROLYTE IMBALANCE SUCH AS HYPONATREMIA, HYPOCHLOREMIC ALKALOSIS, & HYPOKALEMIA. /THIAZIDE DIURETICS/

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 868


THIAZIDE DIURETICS ARE CONTRAINDICATED IN ANURIA, PATIENTS HYPERSENSITIVE TO THESE & OTHER SULFONAMIDE DRUGS, & IN OTHERWISE HEALTHY PREGNANT WOMEN WITH OR WITHOUT MILD EDEMA. ...SHOULD BE USED WITH CAUTION IN PATIENTS WITH RENAL DISEASE, SINCE THEY MAY PPT AZOTEMIA. /THIAZIDE DIURETICS/

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 868


One of the most common adverse effects of the thiazides is potassium depletion which occurs in most patients. Potassium depletion may cause cardiac arrhythmias and is particularly important in patients receiving cardiac glycosides because hypokalemia potentiates the cardiac toxicity (e.g., increased ventricular irritability) of these agents. Potassium concentrations may be especially low in patients with primary or secondary aldosteronism, in patients with a low potassium intake, in those receiving other potassium-depleting drugs, and in patients with other losses of potassium, as in vomiting and diarrhea. Intermittent rather than continuous administration of the thiazides and/or ingestion of potassium-rich foods may reduce or prevent potassium depletion; however, prophylactic administration of a potassium supplement such as potassium chloride solution or a potassium-sparing diuretic may be necessary in patients whose serum potassium concentration is less than about 3 mEq/L. Enteric-coated potassium-containing tablets should not be used because of the possibility of GI ulceration. /Thiazides/

McEvoy, G.K. (ed.). American Hospital Formulary Service-Drug Information 19 98. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 1998 (Plus Supplements)., p. 2163


Hypercalcemia may also occur infrequently in patients receiving thiazides, especially in patients receiving vitamin D or having mild hyperparathyroidism. Hypomagnesemia may also occur. /Thiazides/

McEvoy, G.K. (ed.). American Hospital Formulary Service-Drug Information 19 98. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 1998 (Plus Supplements)., p. 2164


For more Drug Warnings (Complete) data for HYDROFLUMETHIAZIDE (24 total), please visit the HSDB record page.


4.4 Minimum/Potential Fatal Human Dose

3. 3= MODERATELY TOXIC: PROBABLE ORAL LETHAL DOSE (HUMAN) 0.5-5 G/KG, BETWEEN 1 OZ & 1 PINT FOR 70 KG PERSON (150 LB). /BENZOTHIADIAZIDE DIURETICS/

Gosselin, R.E., H.C. Hodge, R.P. Smith, and M.N. Gleason. Clinical Toxicology of Commercial Products. 4th ed. Baltimore: Williams and Wilkins, 1976., p. II-239


4.5 Drug Indication

Used as adjunctive therapy in edema associated with congestive heart failure, hepatic cirrhosis, and corticosteroid and estrogen therapy. Also used in the management of hypertension either as the sole therapeutic agent or to enhance the effect of other antihypertensive drugs in the more severe forms of hypertension.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Hydroflumethiazide is an oral thiazide used to treat hypertension and edema. High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. Like other thiazides, Hydroflumethiazide promotes water loss from the body (diuretics). Thiazides inhibit Na+/Cl- reabsorption from the distal convoluted tubules in the kidneys. Thiazides also cause loss of potassium and an increase in serum uric acid. Thiazides are often used to treat hypertension, but their hypotensive effects are not necessarily due to their diuretic activity. Thiazides have been shown to prevent hypertension-related morbidity and mortality although the mechanism is not fully understood. Thiazides cause vasodilation by activating calcium-activated potassium channels (large conductance) in vascular smooth muscles and inhibiting various carbonic anhydrases in vascular tissue.


5.2 MeSH Pharmacological Classification

Diuretics

Agents that promote the excretion of urine through their effects on kidney function. (See all compounds classified as Diuretics.)


Sodium Chloride Symporter Inhibitors

Agents that inhibit SODIUM CHLORIDE SYMPORTERS. They act as DIURETICS. Excess use is associated with HYPOKALEMIA. (See all compounds classified as Sodium Chloride Symporter Inhibitors.)


Antihypertensive Agents

Drugs used in the treatment of acute or chronic vascular HYPERTENSION regardless of pharmacological mechanism. Among the antihypertensive agents are DIURETICS; (especially DIURETICS, THIAZIDE); ADRENERGIC BETA-ANTAGONISTS; ADRENERGIC ALPHA-ANTAGONISTS; ANGIOTENSIN-CONVERTING ENZYME INHIBITORS; CALCIUM CHANNEL BLOCKERS; GANGLIONIC BLOCKERS; and VASODILATOR AGENTS. (See all compounds classified as Antihypertensive Agents.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
HYDROFLUMETHIAZIDE
5.3.2 FDA UNII
501CFL162R
5.3.3 Pharmacological Classes
Chemical Structure [CS] - Thiazides
5.4 ATC Code

C - Cardiovascular system

C03 - Diuretics

C03A - Low-ceiling diuretics, thiazides

C03AA - Thiazides, plain

C03AA02 - Hydroflumethiazide


5.5 Absorption, Distribution and Excretion

Absorption

Hydroflumethiazide is incompletely but fairly rapidly absorbed from the gastrointestinal tract


THIAZIDES ARE ABSORBED FROM GI TRACT & OWE THEIR USEFULNESS LARGELY TO THEIR EFFECTIVENESS BY ORAL ROUTE. ABSORPTION IS RELATIVELY RAPID. MOST AGENTS SHOW DEMONSTRABLE DIURETIC EFFECT WITHIN HR AFTER ORAL ADMIN. /THIAZIDE DIURETICS/

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 831


IN GENERAL, THIAZIDES WITH RELATIVELY LONG DURATIONS OF ACTION SHOW PROPORTIONATELY HIGH DEGREE OF BINDING TO PLASMA PROTEINS & ARE REABSORBED BY RENAL TUBULES. ... DRUG PASSES READILY THROUGH PLACENTAL BARRIER TO FETUS. ALL THIAZIDES PROBABLY UNDERGO ACTIVE SECRETION IN PROXIMAL TUBULE. /THIAZIDE DIURETICS/

Gilman, A. G., L. S. Goodman, and A. Gilman. (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 6th ed. New York: Macmillan Publishing Co., Inc. 1980., p. 902


AFTER IV INFUSION OF HYDROFLUMETHIAZIDE, 2 DISTRIBUTION PHASES, T/2 OF 0.26 & 0.85 HR. AFTER SINGLE ORAL DOSE OF 2 UMOL/KG, T/2 BETA SHORTER THAN AFTER DOSE OF 6 UMOL/KG, WITH MEAN T/2 BETA OF 8.7 & 17.9 HR.

PMID:499309 BROERS O, JACOBSEN S; EUR J CLIN PHARMACOL 16 (2): 125 (1979)


AFTER ORAL ADMIN OF HYDROFLUMETHIAZIDE EVERY 24 HR FOR 7 DAYS, MEAN BIOL T/2 OF 6.85 HR; MEAN T/2 OF METABOLITE WAS 17.7 HR. 0.652 OF DOSE EXCRETED UNCHANGED IN URINE, 0.049 AS METABOLITE. MEAN RENAL PLASMA CLEARANCE OF DRUG WAS 0.356 L/HR/KG.

PMID:477713 BROERS O, JACOBSEN S; EUR J CLIN PHARMACOL 15 (4): 281 (1979)


For more Absorption, Distribution and Excretion (Complete) data for HYDROFLUMETHIAZIDE (8 total), please visit the HSDB record page.


5.6 Metabolism/Metabolites

Essentially unchanged


AFTER REPEATED ORAL ADMIN OF 100 MG EVERY 24 HR FOR 7 DAYS TO HEALTHY MALES, METABOLITE 2,4-DISULFAMYL-5-TRIFLUOROMETHYLANILINE DETERMINED.

PMID:477713 BROERS O, JACOBSEN S; EUR J CLIN PHARMACOL 15 (4): 281 (1979)


5.7 Biological Half-Life

It appears to have a biphasic biological half-life with an estimated alpha-phase of about 2 hours and an estimated beta-phase of about 17 hours


Half-life is 12-27 hr. /From table/

Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996., p. 703


/Hydroflumethiazide has a/ estimated distribution half-life of approximately 2 hours and an estimated terminal elimination half-life of approximately 17 hours ... .

McEvoy, G.K. (ed.). American Hospital Formulary Service-Drug Information 19 98. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 1998 (Plus Supplements)., p. 2171


5.8 Mechanism of Action

Hydroflumethiazide is a thiazide diuretic that inhibits water reabsorption in the nephron by inhibiting the sodium-chloride symporter (SLC12A3) in the distal convoluted tubule, which is responsible for 5% of total sodium reabsorption. Normally, the sodium-chloride symporter transports sodium and chloride from the lumen into the epithelial cell lining the distal convoluted tubule. The energy for this is provided by a sodium gradient established by sodium-potassium ATPases on the basolateral membrane. Once sodium has entered the cell, it is transported out into the basolateral interstitium via the sodium-potassium ATPase, causing an increase in the osmolarity of the interstitium, thereby establishing an osmotic gradient for water reabsorption. By blocking the sodium-chloride symporter, Hydroflumethiazide effectively reduces the osmotic gradient and water reabsorption throughout the nephron.


...BENZOTHIADIAZIDES HAVE DIRECT EFFECT ON RENAL TUBULAR TRANSPORT OF SODIUM & CHLORIDE...INDEPENDENT OF ANY EFFECT ON CARBONIC ANHYDRASE. /THIAZIDE DIURETICS/

Gilman, A. G., L. S. Goodman, and A. Gilman. (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 6th ed. New York: Macmillan Publishing Co., Inc. 1980., p. 899


NATURE OF CHEM INTERACTION BETWEEN THIAZIDES & SPECIFIC RENAL RECEPTORS RESPONSIBLE FOR CHLORURETIC EFFECT IS NOT KNOWN; NO CRITICAL ENZYMATIC REACTIONS HAVE BEEN IDENTIFIED. /THIAZIDES/

Gilman, A. G., L. S. Goodman, and A. Gilman. (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 6th ed. New York: Macmillan Publishing Co., Inc. 1980., p. 901


THIAZIDES INHIBIT REABSORPTION OF SODIUM &...CHLORIDE IN DISTAL SEGMENT. ... AS CLASS...HAVE IMPORTANT ACTION ON EXCRETION OF POTASSIUM THAT RESULTS FROM INCR SECRETION OF CATION BY DISTAL TUBULE. ... GLOMERULAR FILTRATION RATE MAY BE REDUCED BY THIAZIDES, PARTICULARLY WITH IV ADMIN FOR EXPTL PURPOSES. /THIAZIDES/

Gilman, A. G., L. S. Goodman, and A. Gilman. (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 6th ed. New York: Macmillan Publishing Co., Inc. 1980., p. 901


THIAZIDES MAY DECR EXCRETION OF URIC ACID IN MAN, THUS INCR ITS CONCN IN PLASMA. HYPERURICEMIC EFFECT RESULTS PRIMARILY FROM INHIBITION OF TUBULAR SECRETION OF URATE. ... UNLIKE MOST OTHER NATRIURETIC AGENTS...DECR RENAL EXCRETION OF CALCIUM RELATIVE TO THAT OF SODIUM... /ENHANCE/ EXCRETION OF MAGNESIUM... /THIAZIDES/

Gilman, A. G., L. S. Goodman, and A. Gilman. (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 6th ed. New York: Macmillan Publishing Co., Inc. 1980., p. 901


For more Mechanism of Action (Complete) data for HYDROFLUMETHIAZIDE (11 total), please visit the HSDB record page.


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