Chlorthalidone

Chlorthalidone (49) is another thiazide-like diuretic agent that formally contains an isoindole ring. Transformation of the amine in benzophenone, 47, to a sulfonamide group by essentially the same process as was outlined for chlorexolone (46) affords Intermediate 43. This product cyclizes to the desired pseudoacid 1-ketoisoindole (49) on successive treatments with thionyl... 

Agents acting in the proximal tubule are seldom used to treat hypertension. Treatment is usually initiated with a thiazide-type diuretic. Chlorthalidone and indapamide are structurally different from thiazides but are functionally related. If renal function is severely impaired (i.e., serum creatinine above 2.5 mg/dl), a loop diuretic is needed. A potassium-sparing agent may be given with the diuretic to reduce the likelihood of hypokalemia. 

Electroneutral NaCl transport in the distal convoluted tubule is inhibited by the class of thiazide diuretics (chlorothiazide, hydrochlorothiazide, metolazone, chlorthalidone, and others). Thiazides interfere with the Cl binding site of NCC, and cause a relatively small... 

Tyrosine hydroxylase 1 Thiazide diuretics, a group of drugs with moderate diuretic activity, includes hydrochlorothiazide, chlorthalidone, and xipamide. They decrease active reabsorption of sodium and accompanying chloride by binding to the chloride site of the electroneutral Na+/CF cotransport system in the distal convoluted tubule and inhibiting its action. 

Duration varies with drug used. Average duration is 12—24 h with polythiazide and chlorthalidone. Indapamide has a duration of more than 24 h. 

Metatensin Tablets—trichlormethiazide, reserpine Minizide—polythiazide, prazosin Prinzide—hydrochlorotliiazide, lisinopril Rauzide Tablets—rauwolfia, bendroflumethiazide Regroton—chlorthalidone, reserpine Salutensin Tablets—hydroflumethiazide, reserpine Salutensin-Demi—hydrochlorothiazide, reseqiine Ser-Ap-Es—hydrochlorotliiazide, reseqiine, hydralazine HC1... 

Chlorthalidone (Hygroton) Heart failure stage A 6.25-25 (chlorthalidone)... 

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