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Drug Details

General Information of the Drug (ID: DR2819)
Name
Hydrochlorothiazide
Synonyms
hydrochlorothiazide; 58-93-5; HCTZ; Esidrix; Hypothiazide; Oretic; Dichlotiazid; Hidrotiazida; Hydrochlorothiazid; Hydrochlorthiazide; Hydrodiuretic; Hydrosaluric; Servithiazid; Aquarills; Aquarius; Dichlotride; Diclotride; Disalunil; Hypothiazid; Idrotiazide; Maschitt; Megadiuril; Newtolide; Thiuretic; Vetidrex; Drenol; Esidrex; Hidril; Hydril; Nefrix; Chlorosulthiadil; Hidrochlortiazid; Hydro-Diuril; Hydro-Aquil; Dihydrochlorothiazide; Jen-Diril; HydroDIURIL; Dihydrochlorothiazid; Dihydrochlorothiazidum; Apresazide; Carozide; Chlorzide; Dichlorosal; Hidroronol; Hydrothide; Hydrozide; Moduretic; Neoflumen; Urodiazin; Bremil; Cidrex; Diaqua; Direma; Dyazide; Fluvin; Ivaugan; Panurin; Ro-hydrazide; Neo-codema; Acuretic; Caplaril; Hydrocot; Microzide; Thlaretic; Timolide; Aquazide H; Lotensin HCT; 6-Chloro-3,4-dihydro-2H-1,2,4-benzothiadiazine-7-sulfonamide 1,1-dioxide; 3,4-Dihydrochlorothiazide; Thiaretic; Vaseretic; Ziac; Zide; Apo-Hydro; Lopressor HCT; Hydro-D; Hydrochlorothiazidum; Unipres; Dihydrochlorurit; Dihydrochlorurite; Hidroclorotiazida; Su 5879; Aldactazide; Inderide; Maxzide; Prinzide; Hydrochlorothiazide Intensol; NCI-C55925; component of Cyclex; component of Esimil; Esidrix (TN); Ser-Ap-Es; C7H8ClN3O4S2; component of Aldoril; component of Dyazide; component of Caplaril; HCZ; Chlorsulfonamidodihydrobenzothiadiazine dioxide; component of Aldactazide; UNII-0J48LPH2TH; component of Butizide Prestabs; 2H-1,2,4-Benzothiadiazine-7-sulfonamide, 6-chloro-3,4-dihydro-, 1,1-dioxide; Dichlothiazide; MFCD00051765; Diu-melusin; 0J48LPH2TH; 6-chloro-1,1-dioxo-3,4-dihydro-2H-1$l^{6},2,4-benzothiadiazine-7-sulfonamide; 6-Chloro-3,4-dihydro-(2H)-1,2,4-benzothiadiazine-7-sulfonamide 1,1-Dioxide; MLS000069619; CHEBI:5778; Chlorizide; Disothiazid; Hidrosaluretil; Novodiurex; Spironazide; Acesistem; Acuilix; Aldazida; Briazide; Catiazida; Chlothia; Clorana; Condiuren; Dihydran; Diurogen; Dixidrasi; Esoidrina; H.H. 25/25; H.H. 50/50; Hyclosid; Indroclor; Manuril; Medozide; Mictrin; Mikorten; Modurcen; Natrinax; Pantemon; Saldiuril; Selozide; Tandiur; Urozide; Didral; Hytrid; Nefrol; Unazid; Hidro-Niagrin; Hydro-Saluric; Raunova Plus; 3,4-Dihydro-6-chloro-7-sulfamyl-1,2,4-benzothiadiazine-1,1-dioxide; 6-Chloro-7-sulfamyl-3,4-dihydro-1,2,4-benzothiadiazine 1,1-dioxide; Concor Plus; Aquazide-H; Neo-Flumen; Neo-Minzil; 6-Chloro-3,4-dihydro-7-sulfamoyl-2H-1,2,4-benzothiadiazine 1,1-dioxide; 6-Chloro-7-sulfamoyl-3,4-dihydro-2H-1,2,4-benzothiadiazine 1,1-dioxide; Hydro Par; NSC53477; Hydro-T; Hydrochlorthiazidum; NSC-53477; HCT; HCT-Isis; CAS-58-93-5; Mazide 25 mg; NCGC00015508-08; Hydrochlorat; Hydrochlorot; SMR000035778; Idroclorotiazide; Diu 25 Vigt; Hydrex-semi; Aldactazide 25/25; Aldectazide 50/50; Dihydroxychlorothiazidum; DSSTox_CID_713; Inderide 80/25; Hydrochlorothiazide form II; 2H-1,2,4-Benzothiadiazine-7-sulfonamide, 6-chloro-3,4-dihydro-,1,1-dioxide; 6-chloro-1,1-dioxo-3,4-dihydro-2H-1lambda6,2,4-benzothiadiazine-7-sulfonamide; 6-chloro-3,4-dihydro-2H-1,2,4-benzothiadiazine-7-sulfonamide-1,1-dioxide; 6-chloro-3,4-dihydro-2H-benzo[e][1,2,4]thiadiazine-7-sulfonamide 1,1-dioxide; Idroclorotiazide [DCIT]; DSSTox_RID_75752; DSSTox_GSID_20713; Hydrochlorzide; Ezide; Hydrozide Injection, Veterinary; Hidroclorotiazida [INN-Spanish]; Hydrochlorothiazidum [INN-Latin]; 6-Chloro-7-sulfamyl-3,4-dihydro-1,2,4-benzothiadiazine-1,1-dioxide; 6-chloro-1,1-dioxo-3,4-dihydro-2H-1,2,4-benzothiadiazine-7-sulfonamide; Microzide (TN); CCRIS 2082; HSDB 3096; SR-01000000119; EINECS 200-403-3; NSC 53477; BRN 0625101; Hydrokraft; Idrodiuvis; Aquazide; Manschitt; Urirex; HydroPar; 6-chloro-1,1-dioxo-2H,3H,4H-benzo[e]1,2,4-thiadiazine-7-sulfonamide; 6-chloro-1,1-dioxo-3,4-dihydro-2H-1?^{6},2,4-benzothiadiazine-7-sulfonamide; Prestwick_263; Hydrochloro Thiazide; Hyzaar (Salt/Mix); Aldoril (Salt/Mix); Dutoprol (Salt/Mix); Inderide (Salt/Mix); Prinzide (Salt/Mix); Accuretic (Salt/Mix); Hydropres (Salt/Mix); Thiazide, hydrochloro-; Hydrochlorothiazide [USP:INN:BAN:JAN]; Spectrum_000877; Opera_ID_168; Maybridge1_004336; Prestwick0_000009; Prestwick1_000009; Prestwick2_000009; Prestwick3_000009; Spectrum2_001040; Spectrum3_000456; Spectrum4_000006; Spectrum5_000824; Lopac-H-4759; CHEMBL435; Tekturna HCT (Salt/Mix); 2H-1,2,4-Benzothiadiazine-7-sulfonamide, 6-chloro-3,4-dihydro-, 1, 1-dioxide; H 4759; cid_3639; SCHEMBL9349; Hydrochlorothiazide-13C-d2; Lopac0_000614; Oprea1_357174; BSPBio_000017; BSPBio_002132; KBioGR_000351; KBioSS_001357; AF-614/30832002; ARONIS24316; BIDD:GT0153; DivK1c_000289; SPECTRUM1500335; BMCL182567 Compound 6a; SPBio_001259; SPBio_001938; BPBio1_000019; GTPL4836; Hydrochlorothiazide, crystalline; DTXSID2020713; BDBM13076; component of Dyazide (Salt/Mix); HMS500O11; HMS553N04; KBio1_000289; KBio2_001357; KBio2_003925; KBio2_006493; KBio3_001352; component of Caplaril (Salt/Mix); NINDS_000289; HMS1568A19; HMS1920D19; HMS2091L05; HMS2095A19; HMS2235I09; HMS3259O17; HMS3261L10; HMS3370P11; HMS3428A05; HMS3655M21; HMS3712A19; Pharmakon1600-01500335; ZINC896569; BCP22001; EBD18905; HY-B0252; JFD00715; Tox21_110165; Tox21_201565; Tox21_300292; Tox21_500614; 3,4-dihydro-6-chloro-7-sulfamoyl-1,2,4-benzothiadiazine-1,1-dioxide; CCG-40240; NSC757059; s1708; SBB056984; STK315354; 3,2,4-benzothiadiazine-1,1-dioxide; Hydrochlorothiazide (JP17/USP/INN); AKOS000121373; Tox21_110165_1; AC-8114; DB00999; LP00614; MCULE-6585933943; NC00510; NSC-757059; PS-3162; SDCCGSBI-0050596.P005; SU-5879; IDI1_000289; WLN: T66 BSWM EM DHJ HG ISZW; NCGC00015508-01; NCGC00015508-02; NCGC00015508-03; NCGC00015508-04; NCGC00015508-05; NCGC00015508-06; NCGC00015508-07; NCGC00015508-09; NCGC00015508-10; NCGC00015508-11; NCGC00015508-12; NCGC00015508-13; NCGC00015508-14; NCGC00015508-16; NCGC00015508-17; NCGC00015508-25; NCGC00021906-03; NCGC00021906-04; NCGC00021906-05; NCGC00021906-06; NCGC00021906-07; NCGC00021906-08; NCGC00254017-01; NCGC00259114-01; NCGC00261299-01; NCI60_004317; ST033548; component of Butizide Prestabs (Salt/Mix); Hydrochlorothiazide 1.0 mg/ml in Methanol; SBI-0050596.P004; AB00052012; EU-0100614; FT-0650564; SW196569-3; 6-Chloro-3,2,4-benzothiadiazine 1,1-dioxide; A19550; C07041; D00340; J10079; AB00052012-15; AB00052012_16; AB00052012_17; 051H765; Hydrochlorothiazide 100 microg/mL in Acetonitrile; Q423930; Hydrochlorothiazide, meets USP testing specifications; Q-201210; SR-01000000119-2; SR-01000000119-4; SR-01000000119-6; BRD-K13078532-001-05-2; Z56347248; 6-Chloro-3,2,4-benzothiadiazine-7-sulfonamide 1,1-dioxide; 6-Chloro-7-sulfamoyl-3,2,4-benzothiadiazine 1,1-dioxide; Hydrochlorothiazide, drug standard, 1.0 mg/mL in methanol; 6-chloro-3,4-dihydro-1,1-dioxo-7-sulfamoyl-1,2,4-benzothiadiazine; Hydrochlorothiazide, British Pharmacopoeia (BP) Reference Standard; Hydrochlorothiazide, European Pharmacopoeia (EP) Reference Standard; 3,4-Dihydro-6-chloro-7-sulfamyl-1,2, 4-benzothiadiazine-1,1-dioxide; 6-chloro-3,4-dihydro-2h-1,2,4-benzothiadiazine-7-sulphonamide-1,1-dioxide; 6-Chloro-3,4-dihydro-7-sulfamoyl-2H-1,2, 4-benzothiadiazine 1,1-dioxide; 6-Chloro-7-sulfamoyl-3, 4-dihydro-2H-1,2,4-benzothiadiazine 1,1-dioxide; 6-Chloro-7-sulfamoyl-3,4-dihydro-(2H)-1,2,4-benzothiadiazine 1,1-Dioxide; 6-Chloro-7-sulfamoyl-3,4-dihydrobenzo-1,2,4-thiadiazine-1,1-dioxide; Hydrochlorothiazide, United States Pharmacopeia (USP) Reference Standard; 2H-1,2, 4-Benzothiadiazine-7-sulfonamide, 6-chloro-3,4-dihydro-, 1, 1-dioxide; 2H-1,2,4-Benzothiadiazine, 6-chloro-3,4-dihydro-7-sulfamoyl-2, 1,1-dioxide; 2H-1,4-Benzothiadiazine-7-sulfonamide, 6-chloro-3,4-dihydro-, 1,1-dioxide; 6-chloro-1,1-dioxo-1,2,3,4-tetrahydro-1lambda,2,4-benzothiadiazine-7-sulfonamide; 6-chloro-1,1-dioxo-3,4-dihydro-2H-1$l^{6,2,4-benzothiadiazine-7-sulfonamide; 6-Chloro-3,4-dihydro-2H-1,2,4-benzothiadiazine-7-sulfonamide 1, 1-dioxide; 7-(Aminosulfonyl)-6-chloro-3,4-dihydro-(2H)-1,2,4-benzothiadiazine 1,1-Dioxide; Hydrochlorothiazide for peak identification, European Pharmacopoeia (EP) Reference Standard; Hydrochlorothiazide, Pharmaceutical Secondary Standard; Certified Reference Material; 125727-50-6; 3,4-Dihydro-6-chloro-7-sulfamoyl-1,2,4-benzothiadiazine-1,1-dioxide; 6-Chloro-3,4-dihydro-7-sulfamoyl-2H-1,2,4-benzothiadiazine-1,1-dioxide; 3,4-Dihydrochlorothiazide; Hydrochlorothiazide solution, 1.0 mg/mL in methanol, ampule of 1 mL, certified reference material
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Molecular Type
Small molecule
Disease Hypertension [ICD-11: BA00] Approved [1]
Structure
Click to Download Mol
2D MOL

3D MOL

ADMET Property
Absorption Cmax
The maximum plasma concentration (Cmax) of drug is 70-490 mcg/L
Absorption Tmax
The time to maximum plasma concentration (Tmax) is 1-5 h
BDDCS Class
Biopharmaceutics Drug Disposition Classification System (BDDCS) Class 3: high solubility and low permeability
Bioavailability
The bioavailability of drug is 65-75%
Clearance
The renal clearance of drug is 285 mL/min
Elimination
100% of drug is excreted from urine in the unchanged form
Half-life
The concentration or amount of drug in body reduced by one-half in 5.6 - 14.8 hours
Metabolism
The drug is not metabolised
MRTD
The Maximum Recommended Therapeutic Dose (MRTD) of drug that ensured maximising efficacy and moderate side effect is 11.18424 micromolar/kg/day
Vd
The volume of distribution (Vd) of drug is 0.83-4.19 L/kg
Water Solubility
The ability of drug to dissolve in water is measured as 0.6 mg/mL
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    Click to Show/Hide the Molecular Information and External Link(s) of This Natural Product
Formula
C7H8ClN3O4S2
PubChem CID
3639
Canonical SMILES
C1NC2=CC(=C(C=C2S(=O)(=O)N1)S(=O)(=O)N)Cl
InChI
1S/C7H8ClN3O4S2/c8-4-1-5-7(2-6(4)16(9,12)13)17(14,15)11-3-10-5/h1-2,10-11H,3H2,(H2,9,12,13)
InChIKey
JZUFKLXOESDKRF-UHFFFAOYSA-N
CAS Number
CAS 58-93-5
ChEBI ID
CHEBI:5778
TTD Drug ID
D0U4UQ
DrugBank ID
DB00999
Combinatorial Therapeutic Effect(s) Validated Clinically or Experimentally
    α. A List of Natural Product(s) Able to Enhance the Efficacy of This Drug
          Moxonidine      Homo sapiens     Click to Show/Hide the Molecular Data of This NP
                 Achieving Therapeutic Synergy     Click to Show/Hide
                    Representative Experiment Reporting the Effect of This Combination [2]
                    Detail(s)  Combination Info  click to show the detail info of this combination
                    In-vivo Model Clinical trial
                    Experimental
                    Result(s)
This profile of moxonidine is highly comparable to a standard first-line antihypertensive drug such as hydrochlorothiazide, without sacrificing tolerance and safety for increased efficacy, in combination with hydrochlorothiazide.
Target and Pathway
Target(s) Angiotensin-converting enzyme 1 (ACE1)  Molecule Info  [3]
KEGG Pathway Renin-angiotensin system Click to Show/Hide
2 Chagas disease (American trypanosomiasis)
3 Hypertrophic cardiomyopathy (HCM)
Pathwhiz Pathway Angiotensin Metabolism Click to Show/Hide
Reactome Metabolism of Angiotensinogen to Angiotensins Click to Show/Hide
WikiPathways ACE Inhibitor Pathway Click to Show/Hide
2 Metabolism of Angiotensinogen to Angiotensins
References
Reference 1 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Ligand id: 4836).
Reference 2 Moxonidine and hydrochlorothiazide in combination: a synergistic antihypertensive effect. J Cardiovasc Pharmacol. 1994;24 Suppl 1:S25-8.
Reference 3 Drugs@FDA. U.S. Food and Drug Administration. U.S. Department of Health & Human Services.
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Correspondence

X. N. Sun, Y. T. Zhang, Y. Zhou, X. C. Lian, L. L. Yan, T. Pan, T. Jin, H. Xie, Z. M. Liang, W. Q. Qiu, J. X. Wang, Z. R. Li, F. Zhu*, X. B. Sui*. NPCDR: natural product-based drug combination and its disease-specific molecular regulation. Nucleic Acids Research. 50(D1): 1324-1333 (2020). PMID: 34664659

Prof. Feng ZHU  (zhufeng@zju.edu.cn)

College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, China


Prof. Xinbing SUI  (suilab@hznu.edu.cn)

School of Pharmacy and Department of Medical Oncology, the Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China