Chlorthalidone: Has It Always Been the Best Thiazide-Type Diuretic?

Chlorthalidone: has it always been the best thiazide-type diuretic?

Modern diuretic therapy evolved from 2 seemingly unrelated events in the 1930s: the development of sulfanilamide, the first truly effective antibacterial agent, and the description of the enzyme carbonic anhydrase. Sulfanilamide was observed to increase sodium (Na )/potassium and water excretion by inhibition of carbonic anhydrase activity. Recognition of this action proved the impetus for synt...

Has It Always Been the Best Thiazide-type Diuretic? Editorial Commentary

Modern diuretic therapy evolved from 2 seemingly unrelated events in the 1930s: the development of sulfanilamide, the first truly effective antibacterial agent, and the description of the enzyme carbonic anhydrase. Sulfanilamide was observed to increase sodium (Na )/potassium and water excretion by inhibition of carbonic anhydrase activity. Recognition of this action proved the impetus for synt...

Best thiazide diuretic for hypertension.

Tools for Practice articles in Canadian Family Physician (CFP) are adapted from articles published on the Alberta College of Family Physicians (ACFP) website, summarizing medical evidence with a focus on topical issues and practice-modifying information. The ACFP summaries and the series in CFP are coordinated by Dr G. Michael Allan, and the summaries are co-authored by at least 1 practising fa...

Chlorthalidone: don't call it "thiazide-like" anymore.

Recently, there has been growing interest in the idea that chlorthalidone should be preferred over thiazides when it comes to selecting a nonloop diuretic for treatment of hypertension.1–4 Depending on how these drugs are dosed, it is believed that the nonthiazide diuretic chlorthalidone might provide greater cardiovascular protection than thiazide diuretics because of its more potent and prolo...

Module 2: Rethinking the role of thiazide-type diuretics in the management of hypertension: which diuretic is best?