Page last updated: 2024-10-28

hydrochlorothiazide and Disease Exacerbation

hydrochlorothiazide has been researched along with Disease Exacerbation in 21 studies

Hydrochlorothiazide: A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism.
hydrochlorothiazide : A benzothiadiazine that is 3,4-dihydro-2H-1,2,4-benzothiadiazine 1,1-dioxide substituted by a chloro group at position 6 and a sulfonamide at 7. It is diuretic used for the treatment of hypertension and congestive heart failure.

Research Excerpts

ExcerptRelevanceReference
"The Avoiding Cardiovascular Events through Combination Therapy in Patients Living with Systolic Hypertension (ACCOMPLISH) trial showed that initial antihypertensive therapy with benazepril plus amlodipine was superior to benazepril plus hydrochlorothiazide in reducing cardiovascular morbidity and mortality."5.14Renal outcomes with different fixed-dose combination therapies in patients with hypertension at high risk for cardiovascular events (ACCOMPLISH): a prespecified secondary analysis of a randomised controlled trial. ( Bakris, GL; Chiang, YT; Dahlöf, B; Jamerson, K; Kelly, RY; Pitt, B; Sarafidis, PA; Shi, V; Staikos-Byrne, L; Velazquez, EJ; Weber, MA; Weir, MR, 2010)
"The Plaque Hypertension Lipid-Lowering Italian Study (PHYLLIS) tested whether (1) the angiotensin-converting enzyme (ACE) inhibitor fosinopril (20 mg per day) was more effective on carotid atherosclerosis progression than the diuretic hydrochlorothiazide (25 mg per day), (2) pravastatin (40 mg per day) was more effective than placebo when added to either hydrochlorothiazide or fosinopril, and (3) there were additive effects of ACE inhibitor and lipid-lowering therapies."5.11Different effects of antihypertensive regimens based on fosinopril or hydrochlorothiazide with or without lipid lowering by pravastatin on progression of asymptomatic carotid atherosclerosis: principal results of PHYLLIS--a randomized double-blind trial. ( Baggio, G; Bond, MG; Crepaldi, G; Gallus, G; Magni, A; Mancia, G; Rubba, P; Sampieri, L; Sperti, G; Veglia, F; Ventura, A; Zanchetti, A, 2004)
"Hypertension treatment with doxazosin or HCTZ resulted in a comparable change in arterial IMT after three years, in spite of differences in effect on plasma lipids."5.10Doxazosin and hydrochlorothiazide equally affect arterial wall thickness in hypertensive males with hypercholesterolaemia (the DAPHNE study). Doxazosin Atherosclerosis Progression Study in Hypertensives in the Netherlands. ( Birkenhägeri, JC; de Groot, E; de Heide, LH; de Ridder, MA; Hoogerbrugge, N; Jansen, H; Stijnen, T, 2002)
" The study was designed as a side arm of INSIGHT (International Nifedipine Study: Intervention as Goal for Hypertension Therapy), aimed to show the efficacy of nifedipine once daily versus co-amilozide (hydrochlorothiazide 25 mg, amiloride 2."5.09Calcium channel blocker nifedipine slows down progression of coronary calcification in hypertensive patients compared with diuretics. ( Motro, M; Shemesh, J, 2001)
"This study, ancillary to the International Nifedipine GITS Study: Intervention as a Goal in Hypertension Treatment (INSIGHT), involved nifedipine 30 mg or co-amilozide (hydrochlorothiazide 25 mg and amiloride 2."5.09Differential effects of nifedipine and co-amilozide on the progression of early carotid wall changes. ( Gariépy, J; Levenson, J; Moyse, D; Simon, A, 2001)
"The effect of hydrochlorothiazide (HCTZ) on clinical and radiologic progression of nephrocalcinosis was evaluated in 11 children with XLH."5.09Thiazide diuretics arrest the progression of nephrocalcinosis in children with X-linked hypophosphatemia. ( Baum, M; Seikaly, MG, 2001)
" After 4 weeks of DOCA-salt hypertension, rats were either killed (n = 6), or treated with a non-hypotensive dose of spironolactone (n = 7) or triple therapy (hydrochlorothiazide, reserpine and hydralazine, n = 8) to normalize blood pressure or with vehicle (n = 19) for two further weeks."3.74Blood pressure versus direct mineralocorticoid effects on kidney inflammation and fibrosis in DOCA-salt hypertension. ( Cordasic, N; Hartner, A; Hilgers, KF; Klanke, B; Schmieder, RE; Veelken, R, 2008)
" The aim of this study was to compare the effects of an equivalent reduction in blood pressure produced by the angiotensin-converting enzyme (ACE) inhibitor spirapril (SPI) and an antihypertensive triple drug combination of hydralazine, reserpine and hydrochlorothiazide (HRH) on kidney function, proteinuria and renal structure in hypertensive diabetic rats."3.70Control of glomerular hyperfiltration and renal hypertrophy by an angiotensin converting enzyme inhibitor prevents the progression of renal damage in hypertensive diabetic rats. ( Armini, L; Bardelli, M; Calci, M; Campanacci, L; Candido, R; Carretta, R; Fabris, B; Fazio, M; Fischetti, F, 1999)
" After a 4-week wash-out period, 209 patients were randomized to either CC 8 mg or AML 5 mg once daily for a minimum of 1 month, after which, if BP was not normalized, the dosage was doubled, followed by the addition of hydrochlorothiazide 12."2.74Effects of candesartan cilexetil on carotid remodeling in hypertensive diabetic patients: the MITEC study. ( Asmar, R; Baguet, JP; Mallion, JM; Nisse-Durgeat, S; Valensi, P, 2009)
"In 562 patients with ADPKD (61% female, eGFR 63±28 ml/min per 1."1.91Prostaglandin E2, Osmoregulation, and Disease Progression in Autosomal Dominant Polycystic Kidney Disease. ( Fenton, RA; Gansevoort, RT; Geurts, F; Hoorn, EJ; Kramers, BJ; Meijer, E; Salih, M; Xue, L; Zietse, R, 2023)
" Here, we evaluated whether chronic administration of an NO donor, molsidomine, controlled systemic blood pressure and renal disease progression and prolonged survival in rats with renal mass reduction (RMR)."1.30Renoprotection by nitric oxide donor and lisinopril in the remnant kidney model. ( Benedetti, G; Benigni, A; Bruzzi, I; Corna, D; Noris, M; Remuzzi, G; Todeschini, M; Zoja, C, 1999)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (14.29)18.2507
2000's11 (52.38)29.6817
2010's6 (28.57)24.3611
2020's1 (4.76)2.80

Authors

AuthorsStudies
Geurts, F1
Xue, L1
Kramers, BJ1
Zietse, R1
Gansevoort, RT1
Fenton, RA1
Meijer, E1
Salih, M1
Hoorn, EJ1
Matsushima, T1
Nakajima, H1
Ohko, K1
Nakajima, K1
Sano, S1
Klanke, B1
Cordasic, N1
Hartner, A1
Schmieder, RE1
Veelken, R1
Hilgers, KF1
Perico, N1
Cattaneo, D1
Remuzzi, G2
Baguet, JP1
Asmar, R1
Valensi, P1
Nisse-Durgeat, S1
Mallion, JM1
Heerspink, HL1
de Zeeuw, D1
Bakris, GL1
Sarafidis, PA1
Weir, MR1
Dahlöf, B1
Pitt, B1
Jamerson, K1
Velazquez, EJ1
Staikos-Byrne, L1
Kelly, RY1
Shi, V1
Chiang, YT1
Weber, MA1
Satoh, F1
Okado, T1
Iwamoto, M1
Akita, W1
Wakabayashi, M1
Ohta, A1
Sohara, E1
Noda, Y1
Rai, T1
Uchida, S1
Sasaki, S1
Basile, J1
Babazadeh, S1
Lillestol, M1
Botha, J1
Yurkovic, C1
Weitzman, R1
Lee, SC1
Dalia, SM1
Hoogerbrugge, N1
de Groot, E1
de Heide, LH1
de Ridder, MA1
Birkenhägeri, JC1
Stijnen, T1
Jansen, H1
Zanchetti, A1
Crepaldi, G1
Bond, MG2
Gallus, G1
Veglia, F1
Mancia, G1
Ventura, A1
Baggio, G1
Sampieri, L1
Rubba, P1
Sperti, G1
Magni, A1
Kamgar, M1
Nobakhthaghighi, N1
Shamshirsaz, AA1
Estacio, RO1
McFann, KK1
Schrier, RW1
Tylicki, L1
Rutkowski, P1
Renke, M1
Larczyński, W1
Aleksandrowicz, E1
Lysiak-Szydlowska, W1
Rutkowski, B1
Borhani, NO1
Mercuri, M1
Borhani, PA1
Buckalew, VM1
Canossa-Terris, M1
Carr, AA1
Kappagoda, T1
Rocco, MV1
Schnaper, HW1
Sowers, JR1
Benigni, A1
Zoja, C1
Noris, M1
Corna, D1
Benedetti, G1
Bruzzi, I1
Todeschini, M1
Fabris, B1
Candido, R1
Armini, L1
Fischetti, F1
Calci, M1
Bardelli, M1
Fazio, M1
Campanacci, L1
Carretta, R1
Motro, M1
Shemesh, J1
Simon, A1
Gariépy, J1
Moyse, D1
Levenson, J1
Burgess, HK1
Jayawardene, SA1
Velasco, N1
Seikaly, MG1
Baum, M1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Prospective, Multinational, Multicenter Trial to Compare the Effects of Amlodipine/Benazepril to Benazepril and Hydrochlorothiazide Combined on the Reduction of Cardiovascular Morbidity and Mortality in Patients With High Risk Hypertension[NCT00170950]Phase 311,506 participants (Actual)Interventional2003-10-31Terminated (stopped due to The study was terminated early because of significant efficacy results for the primary endpoint in favor of benazepril/amlodipine treatment.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Time-to-event Analysis of Percentage of Patients With a Cardiovascular (CV) Mortality Event, Non-fatal Myocardial Infarction (MI), or Non-fatal Stroke

CV mortality was defined as death due to sudden cardiac death, fatal MI, fatal stroke, coronary intervention, congestive heart failure (CHF), or other CV causes. (NCT00170950)
Timeframe: For each patient, baseline to time of first CV mortality event, MI (non-fatal), or stroke (non-fatal) (or last exposure if no event occurred). (Median duration of exposure was 33.4 months. [25th to 75th percentiles: 21 to 41 months.])

InterventionPercentage of Patients with an Event (Number)
Benazepril/Amlodipine5.0
Benazepril/Hydrochlorothiazide6.3

Time-to-event Analysis of Percentage of Patients With a Composite Cardiovascular (CV) Morbidity Event

Cardiovascular morbidity was defined as including any of the following events: non-fatal MI, non-fatal stroke, hospitalization for unstable angina, resuscitated sudden death, or coronary revascularization procedure (PCI or CABG). (NCT00170950)
Timeframe: For each patient, baseline to time of first CV morbidity event (or last exposure if no event occurred). (Median duration of exposure was 33.4 months. [25th to 75th percentiles: 21 to 41 months.])]

InterventionPercentage of Patients with an Event (Number)
Benazepril/Amlodipine8.6
Benazepril/Hydrochlorothiazide10.3

Time-to-event Analysis of Percentage of Patients With a Composite Cardiovascular (CV) Morbidity or Mortality Event

CV morbidity was defined as non-fatal myocardial infarction (MI), non-fatal stroke, hospitalization for unstable angina, resuscitated sudden death, or coronary revascularization procedure. CV mortality was defined as death due to MI, stroke, coronary intervention, congestive heart failure (CHF), sudden cardiac death, or other CV causes. (NCT00170950)
Timeframe: For each patient, baseline to time of first CV morbidity or mortality event (or last exposure if no event occurred). (Median duration of exposure was 33.4 months. [25th to 75th percentiles: 21 to 41 months.])

InterventionPercentage of Patients with an event (Number)
Benazepril/Amlodipine9.6
Benazepril/Hydrochlorothiazide11.8

Trials

10 trials available for hydrochlorothiazide and Disease Exacerbation

ArticleYear
Effects of candesartan cilexetil on carotid remodeling in hypertensive diabetic patients: the MITEC study.
    Vascular health and risk management, 2009, Volume: 5, Issue:1

    Topics: Aged; Amlodipine; Angiotensin II Type 1 Receptor Blockers; Antihypertensive Agents; Benzimidazoles;

2009
Renal outcomes with different fixed-dose combination therapies in patients with hypertension at high risk for cardiovascular events (ACCOMPLISH): a prespecified secondary analysis of a randomised controlled trial.
    Lancet (London, England), 2010, Apr-03, Volume: 375, Issue:9721

    Topics: Aged; Albuminuria; Amlodipine; Angiotensin-Converting Enzyme Inhibitors; Antihypertensive Agents; Be

2010
Comparison of aliskiren/hydrochlorothiazide combination therapy with hydrochlorothiazide monotherapy in older patients with stage 2 systolic hypertension: results of the ACTION study.
    Journal of clinical hypertension (Greenwich, Conn.), 2011, Volume: 13, Issue:3

    Topics: Age Factors; Aged; Amides; Analysis of Variance; Antihypertensive Agents; Blood Pressure; Body Mass

2011
Doxazosin and hydrochlorothiazide equally affect arterial wall thickness in hypertensive males with hypercholesterolaemia (the DAPHNE study). Doxazosin Atherosclerosis Progression Study in Hypertensives in the Netherlands.
    The Netherlands journal of medicine, 2002, Volume: 60, Issue:9

    Topics: Aged; Antihypertensive Agents; Arteriosclerosis; Carotid Arteries; Disease Progression; Diuretics; D

2002
Different effects of antihypertensive regimens based on fosinopril or hydrochlorothiazide with or without lipid lowering by pravastatin on progression of asymptomatic carotid atherosclerosis: principal results of PHYLLIS--a randomized double-blind trial.
    Stroke, 2004, Volume: 35, Issue:12

    Topics: Aged; Angiotensin-Converting Enzyme Inhibitors; Anticholesteremic Agents; Antihypertensive Agents; C

2004
Triple pharmacological blockade of the renin-angiotensin-aldosterone system in nondiabetic CKD: an open-label crossover randomized controlled trial.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 2008, Volume: 52, Issue:3

    Topics: Acetylglucosaminidase; Adult; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme

2008
Final outcome results of the Multicenter Isradipine Diuretic Atherosclerosis Study (MIDAS). A randomized controlled trial.
    JAMA, 1996, Sep-11, Volume: 276, Issue:10

    Topics: Aged; Antihypertensive Agents; Arteriosclerosis; Carotid Arteries; Diastole; Disease Progression; Di

1996
Calcium channel blocker nifedipine slows down progression of coronary calcification in hypertensive patients compared with diuretics.
    Hypertension (Dallas, Tex. : 1979), 2001, Volume: 37, Issue:6

    Topics: Aged; Amiloride; Calcinosis; Calcium Channel Blockers; Cardiomyopathies; Coronary Artery Disease; Di

2001
Differential effects of nifedipine and co-amilozide on the progression of early carotid wall changes.
    Circulation, 2001, Jun-19, Volume: 103, Issue:24

    Topics: Aged; Aged, 80 and over; Amiloride; Antihypertensive Agents; Atenolol; Blood Pressure; Carotid Arter

2001
Thiazide diuretics arrest the progression of nephrocalcinosis in children with X-linked hypophosphatemia.
    Pediatrics, 2001, Volume: 108, Issue:1

    Topics: Calcium; Child; Disease Progression; Diuretics; Female; Humans; Hydrochlorothiazide; Hypophosphatemi

2001

Other Studies

11 other studies available for hydrochlorothiazide and Disease Exacerbation

ArticleYear
Prostaglandin E2, Osmoregulation, and Disease Progression in Autosomal Dominant Polycystic Kidney Disease.
    Clinical journal of the American Society of Nephrology : CJASN, 2023, 11-01, Volume: 18, Issue:11

    Topics: Antidiuretic Hormone Receptor Antagonists; Dinoprostone; Disease Progression; Female; Glomerular Fil

2023
Chlorothiazide-induced photoaggravation of psoriatic lesion during narrowband ultraviolet B treatment in a case of psoriasis vulgaris.
    The Journal of dermatology, 2017, Volume: 44, Issue:6

    Topics: Aged; Disease Progression; Drug Combinations; Female; Ficusin; Humans; Hydrochlorothiazide; Hyperten

2017
Blood pressure versus direct mineralocorticoid effects on kidney inflammation and fibrosis in DOCA-salt hypertension.
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2008, Volume: 23, Issue:11

    Topics: Animals; Antihypertensive Agents; Blood Pressure; Desoxycorticosterone; Disease Models, Animal; Dise

2008
Kidney injury molecule 1: in search of biomarkers of chronic tubulointerstitial damage and disease progression.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 2009, Volume: 53, Issue:1

    Topics: Animals; Antihypertensive Agents; Biomarkers; Chronic Disease; Disease Models, Animal; Disease Progr

2009
Composite renal endpoints: was ACCOMPLISH accomplished?
    Lancet (London, England), 2010, Apr-03, Volume: 375, Issue:9721

    Topics: Amlodipine; Angiotensin-Converting Enzyme Inhibitors; Antihypertensive Agents; Benzazepines; Calcium

2010
Calcium-alkali syndrome-like symptoms manifested by daily alphacalcidol and thiazide.
    Internal medicine (Tokyo, Japan), 2010, Volume: 49, Issue:9

    Topics: Acute Kidney Injury; Aged; Blood Chemical Analysis; Combined Modality Therapy; Disease Progression;

2010
Drug-induced chronic pancreatitis.
    Medicine and health, Rhode Island, 2012, Volume: 95, Issue:1

    Topics: Acute Disease; Aged, 80 and over; Antihypertensive Agents; Disease Progression; Female; Humans; Hydr

2012
Impaired fibrinolytic activity in type II diabetes: correlation with urinary albumin excretion and progression of renal disease.
    Kidney international, 2006, Volume: 69, Issue:10

    Topics: Aged; Albuminuria; Antihypertensive Agents; Atenolol; Cardiovascular Diseases; Cohort Studies; Creat

2006
Renoprotection by nitric oxide donor and lisinopril in the remnant kidney model.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 1999, Volume: 33, Issue:4

    Topics: Angiotensin-Converting Enzyme Inhibitors; Animals; Blood Pressure; Body Weight; Creatinine; Disease

1999
Control of glomerular hyperfiltration and renal hypertrophy by an angiotensin converting enzyme inhibitor prevents the progression of renal damage in hypertensive diabetic rats.
    Journal of hypertension, 1999, Volume: 17, Issue:12 Pt 2

    Topics: Angiotensin-Converting Enzyme Inhibitors; Animals; Antihypertensive Agents; Blood Pressure; Diabetic

1999
Dent's disease: can we slow its progression?
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2001, Volume: 16, Issue:7

    Topics: Adolescent; Calcium; Disease Progression; Female; Humans; Hydrochlorothiazide; Hypophosphatemia; Kid

2001