Are all diuretics equal for the treatment of hypertensive patients?].

B Waeber, F Feihl

Division de physiopathologie clinique, PPA MP 14/204, CHUV, 1011 Lausanne. Bernard.Waeber@chuv.ch

Revue médicale suisse 2012 Sep 12

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Thiazide (hydrochlorothiazide,...) and thiazide-like (chlortalidone, indapamide,...) diuretics are widely used to treat hypertensive patients. There is growing evidence that these diuretics are not interchangeable and that it might be preferable to choose a thiazide-like diuretic whenever the use of a diuretic is considered. This is in order to prevent optimally the development of cardiovascular complications and the occurrence of metabolic side effects, in particular diabetes.