Skip to content

Indapamide

Published: July 26, 2026Updated: August 24, 2026

Indapamide is a thiazide-like diuretic that helps the body eliminate excess fluid and salt through increased urination. It is primarily prescribed for the treatment of hypertension (high blood pressure) and edema (fluid retention) associated with conditions such as heart failure.

Quick summary

A diuretic medication used to treat high blood pressure and fluid retention by helping the kidneys remove excess salt and water from the body.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

Key facts at a glance

ATC
C03BA11
RxNorm
5764
Generic
Indapamide
Class
atc-c03
Brands
Widaplik
Availability
rx
Lactation
unknown
Routes
oral
Forms
tablet
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
1.25mg to 2.5mg once daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
Not typically recommended for pediatric patients
Maximum
consult physician
Frequency
N/A
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
1.25mg once daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity
Chronic overdose: Prolonged use exceeding recommended doses can lead to cumulative toxicity, primarily electrolyte imbalances
Immediate actions
gastric lavage within 1-2 hours if large dose ingested, activated charcoal, monitor electrolytes and renal function
Antidote
No specific antidote exists(Supportive care is the primary treatment; effectiveness depends on timely intervention)
Poison Control: 1-800-222-1222

Special Populations

9 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks

Monitor

regular fetal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

second third trimester
caution
FDA Category
C
Dose Adjustment

avoid

Key Recommendations

discontinue use in pregnancy or switch to safer alternative

Monitor

fetal growth monitoring

Use with caution and monitor for adverse effects.

⚠

lactation

breastfeeding
caution
FDA Category
N
Dose Adjustment

avoid

Key Recommendations

indapamide is excreted in breast milk; consider alternative therapy

Monitor

monitor infant for electrolyte disturbances

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly
caution
FDA Category
N
Dose Adjustment

start at low dose

Key Recommendations

use lower initial dose and titrate slowly; monitor renal function and electrolytes

Monitor

regular monitoring of renal function, electrolytes, and blood pressure

Use with caution and monitor for adverse effects.

✗

pediatric_age

children adolescents
unsafe
FDA Category
N
Dose Adjustment

not recommended

Key Recommendations

safety and efficacy not established in pediatric patients

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

renal_impairment

mild moderate
caution
FDA Category
N
Dose Adjustment

may need dose reduction

Key Recommendations

use with caution; monitor renal function and electrolytes

Monitor

regular monitoring of serum creatinine, potassium, and other electrolytes

Use with caution and monitor for adverse effects.

⚠

renal_impairment

severe
caution
FDA Category
N
Dose Adjustment

avoid or use very low dose

Key Recommendations

use with extreme caution; consider alternative diuretics

Monitor

frequent monitoring of renal function and electrolytes

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild moderate
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

use with caution; may require dose adjustment

Monitor

monitor electrolytes and liver function

Use with caution and monitor for adverse effects.

✗

hepatic_impairment

severe
unsafe
FDA Category
N
Dose Adjustment

avoid

Key Recommendations

avoid use in severe hepatic impairment due to risk of electrolyte imbalance

Monitor

close monitoring if used

Use of this medication in this population requires careful consideration of risks and benefits.

Statistics and clinical data

prescribingFDA
2023

Commonly prescribed since

Value:1990s

General prescribing information

drug_classWHO
2023

Drug class

Value:Thiazide-like diuretic

Drug class information

usageMedical guidelines
2023

Common uses

Value:Hypertension, edema

Common therapeutic uses

mechanismMedical literature
2023

Mechanism of action

Value:Inhibits sodium reabsorption in distal convoluted tubules

Drug mechanism information

Treatment of essential hypertension (high blood pressure) and management of edema (fluid retention) associated with heart failure, kidney disorders, or other conditions.

Indapamide works by blocking sodium reabsorption in the distal convoluted tubule of the kidney, promoting increased urine output. This reduces fluid volume in the bloodstream, decreasing blood pressure and relieving swelling.

May cause electrolyte imbalances (low potassium, sodium, magnesium) and should be used with caution in patients with kidney or liver disease. Regular monitoring of blood pressure, electrolytes, and kidney function is recommended during treatment.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

WellAlly may earn a referral fee from linked resources at no extra cost to you. Editorial content is never influenced by commercial relationships.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy