Skip to content

Metolazone

Published: July 26, 2026Updated: August 25, 2026

Metolazone is a thiazide-like diuretic used to treat fluid retention (edema) associated with conditions such as heart failure, kidney disease, and liver cirrhosis, as well as high blood pressure (hypertension). It helps the body eliminate excess salt and water through increased urine production.

Quick summary

Metolazone is a diuretic that removes excess fluid from the body to treat edema and high blood pressure.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 25, 2026Editorial policy

Key facts at a glance

ATC
C03BA08
RxNorm
6916
Generic
Metolazone
Class
atc-c03
Brands
—
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.

Metolazone is primarily used to treat fluid retention (edema) caused by conditions such as congestive heart failure, kidney dysfunction, and liver cirrhosis. It is also prescribed for managing essential hypertension (high blood pressure) either alone or in combination with other antihypertensive medications.

Metolazone works by blocking sodium reabsorption in the distal convoluted tubules of the kidneys. This prevents the kidneys from retaining excessive sodium and water, leading to increased urine output (diuresis). The loss of sodium and water helps reduce fluid buildup in the body and decreases blood pressure.

Metolazone may cause electrolyte imbalances, particularly low potassium (hypokalemia), low sodium (hyponatremia), and low magnesium. Patients should have their electrolyte levels and kidney function monitored regularly. It may increase blood sugar, uric acid levels, and cause photosensitivity. Those with sulfa drug allergies should use caution. Alcohol and other diuretics may enhance blood pressure lowering effects and increase the risk of dehydration and dizziness upon standing.

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 25, 2026. · Read our editorial policy