Thiazide-like diuretic
Indapamide
Brand names: Natrilix
Adult dose
Dose: 2.5mg OD (or 1.5mg MR OD)
Route: PO
Frequency: OD
Clinical pearls
- Preferred thiazide-like diuretic per NICE NG136 (with chlortalidone) — better outcome data than bendroflumethiazide
Contraindications
- Severe renal impairment
- Severe hepatic impairment
- Hypokalaemia
- Pregnancy/breastfeeding
Side effects
- Hypokalaemia
- Hyponatraemia
- Hyperuricaemia
- Hyperglycaemia
- Photosensitivity
- QT prolongation (rare)
Interactions
- NSAIDs
- Lithium
- ACEi/ARB
- QT-prolonging drugs (with hypokalaemia)
Monitoring
- U&E
- Glucose
Reference: BNF; NICE NG136; https://bnf.nice.org.uk/drugs/indapamide/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines