Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Hydrochlorothiazide (Microzide) and ethacrynic acid (Edecrin) are both diuretics, but they have some key differences. Hydrochlorothiazide is a thiazide diuretic mainly used to treat high blood pressure and swelling from fluid (edema). It is taken orally, usually once a day. Ethacrynic acid, on the other hand, is a loop diuretic primarily used for edema related to heart failure, cirrhosis, and kidney problems. It's especially used in people with sulfa allergies who cannot take hydrochlorothiazide and other similar medications. Ethacrynic acid can be taken orally or intravenously and is more expensive than other diuretics. While both medications can cause dizziness and electrolyte imbalances, ethacrynic acid has additional risks like temporary hearing loss and severe diarrhea. Hydrochlorothiazide may also cause skin sensitivity to sunlight and potential vision problems. Additionally, both medications are available as lower-cost generics.
Hydrochlorothiazide
Ethacrynic acid (Edecrin)
Hydrochlorothiazide
Ethacrynic acid (Edecrin)
Summary of Hydrochlorothiazide vs. Edecrin
Summary for Diuretic (water pill)
Prescription only
Hydrochlorothiazide is a water pill that helps to lower blood pressure and ease swelling from fluid (edema) caused by many health conditions, such as heart failure and kidney problems. Typically, you take hydrochlorothiazide by mouth once (sometimes twice) daily. Some common side effects of hydrochlorothiazide include dizziness and urinating more often.
Summary for Diuretic (water pill)
Prescription only
Ethacrynic acid, also known by its brand name Edecrin, is a strong diuretic (water pill) for treating edema (swelling). It's a loop diuretic that can be used for people who have a sulfa allergy and can't take other diuretics in the same drug class. Ethacrynic acid (Edecrin) is a tablet that's taken by mouth, but the specific dosage depends on the medical condition that's causing the edema. Common side effects include tiredness, headache, and loss of appetite.
Indications of Hydrochlorothiazide vs. Edecrin
Indications for
•High blood pressure
•Swelling in the body from fluids (edema), in addition to other medications
•Short-term management of ascites (buildup of fluid in the stomach) due to cancer, edema from an unknown cause, or lymphedema (swelling caused by fluid buildup in the lymphatic system)
Pros and Cons of Hydrochlorothiazide vs. Edecrin
Pros and Const for Diuretic (water pill)
Pros
•Does a good job getting rid of extra fluids in your body