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Metolazone

Metolazone Side Effects

Allison Gourley, PharmDConnie Zheng, PharmD
Reviewed by Allison Gourley, PharmD, Connie Zheng, PharmD
Last reviewed on October 4, 2023

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Dizziness
  • Electrolyte imbalance (low sodium, magnesium, and potassium)

Less Common Side Effects

  • Muscle cramps
  • Fatigue (feeling very tired)
  • High uric acid levels

Metolazone serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Allergic reactions: trouble breathing, rash or hives, swelling in your face, lips, tongue, or throat
  • Serious skin reaction: fever, chills, body aches, cough, itchiness, blistering or peeling skin, severe rash
  • Electrolyte imbalance: weakness, muscle pain or cramps, dizziness, fast heartbeat, or vomiting
  • Kidney problems: fatigue, confusion, swelling in your feet or ankles, or little to no urination

Source: DailyMed

The following Metolazone side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

Black, tarry stools

bleeding gums

blistering, peeling, or loosening of skin

bloating

blood in urine or stools

blurred vision

bone pain

chest pain

chills

clay-colored stools

cold sweats

coma

confusion

constipation

convulsions

cough

dark urine

decreased urine

diarrhea

dizziness, faintness, or lightheadedness when getting up from lying or sitting position

drowsiness

dry mouth

fast, irregular, pounding, or racing heartbeat or pulse

fever

flushed, dry skin

fruit-like breath odor

general tiredness and weakness

headache

incoherent speech

increased hunger

increased thirst

increased urination

indigestion

irritability

itching

joint or muscle pain

light-colored stools

loss of appetite

lower back or side pain

metallic taste

mood changes

muscle pain or cramps

nausea and vomiting

numbness or tingling in hands, feet, or lips

pain in lower legs

painful or difficult urination

pinpoint red spots on skin

rash

red irritated eyes

red skin lesions, often with a purple center

redness or swelling of lower leg

shortness of breath

sore throat

sores, ulcers, or white spots in mouth or on lips

sugar in the urine

sweating

swelling of face, ankles, or hands

swollen or painful glands

tightness in chest

trembling

troubled breathing

unexplained weight loss

unpleasant breath odor

unusual bleeding or bruising

unusual tiredness or weakness

upper right abdominal pain

vomiting of blood

weak pulse

wheezing

yellow eyes and skin

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

Fainting

irregular, fast or slow, or shallow breathing

pale or blue lips, fingernails, or skin

unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness

weakness and heaviness of legs

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Incidence not known

Blue-green to black skin discoloration

burning, tingling, numbness, or pain in the hands, arms, feet, or legs

cracked, dry, or scaly skin

decreased interest in sexual intercourse

feeling of constant movement of self or surroundings

hives or welts

inability to have or keep an erection

loss in sexual ability, desire, drive, or performance

pain, redness, or sloughing of skin at place of injection

restlessness

sensation of pins and needles

sensation of spinning

stabbing pain

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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Why trust our experts?

Allison Gourley, PharmD, is a kidney and pancreas transplant pharmacist at a teaching hospital in the San Francisco Bay Area. When she’s not educating patients about their immunosuppressants, she's actively involved in transplant research.
Connie Zheng, PharmD, is a drug information pharmacist at GoodRx and a licensed pharmacist in California. She has over 6 years of experience working in independent pharmacies.

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