Compare hydrochlorothiazide vs. Catapres

Head-to-head comparisons of medication uses, side effects, ratings, and more.

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Catapres (Clonidine)

Prescription only
Removes water from the body, which lowers blood pressure.

Microzide (hydrochlorothiazide (HCTZ)) is a well-tolerated water pill that's often the first-choice treatment for mild high blood pressure.

3.3/ 5 average rating with 139 reviewsforhydrochlorothiazide
Lowers blood pressure.

Catapres (Clonidine) is a good addition if you need more than one medicine to control your blood pressure, but it has a lot of side effects. You can't miss doses.

3.2/ 5 average rating with 78 reviewsforCatapres
Upsides
  • Does a good job getting rid of extra fluids in your body by making you urinate more.
  • A first-choice blood pressure treatment. Works especially well for people of African descent.
  • Lowers the risk of heart attack and stroke.
  • Good option if you have high blood pressure and heart failure.
  • Most people have very few side effects from Microzide (hydrochlorothiazide (HCTZ)).
  • Can be good for patients with osteoporosis since it raises the body's level of calcium.
  • Can be added to other blood pressure-lowering medicines if you need additional blood pressure control.
  • Available in a weekly patch for people that aren't good at taking medicine by mouth.
  • Works in the brain, so it can help treat some nervous system and psychiatric conditions.
  • Under the brand name Kapvay, it's used to treat ADHD in children and teenagers.
Downsides
  • Makes you urinate more often.
  • Microzide (hydrochlorothiazide (HCTZ)) doesn't work well in people with severe kidney problems.
  • It can increase the risk of gout attacks in people with poor kidney function or a history of gout.
  • People with a sulfa allergy may be allergic to Microzide (hydrochlorothiazide (HCTZ)).
  • Has a lot of side effects compared to other blood pressure-lowering medicine because it works in the brain.
  • The pill form can make some people sleepy, dizzy, and have dry mouth.
  • You can't miss doses. Stopping Clonidine suddenly can cause your blood pressure to go up suddenly, which raises the risk of heart attack and stroke.
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Used for
Dosage forms
  • Pill
  • Pill
  • Extended release
  • Patch
Price
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Reviews
139 reviews so far
47%
saidit'sworth it
31%
saiditworked well
16%
saidit'sa big hassle

Have you used Microzide (hydrochlorothiazide (HCTZ))?

Leave a review
78 reviews so far
42%
saidit'sworth it
33%
saiditworked well
35%
saidit'sa big hassle

Have you used Catapres (Clonidine)?

Leave a review
Side effects
The Microzide (hydrochlorothiazide (HCTZ)) FDA package insert doesn’t have numbers about how common side effects are.
17possible side effects
  • Erythema / pruritis
    26%
  • Dry mouth
    25%
  • Drowsiness
    12%
  • Localized vesiculation
    7%
  • Fatigue
    6%
  • Headache
    5%
  • Allergic contact sensitization
    5%
  • Hyperpigmentation
    5%
  • Lethargy
    3%
  • Sedation
    3%
  • Edema
    3%
  • Excoriation
    3%
  • Burning
    3%
  • Insomnia
    2%
  • Dizziness
    2%
  • Impotence/sexual dysfunction
    2%
  • Dry throat
    2%
See more detailed side effects
Risks and risk factors
  • Dehydration and electrolyte imbalance
    • Current electrolyte imbalance
    • Lower kidney function
    • Dehydration
  • Severe allergic reactions
    • History of sulfa allergies
  • Gout
    • History of gout
    • Current kidney problems
  • Vision problems
    • History of sulfa or penicillin allergies
  • Higher blood sugars
    • Diabetes
See more detailed risks and warnings
  • Withdrawal
    • Sudden discontinuation of medicine
  • Driving impairment
    • Taking with alcohol
    • Taking other medicines that make you less alert
  • Low heart rate (bradycardia)
    • Age 65 years or older
    • Using other medicine(s) that slows the heart
See more detailed risks and warnings