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Addition of oral Metolazone
Addition of oral Metolazone is a Thiazide-like diuretic Small molecule drug developed by University of North Carolina, Chapel Hill. It is currently FDA-approved for Hypertension, Edema associated with congestive heart failure, Edema associated with renal disease. Also known as: Zaroxolyn.
Metolazone is a thiazide-like diuretic that inhibits sodium and chloride reabsorption in the distal convoluted tubule, promoting urinary excretion of water and electrolytes.
Metolazone is a thiazide-like diuretic that inhibits sodium and chloride reabsorption in the distal convoluted tubule, promoting urinary excretion of water and electrolytes. Used for Hypertension, Edema associated with congestive heart failure, Edema associated with renal disease.
At a glance
| Generic name | Addition of oral Metolazone |
|---|---|
| Also known as | Zaroxolyn |
| Sponsor | University of North Carolina, Chapel Hill |
| Drug class | Thiazide-like diuretic |
| Target | Sodium-chloride cotransporter (NCC) |
| Modality | Small molecule |
| Therapeutic area | Cardiovascular |
| Phase | FDA-approved |
Mechanism of action
Metolazone blocks the Na-Cl cotransporter in the distal convoluted tubule of the nephron, preventing reabsorption of sodium and chloride and thereby increasing urine output. This reduces blood volume and intravascular fluid, lowering blood pressure and reducing edema. It is particularly effective when combined with loop diuretics in resistant edema or heart failure due to its synergistic action at different sites of the nephron.
Approved indications
- Hypertension
- Edema associated with congestive heart failure
- Edema associated with renal disease
Common side effects
- Hypokalemia
- Hyperuricemia
- Hyperglycemia
- Hyponatremia
- Dizziness
- Headache
Key clinical trials
- Add-on Diuretics in Acute Decompensated Heart Failure (PHASE2)
- Comparative Efficacy and Safety of Acetazolamide Versus Metolazone as an Adjunct to Standard Therapy in Patients With Acute Decompensated Heart Failure (NA)
- Optimal Diuretic Therapies for Acute Heart Failure With Volume Overload (PHASE4)
- Efficacy and Safety of Combination Diuretic Therapy in Patients With Acute Decompensated Heart Failure and Volume Overload (PHASE4)
- The Heart Failure Diuresis Efficacy Comparison (DEA-HF) Study (PHASE4)
- Acetazolamide or Metolazone in Acute Heart Failure (NA)
- Diuretics vs. Afterload Reduction for Treatment of HeartLogic Alerts (PHASE4)
- Diuretic Effect of Metolazone Pre-dosing Versus Concurrent Dosing (PHASE4)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- Addition of oral Metolazone CI brief — competitive landscape report
- Addition of oral Metolazone updates RSS · CI watch RSS
- University of North Carolina, Chapel Hill portfolio CI
Frequently asked questions about Addition of oral Metolazone
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Related
- Drug class: All Thiazide-like diuretic drugs
- Target: All drugs targeting Sodium-chloride cotransporter (NCC)
- Manufacturer: University of North Carolina, Chapel Hill — full pipeline
- Therapeutic area: All drugs in Cardiovascular
- Indication: Drugs for Hypertension
- Indication: Drugs for Edema associated with congestive heart failure
- Indication: Drugs for Edema associated with renal disease
- Also known as: Zaroxolyn
- Compare: Addition of oral Metolazone vs similar drugs
- Pricing: Addition of oral Metolazone cost, discount & access