Bendroflumethiazide

Sounds like 'ben-dro-flu-me-thi-a-zide'

Key points about bendroflumethiazide

Bendroflumethiazide is a diuretic, which means it helps your body get rid of extra salt (sodium) and water.
It's also called bendrofluazide, a 'water tablet' or 'water pill'.
Find out how to take it safely and possible side effects.

Bendroflumethiazide is a diuretic, which means it helps your body get rid of extra salt (sodium) and water. It works by increasing the amount of urine (pee) you make. This can reduce symptoms such as swelling in your ankles or feet, or shortness of breath.

It's also called a 'water' tablet or 'water pill'.

Bendroflumethiazide is used to treat high blood pressure (hypertension). It's also used to remove extra fluid in your body (called oedema) caused by conditions such as heart failure, liver disease, or kidney disease.

In Aotearoa New Zealand, bendroflumethiazide is available as tablets (2.5 mg and 5 mg).

High blood pressure: The usual dose is 2.5 mg once a day. Treatment is usually long term.
Oedema (excess fluid): The usual dose is 5 mg taken once a day. Your healthcare provider will advise you how long to take bendroflumethiazide for.
Some people may need lower or higher doses. Always take your bendroflumethiazide exactly as your healthcare provider has told you. The pharmacy label on your medicine will tell you how much bendroflumethiazide to take, how often to take it, and any special instructions.

Timing: Take bendroflumethiazide once a day. It's best taken in the morning so it works during the day and your sleep isn't disturbed by you needing to get up to go to the toilet during the night. Read more about tips for taking diuretics.
Food: You can take bendroflumethiazide with or without food.
Missed dose: If you forget to take your dose, take it as soon as you remember. But if it's late in the afternoon, skip the missed dose and continue as usual the next day. Don't take double the dose.

Taking bendroflumethiazide with pain medicines

Be careful when taking some pain relief medicines.Taking NSAIDs, such as ibuprofen and diclofenac, together with blood pressure medicines, can be harmful to your kidneys. This is called the ‘triple whammy’. NSAIDs can also be found in some cold and flu medicines.

If you're taking bendroflumethiazide with other blood pressure medicines, such as ACE inhibitors or ARBs, tell your healthcare provider or pharmacist before starting NSAIDs. Talk to them about safe pain-relief options for you.

Image credit: Healthify He Puna Waiora

Some other things to know when you're taking bendroflumethiazide

Have a sick day plan: If you have diarrhoea (runny poo), you're vomiting (being sick) from a stomach bug, or you're dehydrated from another illness, it’s important to let your healthcare provider know. They may advise you to stop taking bendroflumethiazide for a few days and start again when your eating and drinking returns to normal.
Alcohol: Bendroflumethiazide doesn't directly interact with alcohol. This means that most people could have the occasional drink while taking it without any serious problems. However, if bendroflumethiazide makes you feel dizzy or sick (nausea), don't drink alcohol as it will make you feel worse.
Sunlight: Protect yourself from too much sunlight while being treated with bendroflumethiazide. Always cover up and apply a thick layer of broad spectrum sunscreen (at least SPF 30) when outside. Don't use sunbeds.
Monitoring: You may need blood tests while taking bendroflumethiazide to check the amount of potassium and sodium in your blood, and to see how well your kidneys are working.
Interactions: Bendroflumethiazide may interact with other medicines, herbal supplements and rongoā Māori, so check with your healthcare provider or pharmacist before starting bendroflumethiazide and before starting any new products.
Pregnancy or breastfeeding: Talk to your healthcare provider if you're pregnant, planning a pregnancy or want to breastfeed.

Like all medicines bendroflumethiazide can cause side effects, although not everyone gets them. If you're concerned about any symptoms you think might be related to your medicine, talk to your healthcare provider. The information below offers some guidance but doesn’t include all possible side effects.

Common side effects

Tell your healthcare provider if these side effects bother you.

Needing to pee more often. It's a good idea to know where the nearest toilets are when you’re away from home.
Nausea (feeling sick) or having a sore stomach. Take your tablets with or just after food.
Feeling light-headed or dizzy. Don’t drink alcohol. Be careful when driving or using tools until you know how this medicine affects you.
Feeling faint when you stand up. Be careful when getting up from either lying down or sitting to avoid falls. These effects put you at risk of falls and injuries, especially if you're an older adult.

Tell your healthcare provider immediately or phone Healthline free on 0800 611 116 if these occur

Signs and symptoms of gout such as pain, redness and swelling in a joint (eg, your big toe, wrist, elbow or knee). Bendroflumethiazide may raise uric acid levels in your blood and cause an acute attack of gout for some people.
Signs of dehydration (losing too much salt and water) such as muscle cramps, weakness, dry mouth, feeling thirsty all the time or passing less urine than usual.