The Basics
What is Chlorthalidone?
Used to treat high blood pressure.
Brand names for Chlorthalidone
Thalitone
How Chlorthalidone is classified
Antihypertensive Agents, Thiazide Diuretics
Chlorthalidone During Pregnancy
Chlorthalidone pregnancy category
Category N/ANote that the FDA has deprecated the use of pregnancy categories, so for some medications, this information isn’t available. We still think it’s useful to list historical info, however, given what a common proxy this has been in the past.
What we know about taking Chlorthalidone while pregnant
N/A
Taking Chlorthalidone While Breastfeeding
What are recommendations for lactation if you're taking Chlorthalidone?
Although amounts of chlorthalidone in milk are not great, its slow clearance may lead to accumulation in the infant, especially while nursing a newborn or preterm infant. It may also suppress lactation. An alternate drug may be preferred.
Maternal / infant drug levels
Although amounts of chlorthalidone in milk are not great, its slow clearance may lead to accumulation in the infant, especially while nursing a newborn or preterm infant. It may also suppress lactation. An alternate drug may be preferred.
Possible effects of Chlorthalidone on milk supply
Chlorthalidone has been used successfully to suppress lactation by giving 200 mg orally right after delivery, followed by 100 mg dailyy for 3 days in conjunction with fluid restriction and breast binding.[2] However, a comparative study found no difference between chlorthalidone 200 mg daily for 7.6 days and placebo in milk leakage and breast engorgement and pain.[3] The added contribution of the diuretic to fluid restriction and breast binding, which are effective in suppressing lactation, has not been studied. There are no data on the effects of diuretics on established, ongoing lactation.
Possible alternatives to Chlorthalidone
Chlorothiazide, Hydrochlorothiazide.
List of References
Lactation sources: Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK501922/1. Mulley BA, Parr GD, Pau WK et al. Placental transfer of chlorthalidone and its elminination in maternal milk. Eur J Clin Pharmacol. 78;13:129-31. PMID: 658109
2. Reiher KH. [Suppression of lactation by stimulation of diuresis]. Zentralbl Gynakol. 1963;85:188-90. PMID: 13973786
3. Vercruysse J. [Inhibition of lactation. Comparative study of an estro-androgen and of a diuretic]. Brux Med. 1966;46:1258-66. PMID: 6011090
Disclaimer: This material is provided for educational purposes only and is not intended for medical advice, diagnosis, or treatment. Consult your healthcare provider with any questions.