Metolazone

BNF:
2.2.1
Status:
Green - after consultant/specialist initiation
Decision Date:
May 2016
 

Comments

GREEN - after consultant/specialist initiation.  2nd line to bendroflumethiazide for heart failure.

Prescribe by brand. Recommended brand for new patients is Xaqua. (Decision date - September 2022)

Xaqua is not interchangeable with generic unlicensed metolazone.

Primary care patients existing on unlicensed preparations to refer to heart failure specialist for advice 

Combination with loop diuretic should be initiated by specialist only. See Heart Failure guidance

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Derby and Derbyshire ICB

Derby and Derbyshire ICB

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