Who shouldn't take hydrochlorothiazide?

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Hydrochlorothiazide (HCTZ) is not recommended for use with women who are breastfeeding, because it can pass from mother to baby through breast milk. This drug is assigned a pregnancy Category B by the FDA: Animal studies have not produced evidence of fetal harm, and there are no data from controlled human studies but retrospective reviews have shown an increased risk of malformations associated with thiazide diuretics. The drug should be used during pregnancy only if clearly needed. If you are taking dofetilide, do not take HCTZ. Certain medical conditions could also prevent you from using hydrochlorothiazide safely. If you are allergic to sulfa medications, are diabetic or have difficulty urinating, you shouldn't use hydrochlorothiazide. Remember to tell your doctor about all of the medications you are taking for any type of health condition, including medications for allergies, high blood pressure, congestive heart failure, cirrhosis and kidney disorders.