TY - JOUR T1 - FIfty years of thiazide diuretic therapy for hypertension AU - Moser M, Feig PU Y1 - 2009/11/09 N1 - 10.1001/archinternmed.2009.342 JO - Archives of Internal Medicine SP - 1851 EP - 1856 VL - 169 IS - 20 N2 - Background  The use of thiazide diuretics has decreased over the past 30 years despite data from many well-controlled clinical trials demonstrating that the use of these agents as monotherapy or in combination with other antihypertensive agents will reduce blood pressure and decrease cardiovascular as well as cerebrovascular events.Methods  We reviewed clinical and experimental data on thiazide diuretics since their introduction in the late 1950s.Results  The results of thiazide-based therapy in young and old are consistently positive despite concerns about some metabolic changes, eg, insulin resistance or hypokalemia, that may occur.Conclusion  We conclude that these agents are safe, effective, and well tolerated and should continue to be used either as monotherapy or with other medications in the management of hypertension. SN - 0003-9926 M3 - doi: 10.1001/archinternmed.2009.342 UR - http://dx.doi.org/10.1001/archinternmed.2009.342 ER -