It's because I'm leery about taking a drug for 25 years as I have. I've heard that long-term use is damaging to the kidneys. I also have gout that I think was CAUSED by the thiazides and I am taking allopurionol for 15 years to counteract the uric acid retention from the thiazide. Some people are finding that the formerly THOUGHT-innocuous allopurinol is causing problems for long term users (like auto-immune disease.)
Getting off both of these would seem to be wise for me but it can only be done with good BP at low weight...hence the dieting. I MIGHT be low enough now but I have to go through this trial by fire to find out
OY alternate diuretics...I drink 42 ounces of coffee to get my day started and that's CUTTING BACK for me. I'm the opposite of you; I've never seen any diuretic effect from caffeine. I'm SO anomalous that I sometimes have a couple cups to get a good night's sleep
If this trial doesn't work, I think I'll try a switch to a LOOP diuretic and at least work on a different area of the kidney for a couple decades.
But I remain hopeful that I can free myself from both the diuretics AND the antigout meds soon. Hope, Hope!
Except for the gout and perennially low serum sodium which causes no symptoms, I have never had problem one with hydrochlorothiazide. It's a superb drug and should be EVERYONE'S first defense against hypertension.