Indapamide is used to control hypertension in patients who have CHF with overt signs of oedema. A serious side-effect of this drugs is hypokalaemia, as with other loop and thiazide diuretics. There have been several reports of indapamide-induced hypertensive crisis which further limits its use. What's the pathophysiological mechanism behind this? How can an antihypertensive agent induce hypertensive crisis?
Between January 2004 and October 2012, 13 individuals taking indapamide reported hypertensive crisis to the FDA. (source FactMed)