Thiadiazines are a class of heterocyclic compounds containing a five-membered ring with two nitrogen atoms and two sulfur atoms. In the context of pharmaceuticals, thiadiazine derivatives are commonly used as therapeutic agents, particularly in the treatment of various cardiovascular diseases.

The most well-known thiadiazine derivative is hydrochlorothiazide, which is a diuretic drug used to treat hypertension and edema associated with heart failure, liver cirrhosis, and kidney disease. Hydrochlorothiazide works by inhibiting the reabsorption of sodium and chloride ions in the distal convoluted tubule of the nephron, thereby increasing water excretion and reducing blood volume and pressure.

Other thiadiazine derivatives have been investigated for their potential therapeutic benefits, including anti-inflammatory, anticonvulsant, and antimicrobial activities. However, many of these compounds have not yet been approved for clinical use due to safety concerns or lack of efficacy.