Advise patient that drug may cause drowsiness and to use caution while driving or performing other tasks requiring mental alertness. ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension ESH and of the European Society of Cardiology ESC. J Hypertens. America Society of Clinical Oncology: “Lymphedema. Monitor BUN and S cr, especially in geriatric patients and those with suspected or confirmed hepatic or renal disease. Tell your doctor if your condition does not improve or if it worsens for example, your increase. canadian pharmacy generic prograf
Purpura; photosensitivity; rash; urticaria; necrotizing angiitis, vasculitis, cutaneous vasculitis; alopecia; exfoliative dermatitis; toxic epidermal necrolysis; erythema multiforme; Stevens-Johnson syndrome. Gupta D, Georgiopoulou VV, Kalogeropoulos AP et al. Dietary sodium intake in heart failure. Circulation. Maxzide may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Maxzide with caution.
Tell your doctor if your condition does not improve or if it worsens for example, your blood pressure readings increase. UpToDate: “Patient Information” Edema swelling Beyond the basics. Weber MA, Schiffrin EL, White WB et al. Clinical practice guidelines for the management of hypertension in the community: a statement by the American Society of Hypertension and the International Society of Hypertension. J Clin Hypertens Greenwich. Maxzide should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed. If increasing azotemia and oliguria occur during treatment of severe progressive renal disease, furosemide should be discontinued. order cefuroxime usage
When administering this drug with another diuretic, the doses of both drugs should be reduced. Has been reported in renal calculi associated with usual calculus components. b c d Manufacturers state that triamterene may be used with caution in patients with histories of renal calculi; b c d however, some clinicians recommend that the drug not be used in these patients because of the risk of triamterene nephrolithiasis. Angiotensin II Receptor Blockers: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Brimonidine Topical: May enhance the hypotensive effect of Blood Pressure Lowering Agents. pletal
Potassium supplements: Avoid potassium supplements, potassium-containing salt substitutes, a diet rich in potassium, or other drugs that can cause hyperkalemia. And on the subject of diet, water is important for preventing constipation, too. Try to drink at least 8 glasses of water a day. If you take cholestyramine or colestipol, ask your doctor or pharmacist how to take it with Maxzide. Take this medication as prescribed. Do not increase your dose or take this more often without your doctor's approval. This information should not be used to decide whether or not to take Maxzide or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Maxzide. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Maxzide. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using Maxzide. Older adults may be more sensitive to the side effects of this drug, especially high potassium blood levels. The maximum therapeutic effect may not be seen for several days. May diminish anticoagulant effects. This drug is used in people who cannot get enough phosphorus from their diets. Phosphorus is a natural body mineral that is needed for the body to work normally. It is needed for building and keeping strong bones. It also helps control the amount of in the body and urine. ACE Inhibitors: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of ACE Inhibitors. Eat a well-. Foods high in potassium include bananas, oranges, cantaloupe, raisins, dates, prunes, avocados, apricots, beans, broccoli, spinach, potatoes, lentils, chicken, turkey, beef, and yogurt. Consult your doctor or dietician for recommended foods. American Heart Association Task Force on practice guidelines. Circulation. Advise patient to limit exposure to sun and to use sunscreen or wear protective clothing to avoid photosensitivity reaction. Monitor serum potassium concentrations following changes in dosage or with concurrent illness or drug therapy. b d See Hyperkalemia under Cautions and also see Interactions.
Excreted in urine, primarily as 6- p-hydroxytriamterene. Weinberg MS, Quigg RJ, Salant DJ et al. Anuric renal failure precipitated by indomethacin and triamterene. Nephron. Some MEDICINES MAY INTERACT with triamterene. Potassium loss has been reported during triamterene therapy in some patients with hepatic cirrhosis and may result in signs and symptoms of hepatic coma or precoma. Used in fixed combination with hydrochlorothiazide for treatment of hypertension in patients who require a thiazide diuretic and in whom the development of hypokalemia cannot be risked and in patients who develop hypokalemia during hydrochlorothiazide monotherapy. Also, don't ignore the problem. Untreated constipation can lead to real problems, such as and tears in the around the called fissures that make you bleed. If you strain too hard, you might even cause part of your intestines to push out through the anus -- a condition called rectal prolapse that can sometimes require surgery. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Initial: 20 to 80 mg per dose. Importance of informing patients that if a dose is missed, the patient should take only the prescribed dose at the next dosing interval. GlaxoSmithKline. Dyazide capsules prescribing information. Philadelphia, PA; 1999 Feb. coversyl
Levodopa: Blood Pressure Lowering Agents may enhance the hypotensive effect of Levodopa. Store triamterene at room temperature, between 59 and 86 degrees F 15 and 30 degrees C in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep triamterene out of the reach of children and away from pets. Drospirenone may raise your level. Its molecular weight is 253. Diarrhea; headache; loss of appetite; nausea; weakness. How often did hospital staff describe possible side effects in a way you could understand? Molsidomine: May enhance the hypotensive effect of Blood Pressure Lowering Agents. DULoxetine: Blood Pressure Lowering Agents may enhance the hypotensive effect of DULoxetine. Risk of electrolyte imbalance and renal dysfunction may be increased when triamterene 75 mg daily with hydrochlorothiazide 50 mg daily is administered in 2 divided doses rather than 1 daily dose. xems.info prometrium
Phosphodiesterase 5 Inhibitors: May enhance the hypotensive effect of Blood Pressure Lowering Agents. America Society of Clinical Oncology: “Fluid Retention or Edema. Oral: 10 to 40 mg 4 times a day. Increases excretion of sodium, calcium, magnesium, and bicarbonate. Administer orally once daily. It is also used to decrease the amount of in urine, thereby reducing odor and irritation caused by high-ammonia urine. Hospira. Dopamine hydrochloride prescribing information. Lake Forest, IL; 2014 Mar. Do not crush, chew, or suck extended-release capsules or tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split extended-release tablets unless they have a score line and your doctor or tells you to do so. Swallow the whole or split tablet without crushing or chewing. Triamterene can lead to profound diuresis with fluid and electrolyte loss; close medical supervision and dose evaluation are required. Patients with heart failure, renal disease, or cirrhosis may be particularly susceptible to fluid and electrolyte abnormalities. Watch for and correct electrolyte disturbances; adjust dose to avoid dehydration. Maximum recommended by manufacturer: 300 mg daily. Diazoxide: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal. buy online florinef pharmacy
Food and Drug Administration. WebMD does not endorse any specific product, service or treatment. Anorexia; gastric irritation; nausea; vomiting; abdominal pain or cramping; bloating; diarrhea; constipation; pancreatitis; sialadenitis; dry mouth. Take medication: Your doctor may prescribe a diuretic, or water pill. These help your body get rid of extra sodium and fluid through peeing. Bornstein 2016; Inder 2015. Diabetes patients - Maxzide may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine. Follow the package instructions to find the first tablet, start with the first tablet in the pack, and take them in the correct order. Do not skip any doses. is more likely if you miss pills, start a new pack late, or take your pill at a different time of the day than usual. Naftopidil: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Herbs Hypertensive Properties: May diminish the antihypertensive effect of Antihypertensive Agents. Richardson A, Bayliss J, Scriven AJ et al. Double-blind comparison of captopril alone against frusemide plus amiloride in mild heart failure. Lancet. Nicorandil: May enhance the hypotensive effect of Blood Pressure Lowering Agents. ACE inhibitors, angiotensin II receptor antagonists, calcium-channel blockers, thiazide diuretics are preferred for initial management. Triamterene appears in animal milk and is likely present in human milk. Nonsteroidal Anti-Inflammatory Agents: May diminish the antihypertensive effect of Potassium-Sparing Diuretics. Nonsteroidal Anti-Inflammatory Agents may enhance the hyperkalemic effect of Potassium-Sparing Diuretics. danocrine
IM or IV: Note: Significant absorption within Extracorporeal Membrane Oxygenation ECMO circuit; avoid administration directly into circuit; high doses may be required for adequate diuretic effect. Electrolyte imbalance may worsen or develop during diuretic therapy, including triamterene. b Risk of electrolyte imbalance is increased in patients with heart failure, renal disease, or cirrhosis. b Full-dose diuretic therapy in patients on restricted salt intake may cause a low-salt syndrome. It is not known whether this drug passes into milk. Consult your doctor before -feeding. Before using this medication, tell your doctor or pharmacist your medical history, especially of: diabetes, gout, high level of potassium in the blood, kidney disease including kidney stones liver disease, lupus. Tell your doctor if you develop any new symptoms. National Heart, Lung, and Blood Institute National High Blood Pressure Education Program. The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure JNC VI. Bethesda, MD: National Institutes of Health. NIH publication No. 98-4080. Report prolonged or to your doctor. Many medicines have water retention as a side effect. This medication may make you more sensitive to the sun. Limit your time in the sun. Avoid tanning booths and sunlamps. Use and wear protective clothing when outdoors. Careful etiologic diagnosis should precede the use of any diuretic. Tolvaptan: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics.
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The dosage is based on your medical condition and response to treatment. Importance of informing clinicians of existing or contemplated concomitant therapy, including prescription and OTC drugs, as well as any concomitant illnesses. This is not a complete list of possible side effects. Triamterene has not been studied in nursing mothers. varenicline buy online us
Drospirenone: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Patterson JH, Adams KF Jr, Applefeld MM et al. Oral torsemide in patients with chronic congestive heart failure: effects on body weight, edema, and electrolyte excretion. Pharmacotherapy. This helps your body get rid of extra water. procardia
Patients with cirrhosis and splenomegaly may have marked hematologic abnormalities; these patients should have periodic blood studies and be observed for exacerbations of underlying liver disease. Curr Opin Crit Care. When this drug is used concomitantly with another diuretic or antihypertensive agent, the total daily dose of each agent should be lowered initially and then adjusted according to patient need. Nitroprusside: Blood Pressure Lowering Agents may enhance the hypotensive effect of Nitroprusside.
Check your blood pressure regularly while taking this medication. Learn how to monitor your own blood pressure, and share the results with your doctor. Cicci JD, Reed BN, McNeely EB et al. Acute decompensated heart failure: evolving literature and implications for future practice. Pharmacotherapy. Sodium Phosphates: Diuretics may enhance the nephrotoxic effect of Sodium Phosphates. Specifically, the risk of acute phosphate nephropathy may be enhanced. Management: Consider avoiding this combination by temporarily suspending treatment with diuretics, or seeking alternatives to oral sodium phosphate bowel preparation. If the combination cannot be avoided, hydrate adequately and monitor fluid and renal status. purchase generic zestoretic store