Check your regularly while taking this medication. Learn how to monitor your own pressure, and share the results with your doctor. For the management of fluid retention associated with heart failure, experts state that diuretics should be administered at a dosage sufficient to achieve optimal volume status and relieve congestion without inducing an excessively rapid reduction in intravascular volume, which could result in hypotension, renal dysfunction, or both. GFR or a depletion of the intravascular fluid volume. d May occur more frequently in patients receiving twice-daily dosing with fixed combination of triamterene and hydrochlorothiazide. order generic arcoxia visa canada
Ask your doctor or if you have any questions. Refer to adult dosing. In the management of hypertension, consider lower initial doses and titrate to response Aronow, 2011. It is also used to decrease the amount of in urine, thereby reducing odor and irritation caused by high-ammonia urine. Following cardiac surgery, a continuous infusion is as effective as intermittent boluses of furosemide. Total daily urine output and change in serum electrolyte levels were similar between the two methods of administration.
This medication passes into milk. Don't be embarrassed. A lot of Americans -- more than 4 million by some estimates -- deal with on a regular basis. Women are the most frequent sufferers. Here are a few effective constipation treatments.
Cicci JD, Reed BN, McNeely EB et al. Acute decompensated heart failure: evolving literature and implications for future practice. Pharmacotherapy. This product may cause your body to lose too much water and salt dehydration. 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. Take this by as directed by your doctor, with or without food, usually once daily. Pick a time of day that is easy for you to remember, and take your pill at the same time each day, 24 hours apart. May decrease hypoglycemic effect of sulfonylureas. May need to adjust dosage of sulfonylureas or insulin.
Tell your doctor if you do not get better or if you get worse. Onset of action is 2 to 4 hours after ingestion. Go AS, Bauman MA, Coleman King SM et al. An effective approach to high blood pressure control: a science advisory from the American Heart Association, the American College of Cardiology, and the Centers for Disease Control and Prevention. Hypertension. Research has shown that following a healthy eating plan can both reduce the risk of developing high blood pressure and lower an already elevated blood pressure. This is not a complete list of possible side effects. If you notice other side effects not listed above, contact your doctor or pharmacist. It may harm an unborn baby. Discuss the risks and benefits with your doctor. If any of these effects last or get worse, tell your doctor or promptly. Maxzide may cause dizziness, light-headedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects. Safety and efficacy have not been established. Tell your doctor if you develop any new symptoms.
Reducing the dose of this drug may be necessary in the presence of electrolyte imbalance and in geriatric patients. Please refer to the for information on shortages of one or more of these preparations. This helps your body get rid of extra water. Tell your doctor if your condition does not improve or if it worsens for example, your increase. Wilson JR, Reichek N, Dunkman WB et al. Effect of diuresis on the performance of the failing left ventricle in man. Am J Med. Use with caution in patients with impaired hepatic function. a Do not use in patients with severe hepatic disease. a Diuretic therapy in such patients should be initiated while the patient is hospitalized, because rapid alterations in fluid and electrolyte balance may precipitate hepatic coma. a Monitor serum potassium concentrations closely in patients with hepatic cirrhosis and administer potassium supplementation if required. a See Contraindications under Cautions. 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. celebrex
Some drugs may cause hormonal to work less well by decreasing the amount of hormones in your body. Angiotensin II Receptor Blockers: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Purpura; photosensitivity; rash; urticaria; necrotizing angiitis, vasculitis, cutaneous vasculitis; alopecia; exfoliative dermatitis; toxic epidermal necrolysis; erythema multiforme; Stevens-Johnson syndrome. It is not known whether this drug passes into milk. Consult your doctor before -feeding. Anorexia; gastric irritation; nausea; vomiting; abdominal pain or cramping; bloating; diarrhea; constipation; pancreatitis; sialadenitis; dry mouth. Oral bioavailabilities of triamterene and hydrochlorothiazide from Maxzide tablets are comparable to those of aqueous suspensions of the individual drugs. d The hydrochlorothiazide component of Maxzide tablets is bioequivalent to single-entity hydrochlorothiazide tablet formulations. Maxzide may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Maxzide. Contact your doctor if these problems occur. Patients who require hydrochlorothiazide and in whom hypokalemia cannot be risked may initiate therapy with Maxzide -25 mg 37. Hypersensitivity reactions: Isolated occurrences have been reported. Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. Discontinue potassium supplements when triamterene is added to existing diuretic therapy or when patients are switched to triamterene from other diuretics. Avoid use Aronoff 2007. Principles of Internal Medicine, 19 th edition, McGraw-Hill Education, 2015. If any of these effects persist or worsen, tell your doctor or promptly. Symptoms may include decreased or excessive urination; fainting; fever; flushed face; light-headedness, especially when standing; nausea; severe dizziness; vomiting; weakness. kuzen.info zithromax
May severely increase serum potassium levels, possibly resulting in cardiac arrhythmias or cardiac arrest. Monitor serum potassium closely if potassium is coadministered. Edema may develop during pregnancy due to comorbid pathology or the physiologic and mechanical consequences of pregnancy. b c d Diuretic therapy may be appropriate in the management of edema due to a pathologic cause manifesting during pregnancy. b c d However, dependent edema in pregnancy resulting from restriction of venous return by the gravid uterus may be treated by elevating the lower extremities and using support hose; diuretic therapy to lower intravascular volume is not appropriate in such cases. What really concerns me are the effects on A1c levels, potassium, kidneys -- I guess this is the lesser of the evils. Some MEDICINES MAY INTERACT with triamterene. Evaluate BUN and serum potassium concentrations regularly, especially in patients with suspected or confirmed renal insufficiency. b Monitor serum potassium concentrations closely in geriatric and diabetic patients. Nicorandil: May enhance the hypotensive effect of Blood Pressure Lowering Agents. LAB TESTS, including blood electrolytes, blood cell counts, kidney and liver function tests, blood uric acid levels, and blood pressure, may be performed while you use triamterene. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. Dosage is based on your medical condition and response to treatment. off brand of clomiphene
Hyperglycemia; glycosuria; hyperuricemia; hyperkalemia; electrolyte imbalance; hypochloremia; hyponatremia. Diuretic-induced hypokalemia and hypomagnesemia may precipitate digitalis-induced arrhythmias. WellSpring Pharmaceutical Corporation. Dyrenium triamterene capsules prescribing information. Neptune, NJ; 2001 June. Keep all medical and lab appointments. If your doctor recommends laxatives, ask what type is best for you, and for how long you should take them. Laxatives are best taken short-term only, because you don't want to start relying on them to go to the bathroom. Also ask how to ease off laxatives when you no longer need them. Stopping them too abruptly can affect your 's ability to contract. Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. 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. James PA, Oparil S, Carter BL et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee JNC 8. JAMA. This is a combination of 2 hormones: an ethinyl and a drospirenone. See your doctor for long-term constipation, because a medicine you're taking or a medical condition could be the cause. In that case, stopping the medicine or treating the problem should relieve your constipation. Take this medication regularly to get the most benefit from it. To help you remember, take it at the same times each day. The dosage is based on your medical condition and response to treatment. Do not increase your dose or take it more often than prescribed. Do not take more than 20 milliequivalents per dose. Because triamterene conserves potassium, it has been suggested that patients who have received intensive therapy or have been given the drug for prolonged periods may develop a rebound kaliuresis if such therapy is discontinued abruptly. b Discontinue drug gradually in such patients. ciprofloxacin philippines
May result in severely elevated serum potassium levels. Use triamterene as directed by your doctor. Check the label on the medicine for exact dosing instructions. This drug may make you dizzy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages. Known hypersensitivity to triamterene or any ingredient in the formulation. Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day. It is important to continue taking this medication even if you feel well. Most people with high blood pressure do not feel sick. RxList is part of the WebMD Health Network. The opinions expressed in the WebMD User Reviews are solely those of the User, who may or may not have medical or scientific training, and do not represent the opinions of WebMD. These member reviews have not been reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other purpose except for compliance with our Terms and Conditions. The dosage should be titrated to the needs of the individual patient. According to the National Digestive Diseases Information Clearinghouse, part of the National Institutes of Health, constipation is a condition in which you have fewer than three in a week, and your stools are hard, dry, and small, making them painful and difficult to pass. Some women naturally have a a few times a day, while others go just a few times a week. You don't need constipation treatments unless you're going to the bathroom a lot less often than usual. White, C. Obstetrics and Gynecology International, 2011. Gravity keeps lower in your body. That increases the pressure inside the blood vessels in your legs and feet and causes fluid to leak into those tissues. Hospira. Dopamine hydrochloride and 5% dextrose injection prescribing information. Lake Forest, IL; 2014 May. Interindividual variation in degree of absorption reported. Curr Opin Crit Care. Take this medication regularly in order to get the most benefit from it. To help you remember, take it at the same times each day.
QuiNIDine: Potassium-Sparing Diuretics may diminish the therapeutic effect of QuiNIDine. Your dosage is based on your condition and response to therapy. Severe allergic reactions rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; burning, numbness, or tingling; confusion; decreased urination; drowsiness; dry mouth; excessive thirst; eye pain; fainting; fast, slow, or irregular heartbeat; fever, chills, or sore throat; mental or mood changes; muscle cramps, pain, or weakness; red, swollen, blistered, or peeling skin; restlessness; seizures; severe or persistent dizziness; shortness or breath; sluggishness; stomach pain; symptoms of high blood sugar eg, increased thirst, hunger, or urination; drowsiness; flushing; rapid breathing; fruit-like breath odor; tiredness or weakness; tremor; unusual bruising or bleeding; vision changes eg, decreased vision clearness; vomiting; yellowing of the skin or eyes. UpToDate: “Patient Information” Edema swelling Beyond the basics. ACE inhibitors, angiotensin II receptor antagonists, calcium-channel blockers, thiazide diuretics are preferred for initial management. Could it be something else? Intended Use and Disclaimer: Should not be printed and given to patients. This information is intended to serve as a concise initial reference for health care professionals to use when discussing medications with a patient. You must ultimately rely on your own discretion, experience, and judgment in diagnosing, treating, and advising patients. Management of edema associated with heart failure, cirrhosis of the liver, or nephrotic syndrome. This may not be a complete list of all interactions that may occur. Ask your health care provider if Maxzide may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine. FL 34243 USA, By WellSpring Pharmaceutical Canada Corp. If this is the first time you are using this medication and you are not switching from another form of hormonal such as the patch, other take the first tablet in the pack on the first Sunday following the beginning of your menstrual period or on the first day of your period. If your period begins on a Sunday, begin taking this medication on that day. May cause a decreasing alkali reserve with the possibility of metabolic acidosis. If you miss a dose of triamterene, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. celebrex
May reduce thiazide absorption; give thiazide at least 2 h before sequestrant. Oral: If needed, repeat dose in 6 hours, after another 6 hours increase dose to 20 to 40 mg every 6 hours until an adequate diuresis. Maxzide may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Maxzide with caution. Lab tests, including liver, kidney, or lung function; blood pressure; blood electrolyte levels eg, potassium; and blood glucose levels, may be performed while you use Maxzide. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. Antihypertensive effects may be enhanced. People with chronic heart failure can have fluid buildup inside their lungs. Stachenfeld, N. Exercise and sport sciences reviews, 2008. Discuss the risks and benefits with your doctor. Some medical conditions may interact with Maxzide. When this medication is first started, there is a chance an old will be passed. The classifications below are a guideline only. The relevance of a particular drug interaction to a specific patient is difficult to determine using this tool alone given the large number of variables that may apply. price of atarax per pill
Hummel SL, Konerman MC. Dietary Sodium Restriction in Heart Failure: A Recommendation Worth its Salt? Use Maxzide with caution in the ELDERLY; they may be more sensitive to its effects, especially high blood potassium levels. Hypersensitivity to the drug or any of its components. Drospirenone may raise your level. Journal of the American Medical Association reports that many are underdiagnosed. Hypertension is clearly a major public health problem. Concurrent potassium supplementation, including potassium salts or potassium-containing salt substitutes. b See Interactions. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Brigatinib: May diminish the antihypertensive effect of Antihypertensive Agents. Brigatinib may enhance the bradycardic effect of Antihypertensive Agents. Used principally in patients with diuretic-induced hypokalemia or to prevent hypokalemia in patients receiving diuretics who are at risk of this adverse effect. Herbs Hypotensive Properties: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Continued What About Laxatives? is demadex in united states
Lederle Laboratories. Maxzide and Maxzide -25 MG tablets prescribing information. Pearl River, NY; 1988 May. Lately you've been feeling a little -- to put it delicately -- backed up. You're not "going" as often as you should, and you feel bloated and uncomfortable. Do not exceed 300 mg daily. Upton RA, Williams RL, Lin ET et al. Absence of a significant pharmacokinetic interaction between hydrochlorothiazide and triamterene when coadministered. J Pharmacokinet Biopharm. Excreted in breast milk. Only references cited for selected revisions after 1984 are available electronically. Increases excretion of sodium, calcium, magnesium, and bicarbonate. Advise patient to limit exposure to sun and to use sunscreen or wear protective clothing to avoid photosensitivity reaction. The maximum therapeutic effect may not be seen for several days. zithromax
Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. Triposkiadis FK, Butler J, Karayannis G et al. Efficacy and safety of high dose versus low dose furosemide with or without dopamine infusion: the Dopamine in Acute Decompensated Heart Failure II DAD-HF II trial. Int J Cardiol. Advise patient that drug may cause drowsiness and to use caution while driving or performing other tasks requiring mental alertness. Triamterene appears in animal milk and is likely present in human milk. 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. Importance of informing patients that if a single daily dose is prescribed, it may be preferable to take it in the morning to minimize the effect of increased frequency of urination on nighttime sleep. The DASH-Sodium study shows the importance of lowering sodium intake whatever your diet. But for a true winning combination, follow the DASH eating plan and lower your intake of salt and sodium. Maxzide is to be used only by the patient for whom it is prescribed. Do not share it with other people. There is no evidence that stone formation is increased in patients taking triamterene containing drugs. Routine use of diuretics, including triamterene, in otherwise healthy women exposes mother and fetus to unnecessary risk and is not generally indicated. b c d Diuretics do not prevent development of toxemia of pregnancy and do not appear to be beneficial in the treatment of toxemia. DULoxetine: Blood Pressure Lowering Agents may enhance the hypotensive effect of DULoxetine. This drug may make you dizzy. not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit beverages. National High Blood Pressure Education Program Working Group on Hypertension Control in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics.
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It is sparingly soluble in methanol. 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. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your or local waste disposal company. 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.
Tell patient to take drug with food or milk and to report GI symptoms. Swallow the capsules whole. If you have trouble swallowing the capsules, tell your doctor or pharmacist. Some brands may be opened and the contents sprinkled onto a spoonful of cool, soft food such as applesauce or pudding. Check with your pharmacist about how to dispose of unused medicine. Sherman LG, Liang CS, Baumgardner S et al. Piretanide, a potent diuretic with potassium-sparing properties, for the treatment of congestive heart failure. Clin Pharmacol Ther.
May cause mild nitrogen retention, which is reversible upon drug discontinuance; seldom observed with intermittent every-other-day therapy. Hypotension-Associated Agents: Blood Pressure Lowering Agents may enhance the hypotensive effect of Hypotension-Associated Agents. Barbiturates: May enhance the hypotensive effect of Blood Pressure Lowering Agents.
Do not stop taking this medication without consulting your doctor. Some conditions may become worse when this drug is suddenly stopped. Your dose may need to be gradually decreased. When triamterene is used in fixed combination with hydrochlorothiazide, consider the cautions, precautions, and contraindications associated with hydrochlorothiazide. Lormetazepam: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Maxzide is a diuretic water pill and is a combination of a potassium-sparing diuretic triamterene and a thiazide diuretic hydrochlorothiazide. It works by making the kidneys eliminate sodium salt and water from the body, which helps to lower blood pressure. The triamterene component helps minimize potassium loss.