May reduce thiazide absorption; give thiazide at least 2 h before sequestrant. Potassium-sparing diuretic; pteridine derivative. Call your doctor. In some cases, swelling calls for immediate medical help. Tell patient to take drug with food or milk and to report GI symptoms.
Here are a few effective constipation treatments. Oral bioavailabilities of triamterene and hydrochlorothiazide from Dyazide capsules are comparable to those of aqueous suspensions of the individual drugs, averaging 85 and 82%, respectively, for the fixed-dose formulation and 100 and 100%, respectively, for the suspensions. But swelling in the hands and face could be a sign of a dangerous blood pressure problem called preeclampsia.
If your symptoms do not improve or if they become worse, check with your doctor. Monitor BUN and S cr, especially in geriatric patients and those with suspected or confirmed hepatic or renal disease. WPC 003 for the 100-mg strength. Drospirenone may raise your level. galantamine store singapore
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. Kidney stones: Use with caution in patients with kidney stones. This medication may affect your potassium levels. Before using potassium supplements or salt substitutes that contain potassium, consult your doctor or pharmacist. Crosses the placenta and distributes into milk in animals. All medicines may cause side effects, but many people have no, or minor, side effects.
Patient may experience headache, diarrhea, dry mouth, nausea, or vomiting. Have patient report immediately to prescriber signs of liver problems dark urine, fatigue, lack of appetite, nausea, abdominal pain, light-colored stools, vomiting, or jaundice signs of kidney problems urinary retention, hematuria, change in amount of urine passed, or weight gain signs of fluid and electrolyte problems mood changes, confusion, muscle pain or weakness, abnormal heartbeat, severe dizziness, passing out, tachycardia, increased thirst, seizures, loss of strength and energy, lack of appetite, urinary retention or change in amount of urine passed, dry mouth, dry eyes, or nausea or vomiting bruising, bleeding, chills, pharyngitis, or severe loss in strength and energy HCAHPS. Bornstein 2016; Inder 2015. An empty tablet or capsule shell may appear in your stool. Cardiac Glycosides: Potassium-Sparing Diuretics may diminish the therapeutic effect of Cardiac Glycosides. In particular, the inotropic effects of digoxin appear to be diminished. Potassium-Sparing Diuretics may increase the serum concentration of Cardiac Glycosides. This particular effect may be unique to Spironolactone. If any of these effects persist or worsen, notify your doctor promptly. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the substances you are taking, check with your doctor, nurse, or pharmacist. Maximum recommended by manufacturer: 300 mg daily. Indomethacin: May enhance the nephrotoxic effect of Triamterene. Management: Consider alternatives to concomitant treatment with triamterene and indomethacin. If the combination cannot be avoided, monitor for development of renal failure. Acts directly on the distal renal tubule of the nephron to depress aldosterone-stimulated reabsorption of sodium and excretion of potassium and hydrogen at that site. Drospirenone: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Diazoxide: May enhance the hypotensive effect of Blood Pressure Lowering Agents.
Some patients resistant to triamterene monotherapy may respond to such combined therapy. Obinutuzumab: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Management: Consider temporarily withholding blood pressure lowering medications beginning 12 hours prior to obinutuzumab infusion and continuing until 1 hour after the end of the infusion. Abrupt discontinuation: In patients who have received triamterene for prolonged periods of time, a hypothetical risk of rebound kaliuresis may occur when abruptly discontinued; withdraw triamterene gradually in these patients. 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. UpToDate: “Patient information: Chronic venous disease Beyond the basics. Used in fixed combination with hydrochlorothiazide for treatment of edema 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. Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Drink a lot of water when you take bulk laxatives. There is no evidence that stone formation is increased in patients taking triamterene containing drugs. The Captopril-Digoxin Multicenter Research Group. Comparative effects of therapy with captopril and digoxin in patients with mild to moderate heart failure. JAMA. Capsules: Administer orally twice daily after meals. This helps control the amount of in the body and urine. It works by making the urine more acidic. 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. Store Maxzide at room temperature, between 68 and 77 degrees F 20 and 25 degrees C. Brief storage at temperatures between 59 and 86 degrees F 15 and 30 degrees C is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Maxzide out of the reach of children and away from pets. tindamax
This is not a complete list of possible side effects. If you notice other side effects not listed above, contact your doctor or pharmacist. Symptoms may include decreased or excessive urination; fainting; fever; flushed face; light-headedness, especially when standing; nausea; severe dizziness; vomiting; weakness. Use Maxzide with caution in the ELDERLY; they may be more sensitive to its effects, especially high blood potassium levels. Nicergoline: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Heparin Low Molecular Weight: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Management: Monitor serum potassium concentrations closely. The spironolactone Canadian product monograph lists its combination with heparin or low molecular weight heparins as contraindicated. 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. 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. For an overall eating plan, consider the DASH eating plan. Treating fluid retention edema and high blood pressure in certain patients. It may be used alone or with other medicines. It may also be used to treat other conditions as determined by your doctor. order crixivan crixivan
Such concomitant therapy may be associated with rapid increases in serum potassium concentrations. c Monitor serum potassium concentrations frequently if potassium supplementation is used, especially in patients receiving digitalis or with a history of cardiac arrhythmias. c See Interactions. Reduced clearance and increased risk of hyperkalemia; monitor serum potassium concentrations frequently. b c d See Hyperkalemia under Cautions. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. This can be very dangerous, and you need to see your doctor right away. Use triamterene with caution in the ELDERLY; they may be more sensitive to its effects. To lower your risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. 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. This can affect the results of many laboratory tests. Make sure laboratory personnel and all your doctors know you use this medication. If increasing azotemia and oliguria occur during treatment of severe progressive renal disease, furosemide should be discontinued. UpToDate: “Patient information: Low-sodium diet Beyond the basics.
Maxzide may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Maxzide with caution. National Heart, Lung, and Blood Institute National High Blood Pressure Education Program. The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure JNC 7. Bethesda, MD: National Institutes of Health; 2004 Aug. NIH publication No. 04-5230. Advise patient that drug may cause drowsiness and to use caution while driving or performing other tasks requiring mental alertness. Tell your doctor if you develop any new symptoms. It is sparingly soluble in methanol. The manufacturer states there is no clinical experience to date with dosages of fixed-combination Maxzide or Maxzide -25 mg exceeding 75 mg of triamterene and 50 mg of hydrochlorothiazide daily. It is unknown if triamterene passes into breast milk. Hydrochlorothiazide passes into breast milk, but is unlikely to harm a nursing infant. Consult your doctor before breast-feeding. This drug may pass into milk. Consult your doctor before -feeding. generic toprol purchase online shopping toprol
It is also used to decrease the amount of in urine, thereby reducing odor and irritation caused by high-ammonia urine. Spironolactone: Triamterene may enhance the hyperkalemic effect of Spironolactone. May result in severely elevated serum potassium levels. 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. Dofetilide: Triamterene may increase the serum concentration of Dofetilide. Do not consider Second Opinion as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately. Yancy CW. The Uncertainty of Sodium Restriction in Heart Failure: We Can Do Better Than This. JACC Heart Fail. This medication may cause blotchy, dark areas on your face and skin melasma. Sunlight may worsen this effect. Limit your time in the sun. Avoid tanning booths and sunlamps. Use and wear protective clothing when outdoors. generic promethazine purchase store otc
Unlike other laxatives, you can take these every day, because they're essentially just fiber that make the stool bigger and softer. This medication may increase your levels. Before using potassium or salt substitutes that contain potassium, consult your doctor or pharmacist. Anuria, severe or progressive renal disease or dysfunction except possibly nephrosis acute or chronic renal insufficiency, substantial renal impairment. Gupta D, Georgiopoulou VV, Kalogeropoulos AP et al. Dietary sodium intake in heart failure. Circulation. Favre L, Glasson P, Vallotton MB. Reversible acute renal failure from combined triamterene and indomethacin. Ann Intern Med. The top number, which is the systolic blood pressure, corresponds to the pressure in the arteries as the heart contracts and pumps blood into the arteries. The bottom number, the diastolic pressure, represents the pressure in the arteries as the heart relaxes after the contraction. The diastolic pressure reflects the lowest pressure to which the arteries are exposed. Take this by as directed by your doctor, usually once daily in the morning with or without food. It is best to avoid taking this medication within 4 hours of your to prevent having to get up to urinate. If your doctor has recommended that you follow a special diet, it is very important to follow the diet to get the most benefit from this medication and prevent serious side effects. Dizziness, lightheadedness, headache, or upset stomach may occur as your body adjusts to the medication. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
Patients receiving 25 mg of hydrochlorothiazide who become hypokalemic may be switched to Maxzide -25 mg 37. This medication should not be used if you have certain medical conditions. Presence of widened QRS complex or arrhythmia in association with hyperkalemia requires prompt additional therapy. b For tachyarrhythmia, infuse 44 mEq of sodium bicarbonate or 10 mL of 10% calcium gluconate or calcium chloride over several minutes. b For asystole, bradycardia, or AV block, transvenous pacing also is recommended. b The effect of calcium and sodium bicarbonate is transient and repeated administration may be required. b When indicated by the clinical situation, excess potassium may be removed by dialysis or oral or rectal administration of sodium polystyrene sulfonate. b Infusion of glucose and insulin has also been used to treat hyperkalemia. This medication may make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear protective clothing when outdoors. Regardless of what constipation treatment you use, give yourself enough time to sit on the toilet when you need to go. Holding in the urge can make your constipation worse. Set aside a regular time of the day when you know you'll be left undisturbed for several minutes. PubMedHealth: “Causes and signs of edema. Some drugs may cause hormonal to work less well by decreasing the amount of hormones in your body. Your condition will not improve any faster, and your risk of side effects will increase. Take Maxzide by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation. The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Discontinue potassium supplements when triamterene is added to existing diuretic therapy or when patients are switched to triamterene from other diuretics. 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 alcoholic beverages. generic gemfibrozil order store canada
Advise patient to limit sodium intake for optimal drug effect. Importance of informing patients that if a dose is missed, the patient should take only the prescribed dose at the next dosing interval. This causes swelling in your lower legs. 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. Maxzide is to be used only by the patient for whom it is prescribed. Do not share it with other people. Some triamterene side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. Tacrolimus Systemic: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of Tacrolimus Systemic. Naftopidil: May enhance the hypotensive effect of Blood Pressure Lowering Agents. ases.info casodex
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Angiotensin II Receptor Blockers: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. May occur in patients with or without history of allergy or bronchial asthma; cross-sensitivity with sulfonamides may also occur. ACE Inhibitors: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of ACE Inhibitors. Heparin: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Management: Monitor serum potassium concentrations closely. The spironolactone Canadian product monograph lists its combination with heparin or low molecular weight heparins as contraindicated. Gout: May cause elevation in uric acid. lamotrigine
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. Some MEDICINES MAY INTERACT with Maxzide. Excreted in urine, primarily as 6- p-hydroxytriamterene. 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.
If you have any questions about triamterene, please talk with your doctor, pharmacist, or other health care provider. Bathrm trips every 3 hours--hard to sleep. When I began taking it used just half for a full day -- to ease my system into it. When that seemed ok, took whole pill --mostly dehydrated and the effects of that. Dosage is based on your medical condition and response to treatment. The dosage should be titrated to the needs of the individual patient. Reductions in glomerular filtration observed during daily, but not intermittent, administration; suggests a reversible effect on renal blood flow. buy ketoconazole leeds
This may not be a complete list of all interactions that may occur. Ask your health care provider if triamterene 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. Trayes, K. American Family Physician, July 2013. Do not share this medication with others. olanzapine