This can be very dangerous, and you need to see your doctor right away. Potassium Salts: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Edema: For the treatment of edema associated with congestive heart failure, cirrhosis of the liver and the nephrotic syndrome; also in steroid-induced edema, idiopathic edema and edema due to secondary hyperaldosteronism. zakhar.info meclizine
Reserve laxatives for constipation that doesn't improve after you've added fiber and water to your diet. You need it, but sometimes your body holds on to too much of it. This is water retention, and it causes puffiness and swelling. It can be triggered by many different things. Could it be your diet? Does not competitively inhibit aldosterone; activity is independent of aldosterone concentrations. UpToDate: “Patient information: Chronic venous disease Beyond the basics. May increase incidence of hypersensitivity reactions to allopurinol.
Administer orally once daily. May cause elevations in serum uric acid concentrations, especially in patients predisposed to gouty arthritis. Importance of informing clinicians of existing or contemplated concomitant therapy, including prescription and OTC drugs, as well as any concomitant illnesses.
Some MEDICINES MAY INTERACT with Maxzide. Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. If you start on the first day of your period, you do not need to use back-up birth control the first week.
Continued What About Laxatives? Oral: 10 to 40 mg 4 times a day. Advise patient to limit exposure to sun and to use sunscreen or wear protective clothing to avoid photosensitivity reaction. It is also used to decrease the amount of in urine, thereby reducing odor and irritation caused by high-ammonia urine. To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Wilson JR, Reichek N, Dunkman WB et al. Effect of diuresis on the performance of the failing left ventricle in man. Am J Med. Distributed into milk in animals and is likely to distribute into human milk. b Discontinue nursing or the drug. Blocks epithelial sodium channels in the late distal convoluted tubule DCT and collecting duct which inhibits sodium reabsorption from the lumen. Adverse events have not been observed in animal reproduction studies. Triamterene crosses the placenta and is found in cord blood. Use of triamterene to treat edema during normal pregnancies is not appropriate; use may be considered when edema is due to pathologic causes as in the nonpregnant patient; monitor. This product may increase your levels. Before using potassium or salt substitutes that contain potassium, consult your doctor or pharmacist. Serum potassium should be closely monitored during therapy with furosemide. Methylphenidate: May diminish the antihypertensive effect of Antihypertensive Agents. Use triamterene with caution in the ELDERLY; they may be more sensitive to its effects. Bornstein 2016; Inder 2015. Promotes increased diuresis in patients resistant or only partially responsive to thiazides or other diuretics because of secondary hyperaldosteronism.
This information should not be used to decide whether or not to take triamterene 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 triamterene. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to triamterene. 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 triamterene. Crosses the placenta and distributes into milk in animals. 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. DASH eating plan or a typical American diet. Results showed that reducing dietary sodium lowered blood pressure for both the DASH eating plan and the typical American diet. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. QuiNIDine: Potassium-Sparing Diuretics may diminish the therapeutic effect of QuiNIDine. Hospira. Dopamine hydrochloride prescribing information. Lake Forest, IL; 2014 Mar. Yohimbine: May diminish the antihypertensive effect of Antihypertensive Agents. 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. levothyroxine
Naftopidil: May enhance the hypotensive effect of Blood Pressure Lowering Agents. UpToDate: “Patient information: Low-sodium diet Beyond the basics. 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. Hypotension-Associated Agents: Blood Pressure Lowering Agents may enhance the hypotensive effect of Hypotension-Associated Agents. 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. Diabetes: Use with caution in patients with prediabetes or diabetes mellitus; may increase blood glucose concentrations and necessitate dosage adjustment of hypoglycemic agents. Weinberg MS, Quigg RJ, Salant DJ et al. Anuric renal failure precipitated by indomethacin and triamterene. Nephron. May be particularly useful in patients excreting excessive amounts of potassium especially those who cannot tolerate potassium supplements and for those in whom potassium loss could be detrimental, such as patients receiving digitalis glycosides or those with myasthenia gravis. Do not use for routine therapy in pregnant women with mild edema who are otherwise healthy. casodex canada review casodex
These products bind with phosphate, preventing its full absorption. Refer to the product package information for advice on missed doses. Lifestyle changes such as stress reduction programs, exercise, and dietary changes may increase the effectiveness of this medicine. Talk to your doctor or pharmacist about lifestyle changes that might benefit you. Twice-daily administration of the fixed combination of triamterene and hydrochlorothiazide may increase risk of electrolyte imbalance and renal dysfunction. Chen HH, Anstrom KJ, Givertz MM et al. Low-dose dopamine or low-dose nesiritide in acute heart failure with renal dysfunction: the ROSE acute heart failure randomized trial. JAMA. Tell your doctor if you develop any new symptoms. Triamterene has been found in renal stones; use drug with caution in patients with histories of stone formation. 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. Blurred vision; xanthopsia yellow vision. Administration of Dyazide with a high-fat meal in healthy adults increased the average bioavailabilities of triamterene, 6- p-hydroxytriamterene, and hydrochlorothiazide by about 67, 50, and 17%, respectively; increased the peak concentrations of triamterene and its p-hydroxy metabolite; and delayed absorption of the active drugs by up to 2 hours. cost valsartan walmart pharmacy
Potassium excretion usually reduced; serum concentrations of potassium and chloride are usually increased. Known hypersensitivity to triamterene or any ingredient in the formulation. 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. Use this medication regularly to get the most benefit from it. To help you remember, take it at the same times each day. It may harm an unborn baby. Discuss the risks and benefits with your doctor. Minor alterations of fluid and electrolyte balance may precipitate hepatic coma; use drug with caution. 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. 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. ACE inhibitors, angiotensin II receptor antagonists, calcium-channel blockers, thiazide diuretics are preferred for initial management.
Do not consider WebMD User-generated content 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. Some triamterene side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Severe impairment or progressive kidney disease: Use is contraindicated. This can affect the results of many laboratory tests. Make sure laboratory personnel and all your doctors know you use this medication. Keep all medical and lab appointments. Importance of taking drug after meals to help avoid stomach upset. Hyperkalemia has been associated with cardiac irregularities. b Obtain ECG if hyperkalemia present or suspected. b If ECG does not show widening of QRS or arrhythmia in the presence of hyperkalemia, usually sufficient to discontinue triamterene and any potassium supplementation and switch to a thiazide alone. b May administer sodium polystyrene sulfonate to enhance excretion of excess potassium. Ask your health care provider any questions you may have about how to use Maxzide. Maxzide has a sulfonamide called hydrochlorothiazide in it. Hydrochlorothiazide can cause certain eye problems myopia, angle-closure glaucoma. Your risk may be increased if you are allergic to sulfonamide medicines eg, sulfamethoxazole or to penicillin antibiotics eg, amoxicillin. Untreated angle-closure glaucoma can lead to permanent vision loss. If these eye problems occur, symptoms usually occur within hours to weeks of starting Maxzide. Contact your doctor right away if you experience symptoms such as vision changes eg, decreased vision clearness or eye pain. compra theophylline
Many medicines have water retention as a side effect. 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. Only references cited for selected revisions after 1984 are available electronically. History of triamterene-induced hyperkalemia. 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. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. May severely increase serum potassium levels, possibly resulting in cardiac arrhythmias or cardiac arrest. Monitor serum potassium closely if potassium is coadministered. May be taken after meals to decrease the risk of upset stomach. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip themissed dose. Take your next dose at the regular time. Cicci JD, Reed BN, McNeely EB et al. Acute decompensated heart failure: evolving literature and implications for future practice. Pharmacotherapy. Do not stop taking any medications without consulting your healthcare provider. Diarrhea; dizziness or light-headedness when standing or sitting up; headache; loss of appetite; nausea. Instruct diabetic patients to report increased levels of blood glucose. price inderal kaina inderal
Triamterene has not been studied in nursing mothers. Amifostine: Blood Pressure Lowering Agents may enhance the hypotensive effect of Amifostine. Management: When amifostine is used at chemotherapy doses, blood pressure lowering medications should be withheld for 24 hours prior to amifostine administration. If blood pressure lowering therapy cannot be withheld, amifostine should not be administered. This medication may affect your potassium levels. Before using potassium or salt substitutes that contain potassium, consult your doctor or pharmacist. Leukopenia; thrombocytopenia; agranulocytosis; aplastic or hypoplastic anemia; hemolytic anemia; megaloblastic anemia. PREGNANCY and BREAST-FEEDING: It is not known if triamterene can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using triamterene while you are pregnant. It is not known if this medicine is found in breast milk. Do not breast-feed while taking triamterene. carbamazepine
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Take this medication as prescribed. Do not increase your dose or take this more often without your doctor's approval. 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. Furosemide is extensively bound to plasma proteins, especially albumin; 91% to 99% in healthy individuals and is predominantly excreted unchanged in the urine. The elderly may experience decreased protein binding of furosemide and decreased renal function necessitating dosage adjustments in this population. cheap prinivil canada
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. This drug can cause mild nitrogen retention, which is reversible upon withdrawal of therapy, and is seldom observed with intermittent every-other-day therapy. This is a combination of 2 hormones: an ethinyl and a drospirenone. cost of phenergan single packs
Tell your doctor if you just had or will be having major surgery, or if you will be confined to a chair or bed for a long time such as a long plane flight. These conditions increase your risk of getting blood clots, especially if you are taking hormonal products. You may need to stop this medication for a time or take special precautions. Houston MC. Thiazides and thiazide-like diuretics in hypertension. Ann Intern Med. 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. prednisone
Patients who require hydrochlorothiazide and in whom hypokalemia cannot be risked may initiate therapy with Maxzide -25 mg 37. Contact your doctor if these problems occur. 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.