This combination is used by people who have developed or are at risk for having levels on hydrochlorothiazide. It causes you to make more urine, which helps your body get rid of extra salt and water. UpToDate: “Patient information: Low-sodium diet Beyond the basics. 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. Do not start, stop, or change the dosage of any medicines without your doctor's approval. buy insulin compendium
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. 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.
This medication should not be used if you have certain medical conditions. Trayes, K. American Family Physician, July 2013. ATPase, leading to potassium retention and decreased calcium, magnesium, and hydrogen excretion.
All medicines may cause side effects, but many people have no, or minor, side effects. Hypervolemia and associated edema, including generalized edema, occurs in the majority of pregnant women and is not harmful to fetus or mother. b c d Increased recumbency will generally provide relief; however, edema may cause extreme discomfort which is not relieved by rest. b c d Rarely, in such cases, a short course of diuretic therapy may be appropriate to provide relief. Reducing the dose of this drug may be necessary in the presence of electrolyte imbalance and in geriatric patients. 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.
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. Reduced clearance and increased risk of hyperkalemia; monitor serum potassium concentrations frequently. b c d See Hyperkalemia under Cautions. 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 not feel sick. Report prolonged or to your doctor. 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. Kidney stones: Use with caution in patients with kidney stones.
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. Check your pressure regularly and tell your doctor if the results are high. UpToDate: “Patient Information” Edema swelling Beyond the basics. Administration with food does not affect absorption of triamterene or hydrochlorothiazide from Maxzide tablets. 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. Instruct patient to take medication early in day to avoid diuretic effect at night. May severely increase serum potassium levels, possibly resulting in cardiac arrhythmias or cardiac arrest. Monitor serum potassium closely if potassium is coadministered. labetalol
Hospira. Dopamine hydrochloride and 5% dextrose injection prescribing information. Lake Forest, IL; 2014 May. This drug is used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is a combination of two "water pills" diuretics: triamterene and hydrochlorothiazide. This combination is used by people who have developed or are at risk for having low potassium levels on hydrochlorothiazide. It causes you to make more urine, which helps your body get rid of extra salt and water. Maximum 300 mg daily. Hypersensitivity to the drug or any of its components. Abrupt discontinuance may result in rebound kaliuresis; taper dosage gradually. Primarily metabolized to 6- p-hydroxytriamterene and its sulfate conjugate. brand name of condylox in india condylox
May cause synergistic effects that may result in profound diuresis and serious electrolyte abnormalities. Pentoxifylline: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Store at room temperature between 59-86 degrees F 15-30 degrees C away from heat, light, and moisture. not store in the bathroom. Keep all medicines away from children and pets. May decrease hypoglycemic effect of sulfonylureas. May need to adjust dosage of sulfonylureas or insulin. 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. National Heart, Lung, and Blood Institute. CycloSPORINE Systemic: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of CycloSPORINE Systemic. 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. Take medication: Your doctor may prescribe a diuretic, or water pill. These help your body get rid of extra sodium and fluid through peeing. 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. UpToDate: “Patient information: Heart failure Beyond the basics. Herbs Hypertensive Properties: May diminish the antihypertensive effect of Antihypertensive Agents. Methylphenidate: May diminish the antihypertensive effect of Antihypertensive Agents. purchase now cheapest zyprexa payment
Wilson JR, Reichek N, Dunkman WB et al. Effect of diuresis on the performance of the failing left ventricle in man. Am J Med. If you have any questions about Maxzide, please talk with your doctor, pharmacist, or other health care provider. Special stockings or socks gently squeeze your lower legs to help keep your blood circulating. 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. Amphetamines: May diminish the antihypertensive effect of Antihypertensive Agents. UpToDate: “Patient information: Cirrhosis Beyond the basics. For an overall eating plan, consider the DASH eating plan. 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. L hyponatremia, hypochloremia, and increases in BUN may occur. Instruct diabetic patients to report increased levels of blood glucose. 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. Doses greater than 200 mg are rarely needed for treatment of edema. American Heart Association Task Force on practice guidelines. Circulation. Bornstein 2016; Inder 2015.
Excreted in breast milk. Does not competitively inhibit aldosterone; activity is independent of aldosterone concentrations. Continued What About Laxatives? Cicci JD, Reed BN, McNeely EB et al. Acute decompensated heart failure: evolving literature and implications for future practice. Pharmacotherapy. Crosses the placenta and distributes into milk in animals. Initially, 100 mg twice daily after meals. b After edema is controlled, usual maintenance dosage is 100 mg daily or every other day. a Do not exceed 300 mg daily. 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. Maxzide may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Maxzide with caution. 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. The opinions expressed in WebMD Second Opinion 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 Second Opinion 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. May reduce thiazide absorption; give thiazide at least 2 h before sequestrant. 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. Severe impairment or progressive kidney disease: Use is contraindicated. Some MEDICINES MAY INTERACT with triamterene. buy reminyl online international
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. 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. No specific dosage recommendations for hepatic impairment; caution if using fixed combination with hydrochlorothiazide because of risk of precipitating hepatic coma. c d See Contraindications under Cautions. 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. 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. Take this medication as prescribed. Do not increase your dose or take this more often without your doctor's approval. 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. 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. Monitor serum electrolytes regularly. 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. When administering this drug with another diuretic, the doses of both drugs should be reduced. Take this by as directed by your doctor, usually once or twice a day after a meal. ipow.info periactin
Hypotension-Associated Agents: Blood Pressure Lowering Agents may enhance the hypotensive effect of Hypotension-Associated Agents. Some MEDICINES MAY INTERACT with Maxzide. Diuretics. Analgesics Opioid may diminish the therapeutic effect of Diuretics. Pholcodine: Blood Pressure Lowering Agents may enhance the hypotensive effect of Pholcodine. This helps your body get rid of extra water. 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. May precipitate azotemia or hypermagnesemia; use drug with caution. 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. May increase incidence of hypersensitivity reactions to allopurinol. Ask your doctor if your meds may be the problem. If so, there may be something else you can take instead. 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. 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. 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. If you take cholestyramine or colestipol, ask your doctor or pharmacist how to take it with Maxzide. 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. nexium
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. 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. How often did hospital staff describe possible side effects in a way you could understand? Triamterene should not be used in CHILDREN; safety and effectiveness in children have not been confirmed. Use with caution; increased risk of hyperkalemia. b Monitor serum potassium concentrations closely. b Do not use in patients with renal impairment and elevated serum potassium; discontinue in patients who develop hyperkalemia while on the drug. b See Contraindications under Cautions and also see Hyperkalemia under Cautions.
Drospirenone: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Back to taking 2 halves a day --every 12 hours --so I sleep without interruption! If any of these effects last or get worse, tell your doctor or promptly. Your body is mostly water. Spironolactone: Triamterene may enhance the hyperkalemic effect of Spironolactone. ACE inhibitors, angiotensin II receptor antagonists, calcium-channel blockers, thiazide diuretics are preferred for initial management. Hummel SL, Konerman MC. Dietary Sodium Restriction in Heart Failure: A Recommendation Worth its Salt? Promotes increased diuresis in patients resistant or only partially responsive to thiazides or other diuretics because of secondary hyperaldosteronism. kemadrin discount canada
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Warning signs of hyperkalemia include paresthesias, muscular weakness, fatigue, flaccid paralysis of the extremities, bradycardia, and shock. 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. order cheap curacne visa
Impotence; reduced libido; interstitial nephritis; azotemia; elevated BUN and creatinine. Jaundice; liver enzyme abnormalities. Potassium excretion usually reduced; serum concentrations of potassium and chloride are usually increased. coversyl
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. Careful etiologic diagnosis should precede the use of any diuretic. Consult your doctor before breast-feeding. This helps control the amount of in the body and urine. It works by making the urine more acidic.
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. 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. FL 34243 USA, By WellSpring Pharmaceutical Canada Corp.