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. Orthostatic or general hypotension, tachycardia, syncope, electrolyte abnormalities, potassium deficiency, vomiting, nausea, shock, weakness, confusion, dizziness, cramps of calf muscles, thirst, polyuria, anuria, lethargy. 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. fopo.info caverta
While you're having an issue with constipation, limit foods that are high in fat and low in fiber, like cheese and other dairy products, processed foods, and meat. They can make constipation worse. If you take cholestyramine or colestipol, ask your doctor or pharmacist how to take it with Maxzide. 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. 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.
Molsidomine: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Jaundice; liver enzyme abnormalities. Only references cited for selected revisions after 1984 are available electronically. Hyperkalemia can occur; patients at risk include those with renal impairment, diabetes, the elderly, and the severely ill. Serum potassium levels must be monitored at frequent intervals especially when dosages are changed or with any illness that may cause renal dysfunction. Importance of women informing clinicians if they are or plan to become pregnant or plan to breast-feed.
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. 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. 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.
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. 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. Raise your feet: Lie down with your feet above the level of your heart several times a day to move fluid out of your feet and ankles. Hyperglycemia; glycosuria; hyperuricemia; hyperkalemia; electrolyte imbalance; hypochloremia; hyponatremia. American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Circulation. Anuria, severe or progressive renal disease or dysfunction except possibly nephrosis acute or chronic renal insufficiency, substantial renal impairment.
Discuss the risks and benefits with your doctor. 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. 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. Older adults may be more sensitive to the effects of this drug, especially dizziness, or high blood potassium levels. 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. Severe allergic reactions rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; dry mouth; excessive thirst; slow or irregular heart rate; unusual muscle weakness; unusual tiredness; vomiting; yellowing of the skin or eyes. Abrupt discontinuance may result in rebound kaliuresis; taper dosage gradually. For an overall eating plan, consider the DASH eating plan. 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. 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. History of triamterene-induced hyperkalemia. Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Bertek. Maxzide and Maxzide -25 mg tablets prescribing information. Sugar Land, TX; 2002 Dec. May decrease effectiveness of thiazide. 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. novolog
Reductions in glomerular filtration observed during daily, but not intermittent, administration; suggests a reversible effect on renal blood flow. Ask your doctor if your meds may be the problem. If so, there may be something else you can take instead. Tell your doctor if your condition does not improve or if it worsens for example, your increase. 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. 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. Contact your doctor if these problems occur. 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. Continued What About Laxatives? Importance of informing patients of other important precautionary information. b c d See Cautions. Please refer to the for information on shortages of one or more of these preparations. Antihypertensive effects may be enhanced. Minor alterations of fluid and electrolyte balance may precipitate hepatic coma; use drug with caution. 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.
This can lessen symptoms such as shortness of breath or swelling in your or feet. Most people get enough potassium by eating a well-. Do not use as initial monotherapy in severe heart failure since bowel edema or intestinal hypoperfusion may delay absorption and subsequent therapeutic effect. Does not inhibit carbonic anhydrase. 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. Dyrenium should be gradual. Avoid use Aronoff 2007. buy cheap tricor visa otc
This drug may pass into milk. Consult your doctor before -feeding. Pholcodine: Blood Pressure Lowering Agents may enhance the hypotensive effect of Pholcodine. Advise patient to limit sodium intake for optimal drug effect. 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. Tell your doctor or dentist that you take Maxzide before you receive any medical or dental care, emergency care, or surgery. 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 pharmacist or local waste disposal company. Administration with food does not affect absorption of triamterene or hydrochlorothiazide from Maxzide tablets. If you also take certain drugs to lower your cholesterol bile acid-binding resins such as cholestyramine or colestipol take this product at least 4 hours before or at least 4 to 6 hours after these medications.
Tolvaptan: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Also, regularly. Moving your body will keep your bowels moving, too. An empty tablet or capsule shell may appear in your stool. Advise patient to limit exposure to sun and to use sunscreen or wear protective clothing to avoid photosensitivity reaction. 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. risperidone as good
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. If you have diabetes, this product may affect your blood sugar levels. Check your blood sugar levels regularly as directed by your doctor. Your doctor may need to adjust your diabetes medication, exercise program, or 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. Importance of taking drug after meals to help avoid stomach upset. Hypotension-Associated Agents: Blood Pressure Lowering Agents may enhance the hypotensive effect of Hypotension-Associated Agents. Enemas are sometimes used to relieve constipation, but they can have side effects. It's better to try diet changes and laxatives instead. In general, doctors do not recommend using or castor oil. Mineral oil can cause problems such as vitamin deficiencies, and castor oil can lead to long-term constipation. It may harm an unborn baby. Discuss the risks and benefits with your doctor. 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. Continued Could it be a heart problem? For the treatment of hypertension, twice a day dosing is recommended. Naftopidil: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Phosphodiesterase 5 Inhibitors: May enhance the hypotensive effect of Blood Pressure Lowering Agents. L hyponatremia, hypochloremia, and increases in BUN may occur. Triamterene has been found in renal stones; use drug with caution in patients with histories of stone formation. 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.
If you have any questions about triamterene, please talk with your doctor, pharmacist, or other health care provider. 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. 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 synergistic effects that may result in profound diuresis and serious electrolyte abnormalities. 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. 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. Spironolactone: Triamterene may enhance the hyperkalemic effect of Spironolactone. cyclosporin
Report prolonged or to your doctor. When triamterene is used in fixed combination with hydrochlorothiazide, consider the cautions, precautions, and contraindications associated with hydrochlorothiazide. If you miss a dose of Maxzide, 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. Your body is mostly water. Drink a lot of water when you take bulk laxatives. May cause elevations in serum uric acid concentrations, especially in patients predisposed to gouty arthritis. Tell your doctor when you start any new drug, and discuss whether you should use additional reliable birth control. Also tell your doctor if you have any new spotting or breakthrough bleeding, because these may be signs that your birth control is not working well. 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. Hospira. Dopamine hydrochloride and 5% dextrose injection prescribing information. Lake Forest, IL; 2014 May. Houston BA, Kalathiya RJ, Kim DA et al. Volume Overload in Heart Failure: An Evidence-Based Review of Strategies for Treatment and Prevention. Mayo Clin Proc. Twice-daily administration of the fixed combination of triamterene and hydrochlorothiazide may increase risk of electrolyte imbalance and renal dysfunction. Maximum recommended by manufacturer: 300 mg daily. 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. 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.
Diarrhea; headache; loss of appetite; nausea; weakness. UpToDate: “Patient information: Heart failure Beyond the basics. Barbiturates: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Distributed into milk in animals and is likely to distribute into human milk. b Discontinue nursing or the drug. If any of these effects persist or worsen, notify your doctor promptly. Nicorandil: May enhance the hypotensive effect of Blood Pressure Lowering Agents. buy protopic-ointment online shopping australia
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Dosage is based on your medical condition and response to treatment. If your symptoms do not improve or if they become worse, check with your doctor. 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. Do not share this medication with others.
May severely increase serum potassium levels, possibly resulting in cardiac arrhythmias or cardiac arrest. Monitor serum potassium closely if potassium is coadministered. AHFS Drug Information 2017. McEvoy GK, ed. Triamterene. It is also used to decrease the amount of in urine, thereby reducing odor and irritation caused by high-ammonia urine. Hypersensitivity to the drug or any of its components. This is a combination of 2 hormones: an ethinyl and a drospirenone.
Triamterene appears in animal milk and is likely present in human milk. American Heart Association Task Force on practice guidelines. Circulation. The key is to keep blood circulating. If you stand or sit all day, it's important to take time to move around. Could it be hormones? Tell your doctor if you do not get better or if you get worse. Do not prepare the mixture ahead of time. Drink a glass of cool water after each dose to make sure you swallow all the medication. Ask your pharmacist if you have questions about your brand.
Maxzide is to be used only by the patient for whom it is prescribed. Do not share it with other people. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. 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.