Sitting or standing too long can cause your tissue to hold water. If your job keeps you on your feet, you may notice swollen legs and ankles at the end of the day. Barbiturates: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Ammonium Chloride. Specifically the risk of systemic acidosis.
Patients who require hydrochlorothiazide and in whom hypokalemia cannot be risked may initiate therapy with Maxzide -25 mg 37. Impotence; reduced libido; interstitial nephritis; azotemia; elevated BUN and creatinine. 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. Study results indicated that elevated blood pressures were reduced by an eating plan that emphasizes fruits, vegetables, and lowfat dairy foods and is low in saturated fat, total fat, and cholesterol. The DASH eating plan includes whole grains, poultry, fish, and nuts and has reduced amounts of fats, red meats, sweets, and sugared beverages.
If any of these effects persist or worsen, notify your doctor promptly. Lormetazepam: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Anuria, severe or progressive renal disease or dysfunction except possibly nephrosis acute or chronic renal insufficiency, substantial renal impairment.
Triamterene is to be used only by the patient for whom it is prescribed. Do not share it with other people. Tell your doctor if you develop any new symptoms. May occur in patients with or without history of allergy or bronchial asthma; cross-sensitivity with sulfonamides may also occur.
Take medication: Your doctor may prescribe a diuretic, or water pill. These help your body get rid of extra sodium and fluid through peeing. May affect total serum cholesterol, total triglycerides, and LDL in some patients. 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. 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 not a complete list of possible side effects. Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. 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. 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. Nonsteroidal Anti-Inflammatory Agents: May diminish the antihypertensive effect of Potassium-Sparing Diuretics. Nonsteroidal Anti-Inflammatory Agents may enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Severe hepatic disease: Use is contraindicated. Anorexia; gastric irritation; nausea; vomiting; abdominal pain or cramping; bloating; diarrhea; constipation; pancreatitis; sialadenitis; dry mouth. Molsidomine: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Triamterene appears in animal milk and is likely present in human milk. Discuss specific use of drug and side effects with patient as it relates to treatment. HCAHPS: During this hospital stay, were you given any medicine that you had not taken before? 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.
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. Avoid use of potassium-sparing diuretics in severely ill patients in whom respiratory or metabolic acidosis may occur; acidosis may result in rapid increases in serum potassium concentrations. c d Perform frequent assessments of acid-base balance and serum electrolytes. This is a combination of 2 hormones: an ethinyl and a drospirenone. 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. Excipients in commercially available drug preparations may have clinically important effects in some individuals; consult specific product labeling for details. Hospira. Dopamine hydrochloride prescribing information. Lake Forest, IL; 2014 Mar. 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. UpToDate: “Patient information: Heart failure Beyond the basics. Maximum recommended by manufacturer: 300 mg daily. 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. L may occur with all potassium-sparing agents, including triamterene. b c d See Boxed Warning. trazodone
Potassium-sparing diuretic; pteridine derivative. 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. Phosphodiesterase 5 Inhibitors: May enhance the hypotensive effect of Blood Pressure Lowering Agents. 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. Initial: 20 to 80 mg per dose. It is not known whether this drug passes into milk. Consult your doctor before -feeding. cagd.info finasteride
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 cause a decreasing alkali reserve with the possibility of metabolic acidosis. Do not stop taking any medications without consulting your healthcare provider. Check your regularly while taking this medication. Learn how to monitor your own pressure, and share the results with your doctor. 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.
Gradually increase the amount of until you're getting at least 20 to 35 grams of fiber daily. UpToDate: “Patient information: Cirrhosis Beyond the basics. Serum bicarbonate concentrations consistently decreased; urinary pH increased slightly. ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension ESH and of the European Society of Cardiology ESC. J Hypertens. Refer to the product package information for advice on missed doses. Tell your doctor or dentist that you take Maxzide before you receive any medical or dental care, emergency care, or surgery. cipro
It also makes vaginal fluid thicker to help prevent from reaching an egg fertilization and changes the lining of the uterus womb to prevent attachment of a fertilized egg. If a fertilized egg does not attach to the uterus, it passes out of the body. 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. 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. Could it be your veins? Minor alterations of fluid and electrolyte balance may precipitate hepatic coma; use drug with caution. Contact your doctor or health care provider right away if any of these apply to you. Diazoxide: May enhance the hypotensive effect of Blood Pressure Lowering Agents. 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. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment. 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. casodex generic tabletes
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. American Heart Association Task Force on practice guidelines. Circulation. Administer orally once daily. 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. Little if any hypotensive effect when used alone. 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.
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. The dosage is based on your medical condition and response to treatment. When administering this drug with another diuretic, the doses of both drugs should be reduced. Safety and efficacy have not been established. 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. 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. This helps your body get rid of extra water. Naftopidil: May enhance the hypotensive effect of Blood Pressure Lowering Agents. can i buy artane at walgreens
When this medication is first started, there is a chance an old will be passed. Blume CD, Williams RL, Upton RA et al. Bioequivalence study of a new tablet formulation of triamterene and hydrochlorothiazide. Am J Med. Herbs Hypotensive Properties: May enhance the hypotensive effect of Blood Pressure Lowering Agents. 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. Importance of informing patients that if a dose is missed, the patient should take only the prescribed dose at the next dosing interval. Although effective alone, often used in combination with other diuretics that act at different sites in the nephron. Tacrolimus Systemic: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of Tacrolimus Systemic. Tell your doctor if your condition does not improve or if it worsens for example, your blood pressure readings increase. Other signs include pain, warmth, and redness. This can affect the results of many laboratory tests. Make sure laboratory personnel and all your doctors know you use this medication. Reducing the dose of this drug may be necessary in the presence of electrolyte imbalance and in geriatric patients. And on the subject of diet, water is important for preventing constipation, too. Try to drink at least 8 glasses of water a day. Lederle Laboratories. Maxzide and Maxzide -25 MG tablets prescribing information. Pearl River, NY; 1988 May. 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. price of keflex in the philippines
Arteries are vessels that carry blood from the pumping heart to all the tissues and organs of the body. 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. 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. 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. This medication may increase your levels. Before using potassium or salt substitutes that contain potassium, consult your doctor or pharmacist. Trayes, K. American Family Physician, July 2013. This medication may interfere with certain laboratory tests including parathyroid function possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug. May severely increase serum potassium levels, possibly resulting in cardiac arrhythmias or cardiac arrest. Monitor serum potassium closely if potassium is coadministered. May result in severely elevated serum potassium levels. 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. Could it be something else? Management of edema associated with heart failure, cirrhosis of the liver, or nephrotic syndrome. Torres-Courchoud I, Chen HH. Is there still a role for low-dose dopamine use in acute heart failure?
Prostacyclin Analogues: May enhance the hypotensive effect of Blood Pressure Lowering Agents. This medication should not be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor right away. Diuretic-induced hypokalemia and hypomagnesemia may precipitate digitalis-induced arrhythmias. Older adults may be more sensitive to the effects of this drug, especially dizziness, or high blood potassium levels. Wilson JR, Reichek N, Dunkman WB et al. Effect of diuresis on the performance of the failing left ventricle in man. Am J Med. 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. Importance of taking drug after meals to help avoid stomach upset. Warning signs of hyperkalemia include paresthesias, muscular weakness, fatigue, flaccid paralysis of the extremities, bradycardia, and shock. Laboratory medicine, drug therapy, and reference tables. In: Behrman RE, Kliegman RM, Jenson HB, eds. Nelson textbook of pediatrics. price for depakote in canada
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Usually combined with a kaliuretic diuretic. 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 raise your blood sugar. High blood sugar may make you feel confused, drowsy, or thirsty. It can also make you flush, breathe faster, or have a fruit-like breath odor. If these symptoms occur, tell your doctor right away. proventil
Favre L, Glasson P, Vallotton MB. Reversible acute renal failure from combined triamterene and indomethacin. Ann Intern Med. 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. Tell patient to take drug with food or milk and to report GI symptoms. Eplerenone: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Management: This combination is contraindicated in patients receiving eplerenone for treatment of hypertension.
May interfere with the fluorescent measurement of quinidine serum levels. May decrease serum protein-bound iodine levels without signs of thyroid disturbance. ACE inhibitors, angiotensin II receptor antagonists, calcium-channel blockers, thiazide diuretics are preferred for initial management. 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.
Tell your doctor if your condition does not improve or if it worsens for example, your increase. This product may cause your body to lose too much water and salt dehydration. Pentoxifylline: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Some medical conditions may interact with Maxzide. 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.