IV: If needed, repeat dose in 2 hours, after another 2 hours increase dose by 20 to 40 mg until an adequate diuresis. This dose should then be given once or twice a day. Tacrolimus Systemic: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of Tacrolimus Systemic. Call your doctor. In some cases, swelling calls for immediate medical help. 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. pharmacy finasteride emagrece
The dosage is based on your medical condition and response to treatment. Check with your pharmacist about how to dispose of unused medicine. 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. Does not inhibit carbonic anhydrase. Discuss the risks and benefits with your doctor.
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. People with chronic heart failure can have fluid buildup inside their lungs. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment.
If you have any questions about triamterene, please talk with your doctor, pharmacist, or other health care provider. 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. 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. Hyperglycemia; glycosuria; hyperuricemia; hyperkalemia; electrolyte imbalance; hypochloremia; hyponatremia.
Tell your doctor if your condition does not improve or if it worsens for example, your blood pressure readings increase. Remember that your doctor has prescribed this because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication not have serious side effects. Take this by as directed by your doctor. 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. Triamterene has not been studied in nursing mothers. 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 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. 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. Phosphodiesterase 5 Inhibitors: May enhance the hypotensive effect of Blood Pressure Lowering Agents. 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. May reduce thiazide absorption; give thiazide at least 2 h before sequestrant. Laboratory medicine, drug therapy, and reference tables. In: Behrman RE, Kliegman RM, Jenson HB, eds. Nelson textbook of pediatrics. Patients with cirrhosis and ascites should be given smaller doses of furosemide due to the risk of altered electrolyte balance, which can lead to hepatic encephalopathy. Importance of informing patients that if a dose is missed, the patient should take only the prescribed dose at the next dosing interval. Maxzide is a diuretic water pill and is a combination of a potassium-sparing diuretic triamterene and a thiazide diuretic hydrochlorothiazide. It works by making the kidneys eliminate sodium salt and water from the body, which helps to lower blood pressure. The triamterene component helps minimize potassium loss. No specific dosage recommendations for renal impairment; 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.
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. Many medicines have water retention as a side effect. 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 or local waste disposal company. This can lessen symptoms such as shortness of breath or swelling in your or feet. Cicci JD, Reed BN, McNeely EB et al. Acute decompensated heart failure: evolving literature and implications for future practice. Pharmacotherapy. Tell your doctor if your condition does not improve or if it worsens for example, your increase. Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? Refer to the product package information for advice on missed doses. Methylphenidate: May diminish the antihypertensive effect of Antihypertensive Agents. Triamterene is a weak folic acid antagonist and may contribute to megaloblastosis. benicar
Principles of Internal Medicine, 19 th edition, McGraw-Hill Education, 2015. 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. Older adults may be more sensitive to the side effects of this drug, especially high potassium blood levels. This medication also reduces extra fluid in the body edema caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. Excreted in urine, primarily as 6- p-hydroxytriamterene. 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. Primarily metabolized to 6- p-hydroxytriamterene and its sulfate conjugate. 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. Safety and efficacy have not been established. 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. Most people get enough potassium by eating a well-. Avoid use Aronoff 2007. If you start on the first day of your period, you do not need to use back-up birth control the first week. kkop.info renova
Leukopenia; thrombocytopenia; agranulocytosis; aplastic or hypoplastic anemia; hemolytic anemia; megaloblastic anemia. James PA, Oparil S, Carter BL et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee JNC 8. JAMA. Patients with cirrhosis and splenomegaly may have marked hematologic abnormalities; these patients should have periodic blood studies and be observed for exacerbations of underlying liver disease. b See Megablastosis under Cautions. Prostacyclin Analogues: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Maxzide may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Maxzide. GFR or a depletion of the intravascular fluid volume. d May occur more frequently in patients receiving twice-daily dosing with fixed combination of triamterene and hydrochlorothiazide. May decrease effectiveness of thiazide. Barbiturates: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Gout: May cause elevation in uric acid. 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. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Diazoxide: May enhance the hypotensive effect of Blood Pressure Lowering Agents. can buy aciphex walgreens
Continued What About Laxatives? 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. This is a combination of 2 hormones: an ethinyl and a drospirenone. Diarrhea; dizziness or light-headedness when standing or sitting up; headache; loss of appetite; nausea. Orthostatic or general hypotension, tachycardia, syncope, electrolyte abnormalities, potassium deficiency, vomiting, nausea, shock, weakness, confusion, dizziness, cramps of calf muscles, thirst, polyuria, anuria, lethargy. Minor alterations of fluid and electrolyte balance may precipitate hepatic coma; use drug with caution. Patterson JH, Adams KF Jr, Applefeld MM et al. Oral torsemide in patients with chronic congestive heart failure: effects on body weight, edema, and electrolyte excretion. Pharmacotherapy.
Before having surgery, tell your doctor or dentist about all the products you use including prescription drugs, nonprescription drugs, and herbal products. Yohimbine: May diminish the antihypertensive effect of Antihypertensive Agents. Use Maxzide with caution in the ELDERLY; they may be more sensitive to its effects, especially high blood potassium levels. Nicorandil: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Talk to your doctor or about lifestyle changes that might benefit you. Herbs Hypotensive Properties: May enhance the hypotensive effect of Blood Pressure Lowering Agents. 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 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. Unlike other laxatives, you can take these every day, because they're essentially just fiber that make the stool bigger and softer. 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. price for curacne
IV: 20 to 100 mg every 1 to 2 hours over 1 to 2 minutes. 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. Potassium Salts: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Safety and efficacy in pediatric patients remain to be fully established for triamterene or triamterene in fixed combination with hydrochlorothiazide; b c however, some experts have suggested a triamterene dosage for hypertension based on limited clinical experience. 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. If increasing azotemia and oliguria occur during treatment of severe progressive renal disease, furosemide should be discontinued. 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. Contact your doctor or health care provider right away if any of these apply to you. 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. piracetam
May cause rapid progression into acute renal failure. 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. Administer orally once daily. 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. Herbs Hypertensive Properties: May diminish the antihypertensive effect of Antihypertensive Agents. Check the sodium levels of food and drinks before you buy them. You can help balance your sodium by eating -rich foods like bananas and spinach, and drinking plenty of water. Could it be your lifestyle? SmithKline Beecham, Philadelphia, PA: Personal communication. 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. Some medical conditions may interact with Maxzide. Gupta D, Georgiopoulou VV, Kalogeropoulos AP et al. Dietary sodium intake in heart failure. Circulation. Torres-Courchoud I, Chen HH. Is there still a role for low-dose dopamine use in acute heart failure? Dofetilide: Triamterene may increase the serum concentration of Dofetilide. Lubricant laxatives, including Fleet and Zymenol, coat the stool to make it slippery, so it can pass more easily through the colon. Interindividual variation in degree of absorption reported. travatan
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. Triamterene has been found in renal stones; use drug with caution in patients with histories of stone formation. 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. 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. 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. Only references cited for selected revisions after 1984 are available electronically. Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. 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.
May be administered with food. WebMD User Reviews should not be considered as medical advice and are not a substitute for professional medical advice, diagnosis, or treatment. Never delay or disregard seeking professional medical advice from your physician 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 may be a helpful health information resource but they are never a substitute for professional medical advice from a qualified healthcare provider. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. Drugs. May decrease renal excretion of lithium; monitor lithium levels. Impotence; reduced libido; interstitial nephritis; azotemia; elevated BUN and creatinine. Ask your doctor or if you have any questions. 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. Nicergoline: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Do not exceed 300 mg daily. History of triamterene-induced hyperkalemia. 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. Kidney stones: Use with caution in patients with kidney stones. Journal of the American Medical Association reports that many are underdiagnosed. Hypertension is clearly a major public health problem. This is not a complete list of possible side effects. It may harm an unborn baby. Discuss the risks and benefits with your doctor. buy bisoprolol nz
Tell patient to take drug with food or milk and to report GI symptoms. 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. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment. Benperidol: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Eplerenone: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Management: This combination is contraindicated in patients receiving eplerenone for treatment of hypertension. Store at room temperature between 59-86 degrees F 15-30 degrees C away from heat and moisture. not store in the bathroom. Keep all medicines away from children and pets. Purpura; photosensitivity; rash; urticaria; necrotizing angiitis, vasculitis, cutaneous vasculitis; alopecia; exfoliative dermatitis; toxic epidermal necrolysis; erythema multiforme; Stevens-Johnson syndrome. UpToDate: “Patient information: Low-sodium diet Beyond the basics. Canagliflozin: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Canagliflozin may enhance the hypotensive effect of Potassium-Sparing Diuretics. Drospirenone: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. It is not known whether this drug passes into milk. Consult your doctor before -feeding. 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. Ask your health care provider any questions you may have about how to use Maxzide. Diabetes patients - Maxzide may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine. Some MEDICINES MAY INTERACT with Maxzide. Distributed into milk in animals and is likely to distribute into human milk. b Discontinue nursing or the drug. prometrium purchase online mastercard
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Blocks epithelial sodium channels in the late distal convoluted tubule DCT and collecting duct which inhibits sodium reabsorption from the lumen. Blurred vision; xanthopsia yellow vision. UpToDate: “Patient Information” Edema swelling Beyond the basics. Advise patient to limit sodium intake for optimal drug effect. cephalexin
Maximum 300 mg daily. This causes swelling in your lower legs. Store triamterene at room temperature, between 59 and 86 degrees F 15 and 30 degrees C in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep triamterene out of the reach of children and away from pets. This medication should not be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor right away.
Monitor BUN and S cr, especially in geriatric patients and those with suspected or confirmed hepatic or renal disease. Abrupt discontinuance may result in rebound kaliuresis; taper dosage gradually. Blume CD, Williams RL, Upton RA et al. Bioequivalence study of a new tablet formulation of triamterene and hydrochlorothiazide. Am J Med.
Capsules: Administer orally twice daily after meals. Its molecular weight is 253. 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.