Intramuscular: 10 to 20 mg once over 1 to 2 minutes. A repeat dose similar to the initial dose may be given within 2 hours if there is an inadequate response. Following the repeat dose, if there is still an inadequate response within another 2 hours, the last IV dose may be raised by 20 to 40 mg until there is an effective diuresis. Single doses exceeding 200 mg are rarely necessary. FL 34243 USA, By WellSpring Pharmaceutical Canada Corp. Other signs include pain, warmth, and redness. dapsone
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. Do not consider Second Opinion 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.
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? Brimonidine Topical: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Tell your doctor if you do not get better or if you get worse. Adrenal insufficiency: Avoid use of diuretics for treatment of elevated blood pressure in patients with primary adrenal insufficiency Addison disease. IV: 20 to 100 mg every 1 to 2 hours over 1 to 2 minutes.
Angiotensin II Receptor Blockers: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. 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. Excreted in urine, primarily as 6- p-hydroxytriamterene.
May cause a decreasing alkali reserve with the possibility of metabolic acidosis. Little if any hypotensive effect when used alone. Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of taking Maxzide while you are pregnant. Maxzide is found in breast milk. Do not breast-feed while taking Maxzide. Talk to your doctor or about lifestyle changes that might benefit you. May decrease renal excretion of lithium; monitor lithium levels. Severe impairment or progressive kidney disease: Use is contraindicated. It is also used to decrease the amount of in urine, thereby reducing odor and irritation caused by high-ammonia urine. 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. 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. If increasing azotemia and oliguria occur during treatment of severe progressive renal disease, furosemide should be discontinued. Take this by as directed by your doctor. Remember that your doctor has prescribed this medication 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. Ask your health care provider any questions you may have about how to use Maxzide. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. 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.
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. Some medical conditions may interact with Maxzide. Excipients in commercially available drug preparations may have clinically important effects in some individuals; consult specific product labeling for details. Triamterene should not be used in CHILDREN; safety and effectiveness in children have not been confirmed. Triamterene is to be used only by the patient for whom it is prescribed. Do not share it with other people. To lower your risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. 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. Diarrhea; headache; loss of appetite; nausea; weakness. Tell patient to report these symptoms to health care provider: decrease in urinary output, jaundice, muscle cramps, weakness, nausea, blurred vision, dizziness. Discuss the risks and benefits with your doctor. unisom
SmithKline Beecham, Philadelphia, PA: Personal communication. Anorexia; gastric irritation; nausea; vomiting; abdominal pain or cramping; bloating; diarrhea; constipation; pancreatitis; sialadenitis; dry mouth. Lab tests, including liver, kidney, or lung function; blood pressure; blood electrolyte levels eg, potassium; and blood glucose levels, may be performed while you use Maxzide. 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 may pass into milk. Consult your doctor before -feeding. Sodium Phosphates: Diuretics may enhance the nephrotoxic effect of Sodium Phosphates. Specifically, the risk of acute phosphate nephropathy may be enhanced. Management: Consider avoiding this combination by temporarily suspending treatment with diuretics, or seeking alternatives to oral sodium phosphate bowel preparation. If the combination cannot be avoided, hydrate adequately and monitor fluid and renal status. Gradually increase the amount of until you're getting at least 20 to 35 grams of fiber daily. 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. 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. Go AS, Bauman MA, Coleman King SM et al. An effective approach to high blood pressure control: a science advisory from the American Heart Association, the American College of Cardiology, and the Centers for Disease Control and Prevention. Hypertension. May cause rapid progression into acute renal failure. Weinberg MS, Quigg RJ, Salant DJ et al. Anuric renal failure precipitated by indomethacin and triamterene. Nephron. 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. Call your doctor. In some cases, swelling calls for immediate medical help. Warning signs of hyperkalemia include paresthesias, muscular weakness, fatigue, flaccid paralysis of the extremities, bradycardia, and shock. cost of tamsulosin on private prescription tamsulosin
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. Importance of informing clinicians of existing or contemplated concomitant therapy, including prescription and OTC drugs, as well as any concomitant illnesses. This product may increase your levels. Before using potassium or salt substitutes that contain potassium, consult your doctor or pharmacist. 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. This is not a complete list of possible side effects. 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. Bertek. Maxzide and Maxzide -25 mg tablets prescribing information. Sugar Land, TX; 2002 Dec. Allow the tablets to dissolve in a full glass 8 ounces or 240 milliliters of water for 3 to 5 minutes. not use any liquid other than plain water. If any medication remains undissolved, crush the pieces in the water and stir well. After the medication has completely dissolved, stir and drink the mixture. 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. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. cheap doxepin generico
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. Potassium supplements: Avoid potassium supplements, potassium-containing salt substitutes, a diet rich in potassium, or other drugs that can cause hyperkalemia. Mylan Pharmaceuticals. Maxzide and Maxzide -25 triamterene and hydrochlorothiazide tablets prescribing information. Morgantown, WV; 2011 Jan. Upton RA, Williams RL, Lin ET et al. Absence of a significant pharmacokinetic interaction between hydrochlorothiazide and triamterene when coadministered. J Pharmacokinet Biopharm. Distributed into milk in animals and is likely to distribute into human milk. b Discontinue nursing or the drug. 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. 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. Take this medication as prescribed. Do not increase your dose or take this more often without your doctor's approval.
In patients who develop hyperkalemia or if hyperkalemia is suspected, obtain an electrocardiogram to rule out hyperkalemia-induced QRS prolongation or other cardiac arrhythmias. Discontinue triamterene and any potassium supplementation in patients who develop hyperkalemia; treat cardiac arrhythmias as clinically indicated. This medication may affect your potassium levels. Before using potassium or salt substitutes that contain potassium, consult your doctor or pharmacist. Hospira. Dopamine hydrochloride and 5% dextrose injection prescribing information. Lake Forest, IL; 2014 May. 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. Some patients resistant to triamterene monotherapy may respond to such combined therapy. May cause mild nitrogen retention, which is reversible upon drug discontinuance; seldom observed with intermittent every-other-day therapy. 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. Spironolactone: Triamterene may enhance the hyperkalemic effect of Spironolactone. 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. Administration with food does not affect absorption of triamterene or hydrochlorothiazide from Maxzide tablets. Check your blood pressure regularly while taking this medication. Learn how to monitor your own blood pressure, and share the results with your doctor. 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. UpToDate: “Patient information: Chronic venous disease Beyond the basics. Primarily metabolized to 6- p-hydroxytriamterene and its sulfate conjugate. paroxetine cost uae
Importance of informing patients of other important precautionary information. b c d See Cautions. Check your regularly while taking this medication. Learn how to monitor your own pressure, and share the results with your doctor. The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs 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. User-generated content areas 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. Anuria, severe or progressive renal disease or dysfunction except possibly nephrosis acute or chronic renal insufficiency, substantial renal impairment. Torres-Courchoud I, Chen HH. Is there still a role for low-dose dopamine use in acute heart failure? 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. This helps your body get rid of extra water. 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. The manufacturer states there is no clinical experience to date with dosages of fixed-combination Maxzide or Maxzide -25 mg exceeding 75 mg of triamterene and 50 mg of hydrochlorothiazide daily. 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. Impotence; reduced libido; interstitial nephritis; azotemia; elevated BUN and creatinine. 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. cheap perindopril online nz perindopril
CycloSPORINE Systemic: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of CycloSPORINE Systemic. Continued What About Laxatives? This is not a complete list of possible side effects. If you notice other side effects not listed above, contact your doctor or pharmacist. 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. QuiNIDine: Potassium-Sparing Diuretics may diminish the therapeutic effect of QuiNIDine. How often did hospital staff describe possible side effects in a way you could understand? lotriderm
May cause elevations in serum uric acid concentrations, especially in patients predisposed to gouty arthritis. Minor alterations of fluid and electrolyte balance may precipitate hepatic coma; use drug with caution. UpToDate: “Patient information: Heart failure Beyond the basics. 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. Gout: May cause elevation in uric acid. The maximum therapeutic effect may not be seen for several days. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. Photosensitivity: Can cause photosensitivity. Drospirenone may raise your level.
Refer to adult dosing. In the management of hypertension, consider lower initial doses and titrate to response Aronow, 2011. If you're constipated, it's often because there isn't enough water in your stool, a problem that occurs when too much fluid gets absorbed in your intestines. National High Blood Pressure Education Program Working Group on Hypertension Control in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. Caution patient to avoid sudden position changes to prevent orthostatic hypotension. Your condition will not improve any faster, and your risk of side effects will increase. Store at room temperature away from light and moisture. not store in the bathroom. Keep all away from children and pets. purchase generic hydrea shop australia
Only references cited for selected revisions after 1984 are available electronically. This medication should not be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor right away. 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. Phosphodiesterase 5 Inhibitors: May enhance the hypotensive effect of Blood Pressure Lowering Agents. If you have any questions about Maxzide, please talk with your doctor, pharmacist, or other health care provider. 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. It is sparingly soluble in methanol. 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. Excreted in breast milk. Do not share this medication with others. Benperidol: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Canagliflozin: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Canagliflozin may enhance the hypotensive effect of Potassium-Sparing Diuretics. 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. thik.info amoxicillin
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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. White, C. Obstetrics and Gynecology International, 2011. This medication passes into milk. Advise patient to limit exposure to sun and to use sunscreen or wear protective clothing to avoid photosensitivity reaction. 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. glucotrol cost per pill canada
Ask your doctor or if you have any questions. If you take cholestyramine or colestipol, ask your doctor or pharmacist how to take it with Maxzide. See your doctor for long-term constipation, because a medicine you're taking or a medical condition could be the cause. In that case, stopping the medicine or treating the problem should relieve your constipation. Many people using this medication not have serious side effects. Potassium passes into milk. Consult your doctor before -feeding. carbamazepine
Leukopenia; thrombocytopenia; agranulocytosis; aplastic or hypoplastic anemia; hemolytic anemia; megaloblastic anemia. 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. Older adults may be more sensitive to the effects of this drug, especially dizziness, or high blood potassium levels. Take triamterene by mouth with or without food. 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. money order nexium store australia
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. Avoid use Aronoff 2007. 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. If any of these effects last or get worse, tell your doctor or promptly.