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. 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. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. An empty tablet or capsule shell may appear in your stool. UpToDate: “Patient Information” Edema swelling Beyond the basics. cheap procrit walmart
Capsules: Administer orally twice daily after meals. 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. May decrease hypoglycemic effect of sulfonylureas. May need to adjust dosage of sulfonylureas or insulin. American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Circulation.
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.
This can affect the results of many laboratory tests. Make sure laboratory personnel and all your doctors know you use this medication. Symptoms may include decreased or excessive urination; fainting; fever; flushed face; light-headedness, especially when standing; nausea; severe dizziness; vomiting; weakness. 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.
Careful etiologic diagnosis should precede the use of any diuretic. Tell patient to report these symptoms to health care provider: decrease in urinary output, jaundice, muscle cramps, weakness, nausea, blurred vision, dizziness. For the management of fluid retention associated with heart failure, experts state that diuretics should be administered at a dosage sufficient to achieve optimal volume status and relieve congestion without inducing an excessively rapid reduction in intravascular volume, which could result in hypotension, renal dysfunction, or both. Please refer to the for information on shortages of one or more of these preparations. If you have any questions about Maxzide, please talk with your doctor, pharmacist, or other health care provider. Do not start, stop, or change the dosage of any medicines without your doctor's approval. 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. 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. Do not stop taking this medication without consulting your doctor. Some conditions may become worse when this drug is suddenly stopped. Your dose may need to be gradually decreased. Edema may develop during pregnancy due to comorbid pathology or the physiologic and mechanical consequences of pregnancy. b c d Diuretic therapy may be appropriate in the management of edema due to a pathologic cause manifesting during pregnancy. b c d However, dependent edema in pregnancy resulting from restriction of venous return by the gravid uterus may be treated by elevating the lower extremities and using support hose; diuretic therapy to lower intravascular volume is not appropriate in such cases. 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. Monitor serum electrolytes regularly.
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. FL 34243 USA, By WellSpring Pharmaceutical Canada Corp. Oral: 10 to 40 mg 4 times a day. 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 do not have serious side effects. This product may cause your body to lose too much water and salt dehydration. Purpura; photosensitivity; rash; urticaria; necrotizing angiitis, vasculitis, cutaneous vasculitis; alopecia; exfoliative dermatitis; toxic epidermal necrolysis; erythema multiforme; Stevens-Johnson syndrome. If any of these effects last or get worse, tell your doctor or promptly. Do not stop taking any medications without consulting your healthcare provider. Primarily metabolized to 6- p-hydroxytriamterene and its sulfate conjugate. insulin
Following cardiac surgery, a continuous infusion is as effective as intermittent boluses of furosemide. Total daily urine output and change in serum electrolyte levels were similar between the two methods of administration. 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. Older adults may be more sensitive to the effects of this drug, especially dizziness, or high blood potassium levels. Ask your doctor or pharmacist for information about how to switch from other forms of hormonal birth control such as the patch, other to this product. This medication may affect your potassium levels. Before using potassium supplements or salt substitutes that contain potassium, consult your doctor or pharmacist. For the treatment of hypertension, twice a day dosing is recommended. 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. Tacrolimus Systemic: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of Tacrolimus Systemic. best place buy primperan primperan
Herbs Hypotensive Properties: May enhance the hypotensive effect of Blood Pressure Lowering Agents. 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. Do not use as initial monotherapy in severe heart failure since bowel edema or intestinal hypoperfusion may delay absorption and subsequent therapeutic effect. Triamterene should not be used in CHILDREN; safety and effectiveness in children have not been confirmed. Potassium excretion usually reduced; serum concentrations of potassium and chloride are usually increased. Do not use for routine therapy in pregnant women with mild edema who are otherwise healthy. Blume CD, Williams RL, Upton RA et al. Bioequivalence study of a new tablet formulation of triamterene and hydrochlorothiazide. Am J Med. If you take cholestyramine or colestipol, ask your doctor or pharmacist how to take it with Maxzide. Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. Discontinue potassium supplements when triamterene is added to existing diuretic therapy or when patients are switched to triamterene from other diuretics. These products bind with phosphate, preventing its full absorption. discount uroxatral uk
Some triamterene side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. Increases excretion of sodium, calcium, magnesium, and bicarbonate. 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. Angiotensin II Receptor Blockers: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. If you have any questions about triamterene, please talk with your doctor, pharmacist, or other health care provider. 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. sorf.info benicar
This medication should not be used if you have certain medical conditions. 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. 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? Symptoms may include lightheadedness; nausea; vomiting; weakness. Lately you've been feeling a little -- to put it delicately -- backed up. You're not "going" as often as you should, and you feel bloated and uncomfortable. 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. 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. Report prolonged or to your doctor. Pholcodine: Blood Pressure Lowering Agents may enhance the hypotensive effect of Pholcodine.
Houston MC. Thiazides and thiazide-like diuretics in hypertension. Ann Intern Med. 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. Edema: For the treatment of edema associated with congestive heart failure, cirrhosis of the liver and the nephrotic syndrome; also in steroid-induced edema, idiopathic edema and edema due to secondary hyperaldosteronism. Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? Management of edema associated with heart failure, cirrhosis of the liver, or nephrotic syndrome. Severe impairment or progressive kidney disease: Use is contraindicated. indomethacin
May interfere with the fluorescent measurement of quinidine serum levels. May decrease serum protein-bound iodine levels without signs of thyroid disturbance. Drospirenone may raise your level. Herbs Hypertensive Properties: May diminish the antihypertensive effect of Antihypertensive Agents. Check with your pharmacist about how to dispose of unused medicine. 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. Some patients resistant to triamterene monotherapy may respond to such combined therapy. Could it be your veins? 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. 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. nimotop online with prescription
This is a combination of 2 hormones: an ethinyl and a drospirenone. This causes swelling in your lower legs. 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. Diazoxide: May enhance the hypotensive effect of Blood Pressure Lowering Agents. 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. Instruct diabetic patients to report increased levels of blood glucose. 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. WellSpring Pharmaceutical Corporation. Dyrenium triamterene capsules prescribing information. Neptune, NJ; 2001 June. Store at room temperature away from light and moisture. not store in the bathroom. Keep all away from children and pets. Journal of the American Medical Association reports that many are underdiagnosed. Hypertension is clearly a major public health problem. 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. 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. Caution patient to avoid sudden position changes to prevent orthostatic hypotension. Adrenal insufficiency: Avoid use of diuretics for treatment of elevated blood pressure in patients with primary adrenal insufficiency Addison disease. buy cheap dostinex shop otc
Do not share this medication with others. Gupta D, Georgiopoulou VV, Kalogeropoulos AP et al. Dietary sodium intake in heart failure. Circulation. ACE Inhibitors: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of ACE Inhibitors. 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. 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. Your pill pack contains 21 pills with active medication with hormones. It may also contain 7 reminder pills without hormones at the end of the pack. Take one active pill with hormones once daily for 21 days in a row. If you are using a product with 28 tablets, take a reminder pill once daily for 7 days in a row after you have taken the last active pill unless otherwise directed by your doctor. If you are using a product with 21 tablets, do not take any tablets for 7 days unless otherwise directed by your doctor. You should have your period usually within 3 days after you take the last active tablet in the cycle. After you have taken the last reminder pill in the pack or gone 7 days without taking an active tablet, start a new pack the next day whether or not you have your period. If you do not get your period, consult your doctor. Used principally in patients with diuretic-induced hypokalemia or to prevent hypokalemia in patients receiving diuretics who are at risk of this adverse effect. Excreted in breast milk. Has been reported in renal calculi associated with usual calculus components. b c d Manufacturers state that triamterene may be used with caution in patients with histories of renal calculi; b c d however, some clinicians recommend that the drug not be used in these patients because of the risk of triamterene nephrolithiasis. There is no evidence that stone formation is increased in patients taking triamterene containing drugs. Maxzide may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Maxzide. 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. Avoid use Aronoff 2007. indocin
Advise patient to limit sodium intake for optimal drug effect. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment. Phosphodiesterase 5 Inhibitors: May enhance the hypotensive effect of Blood Pressure Lowering Agents. May increase incidence of hypersensitivity reactions to allopurinol. Triamterene has been found in renal stones; use drug with caution in patients with histories of stone formation. Patient may experience headache, diarrhea, dry mouth, nausea, or vomiting. Have patient report immediately to prescriber signs of liver problems dark urine, fatigue, lack of appetite, nausea, abdominal pain, light-colored stools, vomiting, or jaundice signs of kidney problems urinary retention, hematuria, change in amount of urine passed, or weight gain signs of fluid and electrolyte problems mood changes, confusion, muscle pain or weakness, abnormal heartbeat, severe dizziness, passing out, tachycardia, increased thirst, seizures, loss of strength and energy, lack of appetite, urinary retention or change in amount of urine passed, dry mouth, dry eyes, or nausea or vomiting bruising, bleeding, chills, pharyngitis, or severe loss in strength and energy HCAHPS. 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. Arteries are vessels that carry blood from the pumping heart to all the tissues and organs of the body. 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. Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. Consult your doctor before breast-feeding. Trayes, K. American Family Physician, July 2013. Use Maxzide with caution in the ELDERLY; they may be more sensitive to its effects, especially high blood potassium levels.
QuiNIDine: Potassium-Sparing Diuretics may diminish the therapeutic effect of QuiNIDine. Use triamterene with caution in the ELDERLY; they may be more sensitive to its effects. 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. Triamterene has not been studied in nursing mothers. Diacerein: May enhance the therapeutic effect of Diuretics. Specifically, the risk for dehydration or hypokalemia may be increased. May reduce thiazide absorption; give thiazide at least 2 h before sequestrant. UpToDate: “Patient information: Deep vein thrombosis Beyond the basics. ACE inhibitors, angiotensin II receptor antagonists, calcium-channel blockers, thiazide diuretics are preferred for initial management. 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. For an overall eating plan, consider the DASH eating plan. Tell your doctor or dentist that you take Maxzide before you receive any medical or dental care, emergency care, or surgery. Triamterene appears in animal milk and is likely present in human milk. 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. cost lopressor last
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UpToDate: “Patient information: Heart failure Beyond the basics. 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. Serum bicarbonate concentrations consistently decreased; urinary pH increased slightly. rifadin
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? Some medical conditions may interact with Maxzide. The dosage should be titrated to the needs of the individual patient. L hyponatremia, hypochloremia, and increases in BUN may occur.
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. 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.
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. 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 result in severely elevated serum potassium levels.