Importance of women informing clinicians if they are or plan to become pregnant or plan to breast-feed. Favre L, Glasson P, Vallotton MB. Reversible acute renal failure from combined triamterene and indomethacin. Ann Intern Med. Herbs Hypotensive Properties: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? hyzaar ointment canada
Little if any hypotensive effect when used alone. This drug can cause mild nitrogen retention, which is reversible upon withdrawal of therapy, and is seldom observed with intermittent every-other-day therapy. Does not inhibit carbonic anhydrase. Phosphodiesterase 5 Inhibitors: May enhance the hypotensive effect of Blood Pressure Lowering Agents.
Administration with food does not affect absorption of triamterene or hydrochlorothiazide from Maxzide tablets. 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. Do not exceed 300 mg daily. Excreted in urine, primarily as 6- p-hydroxytriamterene. Refer to the product package information for advice on missed doses.
Anorexia; gastric irritation; nausea; vomiting; abdominal pain or cramping; bloating; diarrhea; constipation; pancreatitis; sialadenitis; dry mouth. May affect total serum cholesterol, total triglycerides, and LDL in some patients. 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.
Ask your doctor if your meds may be the problem. If so, there may be something else you can take instead. May cause rapid progression into acute renal failure. This drug may pass into milk. Consult your doctor before -feeding. Williams RL, Thornhill MD, Upton RA et al. Absorption and disposition of two combination formulations of hydrochlorothiazide and triamterene: influence of age and renal function. Clin Pharmacol Ther. Methylphenidate: May diminish the antihypertensive effect of Antihypertensive 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. If vomiting or diarrhea occurs, you will need to take care not to become dehydrated. Contact your doctor for instructions. Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. 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.
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. Blurred vision; xanthopsia yellow vision. 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. Your body is mostly water. Tacrolimus Systemic: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of Tacrolimus Systemic. 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. Hypersensitivity reactions: Isolated occurrences have been reported. 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. To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Potassium Salts: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. 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. 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. QuiNIDine: Potassium-Sparing Diuretics may diminish the therapeutic effect of QuiNIDine. L can occur with all potassium-sparing agents, including triamterene. Hyperkalemia is more likely to occur in patients with renal impairment and diabetes even without evidence of renal impairment and in elderly or severely ill patients. Because uncorrected hyperkalemia may be fatal, serum potassium levels must be monitored at frequent intervals especially in patients receiving triamterene, when dosages are changed, or with any illness that may influence renal function. Could it be something else? metformin
Reductions in glomerular filtration observed during daily, but not intermittent, administration; suggests a reversible effect on renal blood flow. May decrease effectiveness of thiazide. The dosage should be titrated to the needs of the individual patient. Hummel SL, Konerman MC. Dietary Sodium Restriction in Heart Failure: A Recommendation Worth its Salt? Yancy CW. The Uncertainty of Sodium Restriction in Heart Failure: We Can Do Better Than This. JACC Heart Fail. labl.info pyridium
Continued What About Laxatives? Initial: 20 to 80 mg per dose. Severe hepatic disease: Use is contraindicated. UpToDate: “Patient information: Low-sodium diet Beyond the basics. 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. Herbs Hypertensive Properties: May diminish the antihypertensive effect of Antihypertensive Agents. Doses greater than 200 mg are rarely needed for treatment of edema. 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. Serum bicarbonate concentrations consistently decreased; urinary pH increased slightly. Tell your doctor if your condition does not improve or if it worsens for example, your blood pressure readings increase. Talk to your doctor or about lifestyle changes that might benefit you. pharmacy enalapril not generic
Discontinue potassium supplements when triamterene is added to existing diuretic therapy or when patients are switched to triamterene from other diuretics. 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. Saline laxatives pull extra water into the stool. Common brand names include and Haley's M-O. Special stockings or socks gently squeeze your lower legs to help keep your blood circulating. Eplerenone: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Management: This combination is contraindicated in patients receiving eplerenone for treatment of hypertension. 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. 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. To lower your risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
Your condition will not improve any faster, and your risk of side effects will increase. Dofetilide: Triamterene may increase the serum concentration of Dofetilide. Dyrenium should be gradual. If any of these effects last or get worse, tell your doctor or promptly. UpToDate: “Patient information: Chronic venous disease 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. For that reason, the diagnosis of high blood pressure is important so efforts can be made to normalize blood pressure and prevent complications. Take this by as directed by your doctor, usually once or twice a day after a meal. Although effective alone, often used in combination with other diuretics that act at different sites in the nephron. Management of steroid-induced edema, idiopathic edema, and edema caused by secondary hyperaldosteronism. 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. Journal of the American Medical Association reports that many are underdiagnosed. Hypertension is clearly a major public health problem. Some drugs may cause hormonal to work less well by decreasing the amount of hormones in your body. Older adults may be more sensitive to the effects of this drug, especially dizziness, or high blood potassium levels. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment. generic cytotec online uk
If you take cholestyramine or colestipol, ask your doctor or pharmacist how to take it with Maxzide. 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. Wilson JR, Reichek N, Dunkman WB et al. Effect of diuresis on the performance of the failing left ventricle in man. Am J Med. Read the Patient Information Leaflet provided by your before you start using this product and each time you get a refill. The leaflet contains very important information on when to take your pills and what to if you miss a dose. If you have any questions, consult your doctor or pharmacist. 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. 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. Management of edema associated with heart failure, cirrhosis of the liver, or nephrotic syndrome. 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. ACE Inhibitors: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of ACE Inhibitors. citalopram
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. 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. Electrolyte imbalance may worsen or develop during diuretic therapy, including triamterene. b Risk of electrolyte imbalance is increased in patients with heart failure, renal disease, or cirrhosis. b Full-dose diuretic therapy in patients on restricted salt intake may cause a low-salt syndrome. Patients who require hydrochlorothiazide and in whom hypokalemia cannot be risked may initiate therapy with Maxzide -25 mg 37. 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. 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. Alfuzosin: May enhance the hypotensive effect of Blood Pressure Lowering Agents. 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. toradol
Potassium excretion usually reduced; serum concentrations of potassium and chloride are usually increased. This drug may make you dizzy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages. 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. 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. Do not share this medication with others. This combination is used by people who have developed or are at risk for having levels on hydrochlorothiazide. It causes you to make more urine, which helps your body get rid of extra salt and water.
This product may increase your levels. Before using potassium or salt substitutes that contain potassium, consult your doctor or pharmacist. Severe impairment or progressive kidney disease: Use is contraindicated. 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. Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Nicergoline: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Some products that may interact with this drug include: dofetilide, lithium, other drugs that may increase potassium levels such as spironolactone, amiloride, cyclosporine. Abrupt discontinuance may result in rebound kaliuresis; taper dosage gradually. 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. Richardson A, Bayliss J, Scriven AJ et al. Double-blind comparison of captopril alone against frusemide plus amiloride in mild heart failure. Lancet. Triamterene has not been studied in nursing mothers. May be effective in some patients unresponsive to spironolactone; unlike spironolactone, diuretic effect of triamterene is independent of aldosterone concentrations. Drospirenone may raise your level. This is a combination of 2 hormones: an ethinyl and a drospirenone. Gupta D, Georgiopoulou VV, Kalogeropoulos AP et al. Dietary sodium intake in heart failure. Circulation. Molsidomine: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Oral: If needed, repeat dose in 6 hours, after another 6 hours increase dose to 20 to 40 mg every 6 hours until an adequate diuresis. generic butenafine usa to usa
PubMedHealth: “Causes and signs of edema. 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. Reserve laxatives for constipation that doesn't improve after you've added fiber and water to your diet. Could it be your veins? Symptoms may include lightheadedness; nausea; vomiting; weakness. Blocks epithelial sodium channels in the late distal convoluted tubule DCT and collecting duct which inhibits sodium reabsorption from the lumen. It is also used to decrease the amount of in urine, thereby reducing odor and irritation caused by high-ammonia urine. 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. If you have any questions about Maxzide, please talk with your doctor, pharmacist, or other health care provider. Check your pressure regularly and tell your doctor if the results are high. Tell your doctor if your condition does not improve or if it worsens for example, your increase. The Captopril-Digoxin Multicenter Research Group. Comparative effects of therapy with captopril and digoxin in patients with mild to moderate heart failure. JAMA. Principles of Internal Medicine, 19 th edition, McGraw-Hill Education, 2015. Obinutuzumab: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Management: Consider temporarily withholding blood pressure lowering medications beginning 12 hours prior to obinutuzumab infusion and continuing until 1 hour after the end of the infusion. order cheap donepezil store australia
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. Hyperglycemia; glycosuria; hyperuricemia; hyperkalemia; electrolyte imbalance; hypochloremia; hyponatremia. This medication should not be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor right away. Tell your doctor if you do not get better or if you get worse. Known hypersensitivity to triamterene or any ingredient in the formulation. RxList is part of the WebMD Health Network. The opinions expressed in the WebMD User Reviews are solely those of the User, who may or may not have medical or scientific training, and do not represent the opinions of WebMD. These member reviews have not been reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other purpose except for compliance with our Terms and Conditions. Take triamterene by mouth with or without food. Importance of informing patients of other important precautionary information. b c d See Cautions. This information should not be used to decide whether or not to take triamterene or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about triamterene. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to triamterene. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using triamterene. 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. 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. 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. Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day. It is important to continue taking this medication even if you feel well. Most people with high blood pressure do not feel sick. probenecid
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Tell your doctor or dentist that you take Maxzide before you receive any medical or dental care, emergency care, or surgery. Pentoxifylline: May enhance the hypotensive effect of Blood Pressure Lowering Agents. If any of these effects persist or worsen, tell your doctor or promptly.
Safety and efficacy have not been established. This product may cause your body to lose too much water and salt dehydration. Arteries are vessels that carry blood from the pumping heart to all the tissues and organs of the body. Impotence; reduced libido; interstitial nephritis; azotemia; elevated BUN and creatinine. Nicorandil: May enhance the hypotensive effect of Blood Pressure Lowering Agents.
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. Dizziness; lightheadedness; vertigo; headache; paresthesias; weakness; restlessness; insomnia; fatigue. Take Maxzide by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
Triamterene is to be used only by the patient for whom it is prescribed. Do not share it with other people. Muscle cramp or spasm; fever; anaphylactic reactions. Maxzide may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Maxzide. Caution patient to avoid sudden position changes to prevent orthostatic hypotension. 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.