Triamterene should not be used in CHILDREN; safety and effectiveness in children have not been confirmed. If you have any questions about Maxzide, please talk with your doctor, pharmacist, or other health care provider. Abrupt discontinuance may result in rebound kaliuresis; taper dosage gradually. Principles of Internal Medicine, 19 th edition, McGraw-Hill Education, 2015. flagyl
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. This medication may increase your levels. Before using potassium or salt substitutes that contain potassium, consult your doctor or pharmacist. Nitroprusside: Blood Pressure Lowering Agents may enhance the hypotensive effect of Nitroprusside.
May result in severely elevated serum potassium levels. Do not share this medication with others. Concurrent potassium supplementation, including potassium salts or potassium-containing salt substitutes. b See Interactions. Instruct diabetic patients to report increased levels of blood glucose. May be particularly useful in patients excreting excessive amounts of potassium especially those who cannot tolerate potassium supplements and for those in whom potassium loss could be detrimental, such as patients receiving digitalis glycosides or those with myasthenia gravis.
Triamterene is to be used only by the patient for whom it is prescribed. Do not share it with other people. Talk to your doctor or about lifestyle changes that might benefit you. Discontinue potassium supplements when triamterene is added to existing diuretic therapy or when patients are switched to triamterene from other diuretics. Tell patient to take drug with food or milk and to report GI symptoms. Yohimbine: May diminish the antihypertensive effect of Antihypertensive Agents.
Diarrhea; headache; loss of appetite; nausea; weakness. Canagliflozin: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Canagliflozin may enhance the hypotensive effect of Potassium-Sparing Diuretics. AHFS Drug Information 2017. McEvoy GK, ed. Triamterene. FL 34243 USA, By WellSpring Pharmaceutical Canada Corp. GlaxoSmithKline. Dyazide capsules prescribing information. Philadelphia, PA; 1999 Feb. Purpura; photosensitivity; rash; urticaria; necrotizing angiitis, vasculitis, cutaneous vasculitis; alopecia; exfoliative dermatitis; toxic epidermal necrolysis; erythema multiforme; Stevens-Johnson syndrome. 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. National Heart, Lung, and Blood Institute. 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. Serum potassium should be closely monitored during therapy with furosemide. Take Maxzide by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation. Take triamterene by mouth with or without food. DASH eating plan or a typical American diet. Results showed that reducing dietary sodium lowered blood pressure for both the DASH eating plan and the typical American diet. Advise patient to limit exposure to sun and to use sunscreen or wear protective clothing to avoid photosensitivity reaction. 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. May cause rapid progression into acute renal failure.
This is not a complete list of possible side effects. 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. 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. Dosage is based on your medical condition and response to treatment. Your dosage is based on your condition and response to therapy. 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. May increase amantadine plasma levels and risk for adverse reactions. Keep all regular medical and laboratory appointments. aciphex
Excipients in commercially available drug preparations may have clinically important effects in some individuals; consult specific product labeling for details. If vomiting or diarrhea occurs, you will need to take care not to become dehydrated. Contact your doctor for instructions. Gradually increase the amount of until you're getting at least 20 to 35 grams of fiber daily. Arteries are vessels that carry blood from the pumping heart to all the tissues and organs of the body. Kidney stones: Use with caution in patients with kidney stones. Maximum 300 mg daily. Renal clearances of triamterene, hydroxytriamterene sulfate, and hydrochlorothiazide may be reduced in geriatric patients receiving combined triamterene and hydrochlorothiazide therapy, principally as a result of age-related reductions in renal function. May be effective in some patients unresponsive to spironolactone; unlike spironolactone, diuretic effect of triamterene is independent of aldosterone concentrations. 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. This may not be a complete list of all interactions that may occur. Ask your health care provider if Maxzide may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine. Advise patient to limit sodium intake for optimal drug effect. Could it be something else? May reduce thiazide absorption; give thiazide at least 2 h before sequestrant. ufac.info hydrea
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. 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. Muscle cramp or spasm; fever; anaphylactic reactions. Importance of women informing clinicians if they are or plan to become pregnant or plan to breast-feed. Management of edema associated with heart failure, cirrhosis of the liver, or nephrotic syndrome. price of albendazole cream in the philippines
This can be very dangerous, and you need to see your doctor right away. Check your blood pressure regularly while taking this medication. Learn how to monitor your own blood pressure, and share the results with your doctor. Take this medication regularly to get the most benefit from it. To help you remember, take it at the same times each day. The dosage is based on your medical condition and response to treatment. Do not increase your dose or take it more often than prescribed. Do not take more than 20 milliequivalents per dose. 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. Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Potassium passes into milk. Consult your doctor before -feeding. Maxzide is to be used only by the patient for whom it is prescribed. Do not share it with other people. Tell your doctor if your condition does not improve or if it worsens for example, your increase. May be taken after meals to decrease the risk of upset stomach. Twice-daily administration of the fixed combination of triamterene and hydrochlorothiazide may increase risk of electrolyte imbalance and renal dysfunction. If increasing azotemia and oliguria occur during treatment of severe progressive renal disease, furosemide should be discontinued. 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. Trayes, K. American Family Physician, July 2013.
Tell your doctor if you do not get better or if you get worse. Take this by as directed by your doctor, usually once or twice a day after a meal. This medication may cause blotchy, dark areas on your face and skin melasma. Sunlight may worsen this effect. Limit your time in the sun. Avoid tanning booths and sunlamps. Use and wear protective clothing when outdoors. 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. Stachenfeld, N. Exercise and sport sciences reviews, 2008. Warning signs of hyperkalemia include paresthesias, muscular weakness, fatigue, flaccid paralysis of the extremities, bradycardia, and shock. Consult your doctor before breast-feeding. Phosphodiesterase 5 Inhibitors: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Nicorandil: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. May decrease hypoglycemic effect of sulfonylureas. May need to adjust dosage of sulfonylureas or insulin. 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. over the counter pyrantel canada
Store Maxzide at room temperature, between 68 and 77 degrees F 20 and 25 degrees C. Brief storage at temperatures between 59 and 86 degrees F 15 and 30 degrees C is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Maxzide out of the reach of children and away from pets. Symptoms may include decreased or excessive urination; fainting; fever; flushed face; light-headedness, especially when standing; nausea; severe dizziness; vomiting; weakness. L hyponatremia, hypochloremia, and increases in BUN may occur. This drug may pass into milk. Consult your doctor before -feeding. 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. Interindividual variation in degree of absorption reported. Maximum recommended by manufacturer: 300 mg daily. Reduced clearance and increased risk of hyperkalemia; monitor serum potassium concentrations frequently. b c d See Hyperkalemia under Cautions. If this is the first time you are using this medication and you are not switching from another form of hormonal such as the patch, other take the first tablet in the pack on the first Sunday following the beginning of your menstrual period or on the first day of your period. If your period begins on a Sunday, begin taking this medication on that day. Richardson A, Bayliss J, Scriven AJ et al. Double-blind comparison of captopril alone against frusemide plus amiloride in mild heart failure. Lancet. Benperidol: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Severe allergic reactions rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; dry mouth; excessive thirst; slow or irregular heart rate; unusual muscle weakness; unusual tiredness; vomiting; yellowing of the skin or eyes. 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. It may harm an unborn baby. Discuss the risks and benefits with your doctor. 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. Hypersensitivity reactions: Isolated occurrences have been reported. celexa online questionnaire
Journal of the American Medical Association reports that many are underdiagnosed. Hypertension is clearly a major public health problem. Favre L, Glasson P, Vallotton MB. Reversible acute renal failure from combined triamterene and indomethacin. Ann Intern Med. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip themissed dose. Take your next dose at the regular time. 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. 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. 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. Many medicines have water retention as a side effect. L may occur with all potassium-sparing agents, including triamterene. b c d See Boxed Warning. And on the subject of diet, water is important for preventing constipation, too. Try to drink at least 8 glasses of water a day. 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. If your symptoms do not improve or if they become worse, check with your doctor. 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. Diazoxide: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Some drugs may cause hormonal to work less well by decreasing the amount of hormones in your body. Quinagolide: May enhance the hypotensive effect of Blood Pressure Lowering Agents. carbimazole
LAB TESTS, including blood electrolytes, blood cell counts, kidney and liver function tests, blood uric acid levels, and blood pressure, may be performed while you use triamterene. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. Serum bicarbonate concentrations consistently decreased; urinary pH increased slightly. Bornstein 2016; Inder 2015. 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. 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. Eplerenone: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Management: This combination is contraindicated in patients receiving eplerenone for treatment of hypertension.
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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. It is unknown if triamterene passes into milk. 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. UpToDate: “Patient information: Heart failure Beyond the basics. 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. generic cordarone dollar general
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. Diabetes: Use with caution in patients with prediabetes or diabetes mellitus; may increase blood glucose concentrations and necessitate dosage adjustment of hypoglycemic agents. 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.
These products bind with phosphate, preventing its full absorption. Wilson JR, Reichek N, Dunkman WB et al. Effect of diuresis on the performance of the failing left ventricle in man. Am J Med. American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Circulation. Saline laxatives pull extra water into the stool. Common brand names include and Haley's M-O. 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.
This product may increase your levels. Before using potassium or salt substitutes that contain potassium, consult your doctor or pharmacist. This can affect the results of many laboratory tests. Make sure laboratory personnel and all your doctors know you use this medication. Ask your health care provider any questions you may have about how to use triamterene.