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. Promotes increased diuresis in patients resistant or only partially responsive to thiazides or other diuretics because of secondary hyperaldosteronism. Triamterene is to be used only by the patient for whom it is prescribed. Do not share it with other people. Torres-Courchoud I, Chen HH. Is there still a role for low-dose dopamine use in acute heart failure? enew.info plaquenil
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. 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. 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 and resume your usual dosing schedule. cefadroxil
UpToDate: “Patient information: Cirrhosis Beyond the basics. When administering this drug with another diuretic, the doses of both drugs should be reduced. 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. Dosage is based on your medical condition and response to treatment.
The Captopril-Digoxin Multicenter Research Group. Comparative effects of therapy with captopril and digoxin in patients with mild to moderate heart failure. JAMA. Administration of Dyazide with a high-fat meal in healthy adults increased the average bioavailabilities of triamterene, 6- p-hydroxytriamterene, and hydrochlorothiazide by about 67, 50, and 17%, respectively; increased the peak concentrations of triamterene and its p-hydroxy metabolite; and delayed absorption of the active drugs by up to 2 hours. Bornstein 2016; Inder 2015. Used principally in patients with diuretic-induced hypokalemia or to prevent hypokalemia in patients receiving diuretics who are at risk of this adverse effect. last minute casodex
Educate patient about signs of a significant reaction eg, wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; or swelling of face, lips, tongue, or throat. Note: This is not a comprehensive list of all side effects. Patient should consult prescriber for additional questions. Some medical conditions may interact with Maxzide. 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. Take this by as directed by your doctor. 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. Nitroprusside: Blood Pressure Lowering Agents may enhance the hypotensive effect of Nitroprusside. Nicorandil: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Curr Opin Crit Care. This drug can cause mild nitrogen retention, which is reversible upon withdrawal of therapy, and is seldom observed with intermittent every-other-day therapy. Use Maxzide with caution in the ELDERLY; they may be more sensitive to its effects, especially high blood potassium levels. America Society of Clinical Oncology: “Fluid Retention or Edema. 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. National Heart, Lung, and Blood Institute. Brimonidine Topical: May enhance the hypotensive effect of Blood Pressure Lowering Agents.
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. Eplerenone: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Management: This combination is contraindicated in patients receiving eplerenone for treatment of hypertension. Some medical conditions may interact with triamterene. Continued What About Laxatives? Heparin Low Molecular Weight: 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. Indomethacin: May enhance the nephrotoxic effect of Triamterene. Management: Consider alternatives to concomitant treatment with triamterene and indomethacin. If the combination cannot be avoided, monitor for development of renal failure. Some MEDICINES MAY INTERACT with Maxzide. Severe hepatic disease: Use is contraindicated. 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. The dosage is based on your medical condition and response to treatment. Refer to adult dosing. In the management of hypertension, consider lower initial doses and titrate to response Aronow, 2011. Maxzide may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Maxzide with caution. This is not a complete list of possible side effects. inderal
Maximum 300 mg daily. 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. This is a combination of 2 hormones: an ethinyl and a drospirenone. Administer orally once daily. 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. 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. Although effective alone, often used in combination with other diuretics that act at different sites in the nephron. To lower your risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. 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. Caution patient to avoid sudden position changes to prevent orthostatic hypotension. Quinagolide: May enhance the hypotensive effect of Blood Pressure Lowering Agents. 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. Does not inhibit carbonic anhydrase. All medicines may cause side effects, but many people have no, or minor, side effects. Hypersensitivity to the drug or any of its components.
Maximum recommended by manufacturer: 300 mg daily. This causes swelling in your lower legs. Unlike other laxatives, you can take these every day, because they're essentially just fiber that make the stool bigger and softer. May reduce thiazide absorption; give thiazide at least 2 h before sequestrant. Houston MC. Thiazides and thiazide-like diuretics in hypertension. Ann Intern Med. Maxzide is a diuretic water pill and is a combination of a potassium-sparing diuretic triamterene and a thiazide diuretic hydrochlorothiazide. It works by making the kidneys eliminate sodium salt and water from the body, which helps to lower blood pressure. The triamterene component helps minimize potassium loss. 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. Drospirenone: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Wilson JR, Reichek N, Dunkman WB et al. Effect of diuresis on the performance of the failing left ventricle in man. Am J Med. Excreted in breast milk. 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. 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. latisse powder price
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. Dizziness; lightheadedness; vertigo; headache; paresthesias; weakness; restlessness; insomnia; fatigue. This product may increase your levels. Before using potassium or salt substitutes that contain potassium, consult your doctor or pharmacist. PubMedHealth: “Causes and signs of edema. Principles of Internal Medicine, 19 th edition, McGraw-Hill Education, 2015. It also makes vaginal fluid thicker to help prevent from reaching an egg fertilization and changes the lining of the uterus womb to prevent attachment of a fertilized egg. If a fertilized egg does not attach to the uterus, it passes out of the body. 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. 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. These products bind with phosphate, preventing its full absorption. Don't be embarrassed. A lot of Americans -- more than 4 million by some estimates -- deal with on a regular basis. Women are the most frequent sufferers. Advise patient that drug may cause drowsiness and to use caution while driving or performing other tasks requiring mental alertness. 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. Does not competitively inhibit aldosterone; activity is independent of aldosterone concentrations. Twice-daily administration of the fixed combination of triamterene and hydrochlorothiazide may increase risk of electrolyte imbalance and renal dysfunction.
Senekot, make the muscles in your intestines contract to help push stool out. Some patients resistant to triamterene monotherapy may respond to such combined therapy. 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. Consult your doctor before breast-feeding. Yohimbine: May diminish the antihypertensive effect of Antihypertensive Agents. Take triamterene by mouth with or without food. buy zentel safely online
Hyperglycemia; glycosuria; hyperuricemia; hyperkalemia; electrolyte imbalance; hypochloremia; hyponatremia. For an overall eating plan, consider the DASH eating plan. GlaxoSmithKline. Dyazide capsules prescribing information. Philadelphia, PA; 1999 Feb. Journal of the American Medical Association reports that many are underdiagnosed. Hypertension is clearly a major public health problem. 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. This product may cause your body to lose too much water and salt dehydration. Management of edema associated with heart failure, cirrhosis of the liver, or nephrotic syndrome. Triamterene appears in animal milk and is likely present in human milk. Hospira. Dopamine hydrochloride and 5% dextrose injection prescribing information. Lake Forest, IL; 2014 May.
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This medication passes into milk. May occur in patients with or without history of allergy or bronchial asthma; cross-sensitivity with sulfonamides may also occur. Refer to the product package information for advice on missed doses. albenza
Triamterene is a weak folic acid antagonist and may contribute to megaloblastosis. Usually combined with a kaliuretic diuretic. Tell your doctor if your condition does not improve or if it worsens for example, your increase. Excipients in commercially available drug preparations may have clinically important effects in some individuals; consult specific product labeling for details. 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.
If any of these effects last or get worse, tell your doctor or promptly. Its molecular weight is 253. 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. Before having surgery, tell your doctor or dentist about all the products you use including prescription drugs, nonprescription drugs, and herbal products. glimepiride to order in usa
If your symptoms do not improve or if they become worse, check with your doctor. When this medication is first started, there is a chance an old will be passed. Management of steroid-induced edema, idiopathic edema, and edema caused by secondary hyperaldosteronism. 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. Tell your doctor if your condition does not improve or if it worsens for example, your blood pressure readings increase.