Muscle cramp or spasm; fever; anaphylactic reactions. Excipients in commercially available drug preparations may have clinically important effects in some individuals; consult specific product labeling for details. Little if any hypotensive effect when used alone. 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. buy glimepiride from australia
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. Check your blood pressure regularly while taking this medication. Learn how to monitor your own blood pressure, and share the results with your doctor. 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.
Administer orally once daily. 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. 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. Many medicines have water retention as a side effect.
Adverse events have not been observed in animal reproduction studies. Triamterene crosses the placenta and is found in cord blood. Use of triamterene to treat edema during normal pregnancies is not appropriate; use may be considered when edema is due to pathologic causes as in the nonpregnant patient; monitor. Kidney stones: Use with caution in patients with kidney stones. Use triamterene as directed by your doctor. Check the label on the medicine for exact dosing instructions.
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. Journal of the American Medical Association reports that many are underdiagnosed. Hypertension is clearly a major public health problem. Severe sweating, diarrhea, or vomiting can increase the risk for lightheadedness or a serious loss of body water dehydration. Report prolonged diarrhea or vomiting to your doctor. To prevent dehydration, drink plenty of fluids unless your doctor directs you otherwise. This medication may affect your potassium levels. Before using potassium supplements or salt substitutes that contain potassium, consult your doctor or pharmacist. 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. We all need sodium. It plays an important part in regulating and fluid levels. But you only need a small amount. If you have too much in your system, your body holds in water. Table salt is one source of sodium, but we get more of it from processed food like lunch meat, crackers, chips, canned vegetables and soups, fast food, and even soft drinks. May cause synergistic effects that may result in profound diuresis and serious electrolyte abnormalities. 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. 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. May cause elevations in serum uric acid concentrations, especially in patients predisposed to gouty arthritis. 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. 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. 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.
Tolvaptan: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Use triamterene with caution in the ELDERLY; they may be more sensitive to its effects. 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. Potassium supplements: Avoid potassium supplements, potassium-containing salt substitutes, a diet rich in potassium, or other drugs that can cause hyperkalemia. CycloSPORINE Systemic: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of CycloSPORINE Systemic. Potassium excretion usually reduced; serum concentrations of potassium and chloride are usually increased. 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. Houston MC. Thiazides and thiazide-like diuretics in hypertension. Ann Intern Med. diclofenac
Ask your doctor if your meds may be the problem. If so, there may be something else you can take instead. Management of steroid-induced edema, idiopathic edema, and edema caused by secondary hyperaldosteronism. Report prolonged or to your doctor. 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. Importance of informing patients of other important precautionary information. b c d See Cautions. 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. Promotes increased diuresis in patients resistant or only partially responsive to thiazides or other diuretics because of secondary hyperaldosteronism. Advise patient to limit exposure to sun and to use sunscreen or wear protective clothing to avoid photosensitivity reaction. Herbs Hypotensive Properties: May enhance the hypotensive effect of Blood Pressure Lowering Agents. 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. Importance of informing patients that if a dose is missed, the patient should take only the prescribed dose at the next dosing interval. 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. qquc.info domperidone
The Captopril-Digoxin Multicenter Research Group. Comparative effects of therapy with captopril and digoxin in patients with mild to moderate heart failure. JAMA. This can lessen symptoms such as shortness of breath or swelling in your or feet. Yancy CW. The Uncertainty of Sodium Restriction in Heart Failure: We Can Do Better Than This. JACC Heart Fail. Increases excretion of sodium, calcium, magnesium, and bicarbonate. Lederle Laboratories. Maxzide and Maxzide -25 MG tablets prescribing information. Pearl River, NY; 1988 May. 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. 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. 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. Primarily metabolized to 6- p-hydroxytriamterene and its sulfate conjugate. Talk to your doctor or about lifestyle changes that might benefit you. If vomiting or diarrhea occurs, you will need to take care not to become dehydrated. Contact your doctor for instructions. 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. Tell your doctor or dentist that you take triamterene before you receive any medical or dental care, emergency care, or surgery. May increase amantadine plasma levels and risk for adverse reactions. ponstel get you high
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. Lubricant laxatives, including Fleet and Zymenol, coat the stool to make it slippery, so it can pass more easily through the colon. Ask your health care provider any questions you may have about how to use triamterene. Potassium loss has been reported during triamterene therapy in some patients with hepatic cirrhosis and may result in signs and symptoms of hepatic coma or precoma. Nicorandil: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Quinagolide: 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. Severe hepatic disease: Use is contraindicated. Tacrolimus Systemic: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of Tacrolimus Systemic. 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. Benperidol: May enhance the hypotensive effect of Blood Pressure Lowering Agents. 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. Use Maxzide with caution in the ELDERLY; they may be more sensitive to its effects, especially high blood potassium levels. Discuss the risks and benefits with your doctor. Diuretics. Analgesics Opioid may diminish the therapeutic effect of Diuretics. 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. atopex
WellSpring Pharmaceutical Corporation. Dyrenium triamterene capsules prescribing information. Neptune, NJ; 2001 June. 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. It is not known whether this drug passes into milk. Consult your doctor before -feeding. Maximum 300 mg daily. 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. Hyperglycemia; glycosuria; hyperuricemia; hyperkalemia; electrolyte imbalance; hypochloremia; hyponatremia. Only references cited for selected revisions after 1984 are available electronically. 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.
Maxzide may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Maxzide with caution. 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. Warning signs of hyperkalemia include paresthesias, muscular weakness, fatigue, flaccid paralysis of the extremities, bradycardia, and shock. May cause rapid progression into acute renal failure. Barbiturates: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. 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. People with chronic heart failure can have fluid buildup inside their lungs. 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. 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. Also, regularly. Moving your body will keep your bowels moving, too. 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. generic isotrexin teva canada
Caution patient to avoid sudden position changes to prevent orthostatic hypotension. Potassium-sparing diuretic; pteridine derivative. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Monitor serum electrolytes regularly. 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. 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. lotriderm money order online shopping
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Your dosage is based on your condition and response to therapy. WPC 003 for the 100-mg strength. Antihypertensive effects may be enhanced. alavert
May affect total serum cholesterol, total triglycerides, and LDL in some patients. Also, don't ignore the problem. Untreated constipation can lead to real problems, such as and tears in the around the called fissures that make you bleed. If you strain too hard, you might even cause part of your intestines to push out through the anus -- a condition called rectal prolapse that can sometimes require surgery. 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. desyrel online mastercard order
Take triamterene by mouth with or without food. America Society of Clinical Oncology: “Lymphedema. This information should not be used to decide whether or not to take Maxzide 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 Maxzide. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Maxzide. 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 Maxzide.
UpToDate: “Patient Information” Edema swelling Beyond the basics. 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. Jaundice; liver enzyme abnormalities. buy cheapest buspirone