Some medical conditions may interact with Maxzide. 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. 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. Weinberg MS, Quigg RJ, Salant DJ et al. Anuric renal failure precipitated by indomethacin and triamterene. Nephron. how to order losartan store losartan
Laboratory medicine, drug therapy, and reference tables. In: Behrman RE, Kliegman RM, Jenson HB, eds. Nelson textbook of pediatrics. Monitor BUN and S cr, especially in geriatric patients and those with suspected or confirmed hepatic or renal disease. May be effective in some patients unresponsive to spironolactone; unlike spironolactone, diuretic effect of triamterene is independent of aldosterone concentrations. Usually combined with a kaliuretic diuretic. keftab costco canada
May cause mild nitrogen retention, which is reversible upon drug discontinuance; seldom observed with intermittent every-other-day therapy. 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. Hypotension-Associated Agents: Blood Pressure Lowering Agents may enhance the hypotensive effect of Hypotension-Associated Agents.
Other signs include pain, warmth, and redness. Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. 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. cheap clomid purchase canada
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. 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. Use this medication regularly to get the most benefit from it. To help you remember, take it at the same times each day. Your body is mostly water. Maximum 300 mg daily. Adrenal insufficiency: Avoid use of diuretics for treatment of elevated blood pressure in patients with primary adrenal insufficiency Addison disease. Dofetilide: Triamterene may increase the serum concentration of Dofetilide. Do not crush, chew, or suck extended-release capsules or tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split extended-release tablets unless they have a score line and your doctor or tells you to do so. Swallow the whole or split tablet without crushing or chewing.
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. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Levodopa: Blood Pressure Lowering Agents may enhance the hypotensive effect of Levodopa. Primarily metabolized to 6- p-hydroxytriamterene and its sulfate conjugate. Lederle Laboratories. Maxzide and Maxzide -25 MG tablets prescribing information. Pearl River, NY; 1988 May. May decrease renal excretion of lithium; monitor lithium levels. While you're having an issue with constipation, limit foods that are high in fat and low in fiber, like cheese and other dairy products, processed foods, and meat. They can make constipation worse. Hummel SL, Konerman MC. Dietary Sodium Restriction in Heart Failure: A Recommendation Worth its Salt? 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. This drug may pass into milk. Consult your doctor before -feeding. nitrofurantoin
WPC 003 for the 100-mg strength. May reduce thiazide absorption; give thiazide at least 2 h before sequestrant. This product may cause your body to lose too much water and salt dehydration. Take triamterene by mouth with or without food. It is also used to decrease the amount of in urine, thereby reducing odor and irritation caused by high-ammonia urine. 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 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.
Patients with cirrhosis and ascites should be given smaller doses of furosemide due to the risk of altered electrolyte balance, which can lead to hepatic encephalopathy. May precipitate azotemia or hypermagnesemia; use drug with caution. Reserve laxatives for constipation that doesn't improve after you've added fiber and water to your diet. Photosensitivity: Can cause photosensitivity. Importance of taking drug after meals to help avoid stomach upset. 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. 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. Please refer to the for information on shortages of one or more of these preparations. May cause rapid progression into acute renal failure. 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. This causes swelling in your lower legs. Mylan Pharmaceuticals. Maxzide and Maxzide -25 triamterene and hydrochlorothiazide tablets prescribing information. Morgantown, WV; 2011 Jan. Administer orally once daily. help minocin
Do not use as initial monotherapy in severe heart failure since bowel edema or intestinal hypoperfusion may delay absorption and subsequent therapeutic effect. Potassium excretion usually reduced; serum concentrations of potassium and chloride are usually increased. 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. Antihypertensive effects may be enhanced. This requires emergency treatment. 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. Presence of widened QRS complex or arrhythmia in association with hyperkalemia requires prompt additional therapy. b For tachyarrhythmia, infuse 44 mEq of sodium bicarbonate or 10 mL of 10% calcium gluconate or calcium chloride over several minutes. b For asystole, bradycardia, or AV block, transvenous pacing also is recommended. b The effect of calcium and sodium bicarbonate is transient and repeated administration may be required. b When indicated by the clinical situation, excess potassium may be removed by dialysis or oral or rectal administration of sodium polystyrene sulfonate. b Infusion of glucose and insulin has also been used to treat hyperkalemia. National Heart, Lung, and Blood Institute. But swelling in the hands and face could be a sign of a dangerous blood pressure problem called preeclampsia.
National High Blood Pressure Education Program Working Group on Hypertension Control in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 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. Concurrent potassium supplementation, including potassium salts or potassium-containing salt substitutes. b See Interactions. Older adults may be more sensitive to the side effects of this drug, especially high potassium blood levels. 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. 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. May increase amantadine plasma levels and risk for adverse reactions. buy generic crestor online
Twice-daily administration of the fixed combination of triamterene and hydrochlorothiazide may increase risk of electrolyte imbalance and renal dysfunction. 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. 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. Intramuscular: 10 to 20 mg once over 1 to 2 minutes. A repeat dose similar to the initial dose may be given within 2 hours if there is an inadequate response. Following the repeat dose, if there is still an inadequate response within another 2 hours, the last IV dose may be raised by 20 to 40 mg until there is an effective diuresis. Single doses exceeding 200 mg are rarely necessary. Pholcodine: Blood Pressure Lowering Agents may enhance the hypotensive effect of Pholcodine. This medication should not be used if you have certain medical conditions. This drug may make you dizzy. not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages. 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. Take this medication by mouth as directed by your doctor, usually once daily in the morning with or without food. It is best to avoid taking this medication within 4 hours of your bedtime to prevent having to get up to urinate. 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. 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. 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. Take this by as directed by your doctor, usually once daily in the morning with or without food. It is best to avoid taking this medication within 4 hours of your to prevent having to get up to urinate.
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Severe impairment or progressive kidney disease: Use is contraindicated. Please refer to PRECAUTIONS-General. Ask your health care provider any questions you may have about how to use Maxzide. 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. Your condition will not improve any faster, and your risk of side effects will increase. buqu.info clavamox
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. 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? Stool softeners such as and make stools easier to pass by adding fluid to them. Having softer stool can prevent you from having to strain during bowel movements. Your doctor may recommend one of these products if your constipation is due to or surgery.
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. When this drug is used concomitantly with another diuretic or antihypertensive agent, the total daily dose of each agent should be lowered initially and then adjusted according to patient need. 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. latisse
Abrupt discontinuance may result in rebound kaliuresis; taper dosage gradually. Prostacyclin Analogues: May enhance the hypotensive effect of Blood Pressure Lowering Agents. 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. Special stockings or socks gently squeeze your lower legs to help keep your blood circulating.