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. Swallow the capsules whole. If you have trouble swallowing the capsules, tell your doctor or pharmacist. Some brands may be opened and the contents sprinkled onto a spoonful of cool, soft food such as applesauce or pudding. 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.
To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. 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. Do not start, stop, or change the dosage of any medicines without your doctor's approval. 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.
Take medication: Your doctor may prescribe a diuretic, or water pill. These help your body get rid of extra sodium and fluid through peeing. Tell your doctor if your condition does not improve or if it worsens for example, your increase. Do not use concurrent potassium supplementation or potassium-containing salt substitutes. b Discontinue potassium supplementation when triamterene is added to other diuretic therapy or when patients are switched to triamterene from other diuretics. Management of steroid-induced edema, idiopathic edema, and edema caused by secondary hyperaldosteronism. There is no evidence that stone formation is increased in patients taking triamterene containing drugs. coumadin
Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? Promotes increased diuresis in patients resistant or only partially responsive to thiazides or other diuretics because of secondary hyperaldosteronism. Concurrent potassium supplementation, including potassium salts or potassium-containing salt substitutes. b See Interactions. Adrenal insufficiency: Avoid use of diuretics for treatment of elevated blood pressure in patients with primary adrenal insufficiency Addison disease. Potassium-sparing diuretic; pteridine derivative.
Weinberg MS, Quigg RJ, Salant DJ et al. Anuric renal failure precipitated by indomethacin and triamterene. Nephron. Call your doctor. In some cases, swelling calls for immediate medical help. It is also used to decrease the amount of in urine, thereby reducing odor and irritation caused by high-ammonia urine. Lubricant laxatives, including Fleet and Zymenol, coat the stool to make it slippery, so it can pass more easily through the colon. Bornstein 2016; Inder 2015. 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. Severe hepatic disease: Use is contraindicated. 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. Blume CD, Williams RL, Upton RA et al. Bioequivalence study of a new tablet formulation of triamterene and hydrochlorothiazide. Am J Med. 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. Lifestyle changes such as stress reduction programs, exercise, and dietary changes may increase the effectiveness of this medicine. Talk to your doctor or pharmacist about lifestyle changes that might benefit you.
Take this by as directed by your doctor, usually once or twice a day after a meal. Little if any hypotensive effect when used alone. Do not use as initial monotherapy in severe heart failure since bowel edema or intestinal hypoperfusion may delay absorption and subsequent therapeutic effect. Report prolonged or to your doctor. 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. 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. 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. Hyperglycemia; glycosuria; hyperuricemia; hyperkalemia; electrolyte imbalance; hypochloremia; hyponatremia. Saline laxatives pull extra water into the stool. Common brand names include and Haley's M-O. lopid
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. May increase amantadine plasma levels and risk for adverse reactions. Ammonium Chloride. Specifically the risk of systemic acidosis. This helps control the amount of in the body and urine. It works by making the urine more acidic. All medicines may cause side effects, but many people have no, or minor, side effects. 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. ACE inhibitors, angiotensin II receptor antagonists, calcium-channel blockers, thiazide diuretics are preferred for initial management. UpToDate: “Patient information: Heart failure Beyond the basics. 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. Purpura; photosensitivity; rash; urticaria; necrotizing angiitis, vasculitis, cutaneous vasculitis; alopecia; exfoliative dermatitis; toxic epidermal necrolysis; erythema multiforme; Stevens-Johnson syndrome. Lormetazepam: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Interindividual variation in degree of absorption reported. UpToDate: “Patient information: Low-sodium diet Beyond the basics. mrun.info bicalutamide
Torres-Courchoud I, Chen HH. Is there still a role for low-dose dopamine use in acute heart failure? An empty tablet or capsule shell may appear in your stool. Hospira. Dopamine hydrochloride and 5% dextrose injection prescribing information. Lake Forest, IL; 2014 May. The dosage should be titrated to the needs of the individual patient. Importance of taking drug after meals to help avoid stomach upset. It is unknown if triamterene passes into breast milk. Hydrochlorothiazide passes into breast milk, but is unlikely to harm a nursing infant. Consult your doctor before breast-feeding. May interfere with the fluorescent measurement of quinidine serum levels. May decrease serum protein-bound iodine levels without signs of thyroid disturbance. 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. It is unknown if triamterene passes into milk. Continued What About Laxatives? May increase incidence of hypersensitivity reactions to allopurinol. Reductions in glomerular filtration observed during daily, but not intermittent, administration; suggests a reversible effect on renal blood flow.
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. Do not stop taking any medications without consulting your healthcare provider. UpToDate: “Patient Information” Edema swelling Beyond the basics. 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. 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. Research has shown that following a healthy eating plan can both reduce the risk of developing high blood pressure and lower an already elevated blood pressure. What really concerns me are the effects on A1c levels, potassium, kidneys -- I guess this is the lesser of the evils. Ask your health care provider any questions you may have about how to use triamterene. Keep all regular medical and laboratory appointments. 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. Photosensitivity: Can cause photosensitivity. If you take cholestyramine or colestipol, ask your doctor or pharmacist how to take it with Maxzide. 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. If increasing azotemia and oliguria occur during treatment of severe progressive renal disease, furosemide should be discontinued. Some patients resistant to triamterene monotherapy may respond to such combined therapy. glyburide
UpToDate: “Patient information: Deep vein thrombosis Beyond the basics. 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. 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. Advise patient to limit sodium intake for optimal drug effect. Nitroprusside: Blood Pressure Lowering Agents may enhance the hypotensive effect of Nitroprusside. 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. FL 34243 USA, By WellSpring Pharmaceutical Canada Corp. Cicci JD, Reed BN, McNeely EB et al. Acute decompensated heart failure: evolving literature and implications for future practice. Pharmacotherapy. When triamterene is used in fixed combination with hydrochlorothiazide, consider the cautions, precautions, and contraindications associated with hydrochlorothiazide. Importance of informing patients of other important precautionary information. b c d See Cautions. Dyrenium should be gradual. Advise patient to limit exposure to sun and to use sunscreen or wear protective clothing to avoid photosensitivity reaction. generic evista money order shopping
Diazoxide: May enhance the hypotensive effect of Blood Pressure Lowering Agents. May be administered with food. 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. Phosphodiesterase 5 Inhibitors: 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. 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. Use this medication regularly to get the most benefit from it. To help you remember, take it at the same times each day. ATPase, leading to potassium retention and decreased calcium, magnesium, and hydrogen excretion. National Heart, Lung, and Blood Institute. 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. Kidney stones: Use with caution in patients with kidney stones.
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Sitting or standing too long can cause your tissue to hold water. If your job keeps you on your feet, you may notice swollen legs and ankles at the end of the day. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Anorexia; gastric irritation; nausea; vomiting; abdominal pain or cramping; bloating; diarrhea; constipation; pancreatitis; sialadenitis; dry mouth. Muscle cramp or spasm; fever; anaphylactic reactions. For the treatment of hypertension, twice a day dosing is recommended. cheap galantamine london
Triamterene should not be used in CHILDREN; safety and effectiveness in children have not been confirmed. Edema: For the treatment of edema associated with congestive heart failure, cirrhosis of the liver and the nephrotic syndrome; also in steroid-induced edema, idiopathic edema and edema due to 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.
Drospirenone: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Use triamterene as directed by your doctor. Check the label on the medicine for exact dosing instructions. May cause synergistic effects that may result in profound diuresis and serious electrolyte abnormalities. Back to taking 2 halves a day --every 12 hours --so I sleep without interruption! Trayes, K. American Family Physician, July 2013. buy entocort new zealand
If you have any questions about triamterene, please talk with your doctor, pharmacist, or other health care provider. Levodopa: Blood Pressure Lowering Agents may enhance the hypotensive effect of Levodopa. Severe impairment or progressive kidney disease: Use is contraindicated. asacol