Promotes increased diuresis in patients resistant or only partially responsive to thiazides or other diuretics because of secondary hyperaldosteronism. Take this medication as prescribed. Do not increase your dose or take this more often without your doctor's approval. May occur in patients with or without history of allergy or bronchial asthma; cross-sensitivity with sulfonamides may also occur. Triamterene is a weak folic acid antagonist and may contribute to megaloblastosis. 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. ursofalk
Increases excretion of sodium, calcium, magnesium, and bicarbonate. 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. Does not inhibit carbonic anhydrase.
Triamterene has not been studied in nursing mothers. UpToDate: “Patient information: Deep vein thrombosis Beyond the basics. Phosphodiesterase 5 Inhibitors: May enhance the hypotensive effect of Blood Pressure Lowering Agents.
Refer to adult dosing. In the management of hypertension, consider lower initial doses and titrate to response Aronow, 2011. 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. 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.
L may occur with all potassium-sparing agents, including triamterene. b c d See Boxed Warning. 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. 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. It is not known whether this drug passes into milk. Consult your doctor before -feeding. 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.
Ask your health care provider any questions you may have about how to use Maxzide. Primarily metabolized to 6- p-hydroxytriamterene and its sulfate conjugate. Diacerein: May enhance the therapeutic effect of Diuretics. Specifically, the risk for dehydration or hypokalemia may be increased. All medicines may cause side effects, but many people have no, or minor, side effects. Hummel SL, Konerman MC. Dietary Sodium Restriction in Heart Failure: A Recommendation Worth its Salt? This is a combination of 2 hormones: an ethinyl and a drospirenone. Tell your doctor or dentist that you take Maxzide before you receive any medical or dental care, emergency care, or surgery. Triamterene is to be used only by the patient for whom it is prescribed. Do not share it with other people. 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. The dosage is based on your medical condition and response to treatment. 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. Monitor BUN and S cr, especially in geriatric patients and those with suspected or confirmed hepatic or renal disease. 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. Tell your doctor if you develop any new symptoms. Maxzide is to be used only by the patient for whom it is prescribed. Do not share it with other people. 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. flucort
You need it, but sometimes your body holds on to too much of it. This is water retention, and it causes puffiness and swelling. It can be triggered by many different things. Could it be your diet? Antihypertensive effects may be enhanced. May cause synergistic effects that may result in profound diuresis and serious electrolyte abnormalities. Dyrenium should be gradual. Blurred vision; xanthopsia yellow vision. Instruct diabetic patients to report increased levels of blood glucose. 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. May precipitate azotemia or hypermagnesemia; use drug with caution. The dosage should be titrated to the needs of the individual patient. Reducing the dose of this drug may be necessary in the presence of electrolyte imbalance and in geriatric patients. No specific dosage recommendations for hepatic impairment; caution if using fixed combination with hydrochlorothiazide because of risk of precipitating hepatic coma. c d See Contraindications under Cautions. Nitroprusside: Blood Pressure Lowering Agents may enhance the hypotensive effect of Nitroprusside. 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. It is unknown if triamterene passes into milk. aved.info benicar
Maxzide may cause dizziness, light-headedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects. 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. Capsules: Administer orally twice daily after meals. This medication should not be used if you have certain medical conditions. These products bind with phosphate, preventing its full absorption. Abrupt discontinuance may result in rebound kaliuresis; taper dosage gradually. Leukopenia; thrombocytopenia; agranulocytosis; aplastic or hypoplastic anemia; hemolytic anemia; megaloblastic anemia. 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. Avoid use of potassium-sparing diuretics in severely ill patients in whom respiratory or metabolic acidosis may occur; acidosis may result in rapid increases in serum potassium concentrations. c d Perform frequent assessments of acid-base balance and serum electrolytes. euthyrox cost in mexico
Nicorandil: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Jaundice; liver enzyme abnormalities. Many medicines have water retention as a side effect. 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 do not have serious side effects. May be administered with food.
Triamterene may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use triamterene with caution. Dizziness; lightheadedness; vertigo; headache; paresthesias; weakness; restlessness; insomnia; fatigue. Hypersensitivity to the drug or any of its components. Before having surgery, tell your doctor or dentist about all the products you use including prescription drugs, nonprescription drugs, and herbal products. May be effective in some patients unresponsive to spironolactone; unlike spironolactone, diuretic effect of triamterene is independent of aldosterone concentrations. May result in severely elevated serum potassium levels. 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. This is not a complete list of possible side effects. CycloSPORINE Systemic: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of CycloSPORINE Systemic. Advise patient that drug may cause drowsiness and to use caution while driving or performing other tasks requiring mental alertness. Impotence; reduced libido; interstitial nephritis; azotemia; elevated BUN and creatinine. buy warfarin quick delivery
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. 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. Edema may develop during pregnancy due to comorbid pathology or the physiologic and mechanical consequences of pregnancy. b c d Diuretic therapy may be appropriate in the management of edema due to a pathologic cause manifesting during pregnancy. b c d However, dependent edema in pregnancy resulting from restriction of venous return by the gravid uterus may be treated by elevating the lower extremities and using support hose; diuretic therapy to lower intravascular volume is not appropriate in such cases. 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. 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. 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. May increase incidence of hypersensitivity reactions to allopurinol. Importance of informing patients that if a dose is missed, the patient should take only the prescribed dose at the next dosing interval. Please refer to PRECAUTIONS-General. Eplerenone: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Management: This combination is contraindicated in patients receiving eplerenone for treatment of hypertension. Reductions in glomerular filtration observed during daily, but not intermittent, administration; suggests a reversible effect on renal blood flow. Tacrolimus Systemic: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of Tacrolimus Systemic. When triamterene is used in fixed combination with hydrochlorothiazide, consider the cautions, precautions, and contraindications associated with hydrochlorothiazide. Do not consider Second Opinion 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. Store at room temperature between 59-86 degrees F 15-30 degrees C away from heat and moisture. not store in the bathroom. Keep all medicines away from children and pets. Doses greater than 200 mg are rarely needed for treatment of edema. risperidone price ebay
Lormetazepam: May enhance the hypotensive effect of Blood Pressure Lowering Agents. 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. 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. Diabetes patients - Maxzide may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine. Weinberg MS, Quigg RJ, Salant DJ et al. Anuric renal failure precipitated by indomethacin and triamterene. Nephron. Do not stop taking any medications without consulting your healthcare provider. May cause elevations in serum uric acid concentrations, especially in patients predisposed to gouty arthritis. 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. 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. Ask your doctor or if you have any questions. 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. Store at room temperature away from light and moisture. not store in the bathroom. Keep all away from children and pets. Amphetamines: May diminish the antihypertensive effect of Antihypertensive Agents. UpToDate: “Patient information: Heart failure Beyond the basics. Crosses the placenta and distributes into milk in animals. Special stockings or socks gently squeeze your lower legs to help keep your blood circulating. butenafine
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? This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. 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. Check your blood pressure regularly while taking this medication. Learn how to monitor your own blood pressure, and share the results with your doctor. UpToDate: “Patient Information” Edema swelling 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. SmithKline Beecham, Philadelphia, PA: Personal communication. Here are a few effective constipation treatments. 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. Monitor serum electrolytes regularly. If any of these effects last or get worse, tell your doctor or promptly. Triamterene has been found in renal stones; use drug with caution in patients with histories of stone formation. Quinagolide: May enhance the hypotensive effect of Blood Pressure Lowering Agents. 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. For that reason, the diagnosis of high blood pressure is important so efforts can be made to normalize blood pressure and prevent complications.
When administering this drug with another diuretic, the doses of both drugs should be reduced. Yancy CW. The Uncertainty of Sodium Restriction in Heart Failure: We Can Do Better Than This. JACC Heart Fail. Trayes, K. American Family Physician, July 2013. Symptoms may include lightheadedness; nausea; vomiting; weakness. Advise patient to limit sodium intake for optimal drug effect. Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. 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. Used principally in patients with diuretic-induced hypokalemia or to prevent hypokalemia in patients receiving diuretics who are at risk of this adverse effect. 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. Reduced clearance and increased risk of hyperkalemia; monitor serum potassium concentrations frequently. b c d See Hyperkalemia under Cautions. This can affect the results of many laboratory tests. Make sure laboratory personnel and all your doctors know you use this medication. Pholcodine: Blood Pressure Lowering Agents may enhance the hypotensive effect of Pholcodine. Tell your doctor if your condition does not improve or if it worsens for example, your increase. 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. Keep all medical and lab appointments. For the treatment of hypertension, twice a day dosing is recommended. buy diclofenac ireland
Potassium Salts: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. It may harm an unborn baby. Discuss the risks and benefits with your doctor. Excreted in urine, primarily as 6- p-hydroxytriamterene. Use triamterene as directed by your doctor. Check the label on the medicine for exact dosing instructions. Stachenfeld, N. Exercise and sport sciences reviews, 2008. Ask your health care provider any questions you may have about how to use triamterene. eprex price germany
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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. This may not be a complete list of all interactions that may occur. Ask your health care provider if triamterene 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.
Check your regularly while taking this medication. Learn how to monitor your own pressure, and share the results with your doctor. Lederle Laboratories. Maxzide and Maxzide -25 MG tablets prescribing information. Pearl River, NY; 1988 May. 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. Use Maxzide with caution in the ELDERLY; they may be more sensitive to its effects, especially high blood potassium levels.
Purpura; photosensitivity; rash; urticaria; necrotizing angiitis, vasculitis, cutaneous vasculitis; alopecia; exfoliative dermatitis; toxic epidermal necrolysis; erythema multiforme; Stevens-Johnson syndrome. Other signs include pain, warmth, and redness. IV: 20 to 100 mg every 1 to 2 hours over 1 to 2 minutes. Instruct patient to take medication early in day to avoid diuretic effect at night.
White, C. Obstetrics and Gynecology International, 2011. Does not competitively inhibit aldosterone; activity is independent of aldosterone concentrations. ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension ESH and of the European Society of Cardiology ESC. J Hypertens.