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. 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. 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. cheap motrin online pharmacy
Tell patient to take drug with food or milk and to report GI symptoms. 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. 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.
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. Potassium-sparing diuretic; pteridine derivative. Do not use as initial monotherapy in severe heart failure since bowel edema or intestinal hypoperfusion may delay absorption and subsequent therapeutic effect.
May cause mild nitrogen retention, which is reversible upon drug discontinuance; seldom observed with intermittent every-other-day therapy. Tell your doctor if you develop any new symptoms. Severe hepatic disease: Use is contraindicated. Safety and efficacy have not been established.
Could it be something else? Blume CD, Williams RL, Upton RA et al. Bioequivalence study of a new tablet formulation of triamterene and hydrochlorothiazide. Am J Med. 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. Take this medication regularly in order to get the most benefit from it. To help you remember, take it at the same times each day. Distributed into milk in animals and is likely to distribute into human milk. b Discontinue nursing or the drug. May cause a decreasing alkali reserve with the possibility of metabolic acidosis. May interfere with the fluorescent measurement of quinidine serum levels. May decrease serum protein-bound iodine levels without signs of thyroid disturbance. 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. This information should not be used to decide whether or not to take triamterene 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 triamterene. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to triamterene. 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 triamterene. May severely increase serum potassium levels, possibly resulting in cardiac arrhythmias or cardiac arrest. Monitor serum potassium closely if potassium is coadministered.
Oral: If needed, repeat dose in 6 hours, after another 6 hours increase dose to 20 to 40 mg every 6 hours until an adequate diuresis. All medicines may cause side effects, but many people have no, or minor, side effects. Canagliflozin: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Canagliflozin may enhance the hypotensive effect of Potassium-Sparing Diuretics. Although effective alone, often used in combination with other diuretics that act at different sites in the nephron. No specific dosage recommendations for renal impairment; 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. 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. Importance of informing patients of other important precautionary information. b c d See Cautions. Monitor BUN and S cr, especially in geriatric patients and those with suspected or confirmed hepatic or renal disease. Ask your doctor or if you have any questions. QuiNIDine: Potassium-Sparing Diuretics may diminish the therapeutic effect of QuiNIDine. Jaundice; liver enzyme abnormalities. Hypersensitivity reactions: Isolated occurrences have been reported. Phosphodiesterase 5 Inhibitors: May enhance the hypotensive effect of Blood Pressure Lowering Agents. tofranil
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. Patients who require hydrochlorothiazide and in whom hypokalemia cannot be risked may initiate therapy with Maxzide -25 mg 37. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Because triamterene conserves potassium, it has been suggested that patients who have received intensive therapy or have been given the drug for prolonged periods may develop a rebound kaliuresis if such therapy is discontinued abruptly. b Discontinue drug gradually in such patients. May decrease hypoglycemic effect of sulfonylureas. May need to adjust dosage of sulfonylureas or insulin. CycloSPORINE Systemic: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of CycloSPORINE Systemic. 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. If any of these effects persist or worsen, notify your doctor promptly. meloxicam prices australia meloxicam
Take triamterene by mouth with or without food. Use triamterene as directed by your doctor. Check the label on the medicine for exact dosing instructions. If any of these effects last or get worse, tell your doctor or promptly. 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. This medication passes into milk. Nonsteroidal Anti-Inflammatory Agents: May diminish the antihypertensive effect of Potassium-Sparing Diuretics. Nonsteroidal Anti-Inflammatory Agents may enhance the hyperkalemic effect of Potassium-Sparing Diuretics. National Heart, Lung, and Blood Institute National High Blood Pressure Education Program. The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure JNC VI. Bethesda, MD: National Institutes of Health. NIH publication No. 98-4080. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. Drugs. Potassium excretion usually reduced; serum concentrations of potassium and chloride are usually increased. plendil cost basis
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. Blocks epithelial sodium channels in the late distal convoluted tubule DCT and collecting duct which inhibits sodium reabsorption from the lumen. Advise patient to limit sodium intake for optimal drug effect. 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. If vomiting or diarrhea occurs, you will need to take care not to become dehydrated. Contact your doctor for instructions. Upton RA, Williams RL, Lin ET et al. Absence of a significant pharmacokinetic interaction between hydrochlorothiazide and triamterene when coadministered. J Pharmacokinet Biopharm. 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. Used principally in patients with diuretic-induced hypokalemia or to prevent hypokalemia in patients receiving diuretics who are at risk of this adverse effect. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the substances you are taking, check with your doctor, nurse, or pharmacist. Call your doctor. In some cases, swelling calls for immediate medical help. The classifications below are a guideline only. The relevance of a particular drug interaction to a specific patient is difficult to determine using this tool alone given the large number of variables that may apply. Administer orally once daily. Some patients resistant to triamterene monotherapy may respond to such combined therapy.
Gradually increase the amount of until you're getting at least 20 to 35 grams of fiber daily. Excreted in urine, primarily as 6- p-hydroxytriamterene. Barbiturates: May enhance the hypotensive effect of Blood Pressure Lowering Agents. 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. 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. Acts directly on the distal renal tubule of the nephron to depress aldosterone-stimulated reabsorption of sodium and excretion of potassium and hydrogen at that site. Enemas are sometimes used to relieve constipation, but they can have side effects. It's better to try diet changes and laxatives instead. In general, doctors do not recommend using or castor oil. Mineral oil can cause problems such as vitamin deficiencies, and castor oil can lead to long-term constipation. Eat a well-. Foods high in potassium include bananas, oranges, cantaloupe, raisins, dates, prunes, avocados, apricots, beans, broccoli, spinach, potatoes, lentils, chicken, turkey, beef, and yogurt. Consult your doctor or dietician for recommended foods. canada maxalt sales
Oral: 10 to 40 mg 4 times a day. Tacrolimus Systemic: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of Tacrolimus Systemic. Allow the tablets to dissolve in a full glass 8 ounces or 240 milliliters of water for 3 to 5 minutes. not use any liquid other than plain water. If any medication remains undissolved, crush the pieces in the water and stir well. After the medication has completely dissolved, stir and drink the mixture. This medication may affect your potassium levels. Before using potassium supplements or salt substitutes that contain potassium, consult your doctor or pharmacist. Risk of electrolyte imbalance and renal dysfunction may be increased when triamterene 75 mg daily with hydrochlorothiazide 50 mg daily is administered in 2 divided doses rather than 1 daily dose. Onset of action is 2 to 4 hours after ingestion. gami.info repaglinide
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. Tell your doctor if your condition does not improve or if it worsens for example, your increase. Here are a few effective constipation treatments. Refer to adult dosing. In the management of hypertension, consider lower initial doses and titrate to response Aronow, 2011. This drug may pass into milk. Consult your doctor before -feeding. hydrea
Lubricant laxatives, including Fleet and Zymenol, coat the stool to make it slippery, so it can pass more easily through the colon. 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. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. Take this by as directed by your doctor, usually once or twice a day after a meal. 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. Consult your doctor before breast-feeding. ACE Inhibitors: Potassium-Sparing Diuretics may enhance the hyperkalemic effect of ACE Inhibitors. 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. Lormetazepam: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Some medical conditions may interact with Maxzide. 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.
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. 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. 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. Maxzide is to be used only by the patient for whom it is prescribed. Do not share it with other people. Use with caution in patients with impaired hepatic function. a Do not use in patients with severe hepatic disease. a Diuretic therapy in such patients should be initiated while the patient is hospitalized, because rapid alterations in fluid and electrolyte balance may precipitate hepatic coma. a Monitor serum potassium concentrations closely in patients with hepatic cirrhosis and administer potassium supplementation if required. a See Contraindications under Cautions. 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. Symptoms may include lightheadedness; nausea; vomiting; weakness. Prostacyclin Analogues: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Capsules: Administer orally twice daily after meals. Do not exceed 300 mg daily. 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. 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. emsam full cost
Maxzide should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed. Patterson JH, Adams KF Jr, Applefeld MM et al. Oral torsemide in patients with chronic congestive heart failure: effects on body weight, edema, and electrolyte excretion. Pharmacotherapy. This is not a complete list of possible side effects. 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. 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. adapalene
Reserve laxatives for constipation that doesn't improve after you've added fiber and water to your diet. Tell your doctor if you do not get better or if you get worse. History of triamterene-induced hyperkalemia. To lower your risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Use this medication regularly to get the most benefit from it. To help you remember, take it at the same times each day. National Heart, Lung, and Blood Institute. 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. diclofenac
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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. Triamterene has been found in renal stones; use drug with caution in patients with histories of stone formation. May result in severely elevated serum potassium levels. cheap paxil buller
UpToDate: “Patient information: Cirrhosis Beyond the basics. America Society of Clinical Oncology: “Fluid Retention or Edema. Tell your doctor or dentist that you take Maxzide before you receive any medical or dental care, emergency care, or surgery.
IV: 20 to 100 mg every 1 to 2 hours over 1 to 2 minutes. Dosage is based on your medical condition and response to treatment. 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 pharmacist or local waste disposal company. This requires emergency treatment. Nicorandil: May enhance the hyperkalemic effect of Potassium-Sparing Diuretics.
Naftopidil: May enhance the hypotensive effect of Blood Pressure Lowering Agents. James PA, Oparil S, Carter BL et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee JNC 8. JAMA. This drug can cause mild nitrogen retention, which is reversible upon withdrawal of therapy, and is seldom observed with intermittent every-other-day therapy. 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.