Diuretics, Potassium-sparing and Hydrochlorothiazide : Before Using

Diuretics, Potassium-sparing and Hydrochlorothiazide - Systemic

Diuretics, Potassium-sparing and Hydrochlorothiazide *** Before Using *** How to Use *** Fore Safe Use *** Side Effects

Before Using

In deciding to using a medication, the chance of taking the drug must be weighed against the good it will do. This is a decision you will make. For potassium-sparing diuretics and hydrochlorothiazide, the following must be considered

Allergic reaction

Tell your family doctor if you have any unusual or allergy to amiloride, spironolactone, triamterene, sulfonamides - sulfa drugs, bumetanide, furosemide, acetazolamide, dichlorphenamide, methazolamide, or to hydrochlorothiazide or any of the other thiazide diuretics. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy care

In general, diuretics are not useful for normal swelling of feet and hands that occurs during pregnancy. They must not be taken during pregnancy unless recommended by your family doctor.

Breast-feeding problem

Hydrochlorothiazide and spironolactone pass into breast milk. It is not known whether amiloride or triamterene passes into breast milk. Hydrochlorothiazide may also decrease the flow of breast milk. Therefore, you must avoid use of potassium-sparing diuretic and hydrochlorothiazide combinations during the first month of breast-feeding.

Use for Children

Studies on this combination drug have been done only in adult diseaseds and there is no special info comparing use of potassium-sparing diuretic and hydrochlorothiazide combinations in child with use in other age groups.

Elderly care

Dizziness or lightheadedness and signs and symptoms of too much potassium in the body or too little potassium in the body may be more likely to occur in the elderly, who are more sensitive than younger adults to the effects of this drug.

Drug interactions

Although certain medication must not be using together at all, in other cases two various medication may be using together even if an interaction might occur. In these cases, your family doctor may want to change the dose, or other precautions may be necessary. When you are taking potassium-sparing diuretics and hydrochlorothiazide, it is especially important that your health care professional know if you are taking any of the following:

Angiotensin-converting enzyme - ACE inhibitors - benazepril " Lotensin ", captopril " Capoten ", enalapril " Vasotec ", fosinopril " Monopril ", lisinopril " Prinivil, Zestril ", quinapril " Accupril ", ramipril " Altace "
Cyclosporine - Sandimmune
Potassium-containing medication or supplements Use with potassium-sparing diuretic and hydrochlorothiazide combinations may cause high blood levels of potassium, which may increase the risk of side effects

Cholestyramine
Colestipol Use with potassium-sparing diuretic and hydrochlorothiazide combinations may prevent the diuretic from help you; take the diuretic at least 1 hour before or 4 hours after cholestyramine or colestipol

Digitalis glycosides - heart drug Use with diuretics may cause high blood levels of digoxin, which may increase the risk of side effects

Lithium - Lithane Use with diuretics may cause high blood levels of lithium, which may increase the risk of side effects

Other Information for using

The presence of other medical problems may effect the use of potassium-sparing diuretics and hydrochlorothiazide. Make sure you tell your family doctor if you have any other medical problems, especially:

Diabetes mellitus - sugar diabetes
Kidney disease
Liver disease Higher blood levels of potassium may occur, which may increase the risk of side effects

Gout - history of
Kidney stones - history of Triamterene and hydrochlorothiazide combination may make these conditions worse

Heart or blood vessel disease These medication may cause high cholesterol levels or high triglyceride levels

Lupus erythematosus - history of
Pancreatitis - inflammation of pancreas Potassium-sparing diuretic and hydrochlorothiazide combinations may make these conditions worse

Menstrual problems in women or breast enlargement in men Spironolactone and hydrochlorothiazide combination may make these conditions worse