|(hye droe klor oh THYE a zide &
speer on oh LAK tone)|
Antihypertensive Agent, Combination|
|Reasons not to take this medicine|
- If you have an allergy to sulfonamide drugs, any other thiazide,
hydrochlorothiazide, spironolactone, or any other part of the medicine.
- If you have any of the following conditions: Severe kidney disease,
high levels of potassium in the body, severe liver disease.
- If you are pregnant.
|What is this medicine used for?|
- This medicine is used for the treatment of high blood pressure. It
gets rid of extra fluid (salt and water) in the
|How does it work?|
- Hydrochlorothiazide (HCTZ) lowers blood pressure and gets rid of extra
salt and water in the body by acting on the kidneys.
- Spironolactone prevents potassium
|How is it best taken?|
- Take with food early in the day. This prevents getting up at night to
use the bathroom.
|What do I do if I miss a dose?|
- Take a missed dose as soon as possible.
- If it is almost time for the next dose, skip the missed one. Return to
your regular schedule.
- Do not take a double dose or extra
|What are the precautions when taking this
- Check medicines with healthcare provider. Make sure there are no other
medicines that increase potassium.
- Avoid alcohol (includes wine, beer, and liquor). Can worsen high blood
pressure or fluid gain.
- Use caution if you are diabetic. Talk with healthcare provider. Can
- Not for use in kidney disease. Talk with healthcare provider.
- You can get sunburned more easily. Avoid lots of sun. Use sunscreen;
wear protective clothing and eyewear.
- Watch for gout attacks. If you have sudden pain in a single joint,
like the toe, talk with healthcare provider.
- Do not use over-the-counter products that increase blood pressure.
These include cough or cold remedies, diet pills, stimulants, ibuprofen or like
products, and certain herbs or supplements. Talk with healthcare provider.
- Avoid potassium-containing salt substitutes and potassium supplements.
Talk with healthcare provider.
- Tell healthcare provider if you are allergic to any medicine. Make
sure to tell about the allergy and how it affected you. This includes telling
about rash; hives; itching; shortness of breath; wheezing; cough; swelling of
face, lips, tongue, throat; or any other symptoms involved.
- Tell healthcare provider if you are pregnant or plan on getting
- Tell healthcare provider if you are
|What are the common side effects of this
- Lightheaded. Avoid driving, doing other tasks or activities that
require you to be alert until you see how this medicine affects you.
- Dizziness is common. Rise slowly over several minutes from sitting or
lying position. Be careful climbing stairs.
- Dry mouth. Frequent mouth care, sucking hard candy, or chewing gum may
- Nausea or vomiting. Small frequent meals, frequent mouth care, sucking
hard candy, or chewing gum may help.
- High potassium. This may make you feel weak, lightheaded, dizzy,
numbness, tingling, or like passing
|What should I monitor?|
- If you are using this medicine for fluid removal, check daily weight.
If no weight loss in 1 week then call healthcare provider.
- If you are diabetic, check blood sugar as ordered by healthcare
- Check blood pressure regularly.
- Follow diet plan (low salt) and exercise program as recommended by
- Check blood work. Talk with healthcare
|Reasons to call healthcare provider
- Signs of a life-threatening reaction. These include wheezing;
tightness in the chest; fever; itching; bad cough; blue skin color; fits;
swelling of face, lips, tongue, or throat.
- Passing out, fainting, dizziness, or lightheadedness, weakness, or
numbness and tingling.
- Severe nausea, vomiting, and/or diarrhea.
- Any rash.
|How should I store this medicine?|
- Store in a tight, light-resistant container at room
- Do not share your medicine with others and do not take anyone else's
- Keep all medicine out of the reach of children and pets.
- Keep a list of all your medicines (prescription, herbal/supplements,
vitamins, over-the-counter) with you. Give this list to healthcare provider
(doctor, nurse, pharmacist, physician assistant).
- Talk with healthcare provider before starting any new medicine,
including over-the-counter or natural products (herbs,
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