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Concomitant triamterene, spironolactone, salt substitutes, k supplements unless hypokalemia is severe .

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Calcium excretion is decreased by thiazidesPathological changes in the parathyroid gland with hypercalcemia and hypophosphatemia have been observed in a few patients on prolonged thiazide therapyThe common complications of hyperparathyroidism such as renal lithiasisbone resorptionand peptic ulceration have not been seenThiazides should be discontinued before carrying out tests for parathyroid function.

Thiazides and triamterene have been shown to cross the placental barrier and appear in cord bloodThe use of thiazides and triamterene in pregnant women requires that the anticipated benefits be weighed against possible hazards to the fetusThese hazards include fetal or neonatal jaundicepancreatitisthrombocytopeniaand possibly other adverse reactions that have occurred in the adult.

Patients receiving MAXZIDEtriamterene and hydrochlorothiazideshould be carefully monitored for fluid or electrolyte imbalancesi.ehyponatremiahypochloremic alkalosishypokalemia and hypomagnesemiaDetermination of serum electrolytes to detect possible electrolyte imbalance should be performed at appropriate intervalsSerum and urine electrolyte determinations are especially important and should be frequently performed when the patient is vomiting or receiving parenteral fluidsWarning signs or symptoms of fluid and electrolyte imbalance includedryness of mouththirstweaknesslethargydrowsinessrestlessnessmuscle pains or crampsmuscular fatiguehypotensionoliguriatachycardia and buying levitra online. gastrointestinal disturbances such as nausea and vomiting.

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triamterene should be used with caution in these patients.