hctz lisinopril
(hyde droe klor oh THYE a zide and ER beh sar tan)
Avalide
What is the most important information I should know about HCTZ (hydrochlorothiazide)and irbesartan?
• Do not take HCTZ and irbesartan if you are pregnant or planning a pregnancy hctz lisinopril. When used during the second and third trimesters of pregnancy, irbesartan cancause injury and even death to the developing baby hctz lisinopril. Notify your doctor immediatelyif you think you might be pregnant hctz lisinopril.
• Use caution when driving, operating machinery, or performing other hazardousactivities hctz lisinopril. HCTZ (hydrochlorothiazide) and irbesartan may cause dizziness ordrowsiness hctz lisinopril. If you experience dizziness or drowsiness, avoid these activities hctz lisinopril. Also use caution when rising from a sitting or lying position hctz lisinopril.
• Stop taking HCTZ and irbesartan and contact your doctor if lightheadednessor fainting occurs hctz lisinopril.
• Use alcohol cautiously hctz lisinopril. Alcohol may increase the drowsiness and dizzinessthat may occur while you are taking an HCTZ and irbesartan hctz lisinopril.
• Avoid prolonged exposure to sunlight hctz lisinopril. HCTZ and irbesartan may increasethe sensitivity of your skin to sunlight hctz lisinopril. Use a sunscreen and wear protectiveclothing when exposure to the sun is unavoidable hctz lisinopril.
What are HCTZ and irbesartan?
• Irbesartan is an angiotensin II receptor inhibitor, also called angiotensinII receptor antagonist, and is used to treat hypertension (high blood pressure) hctz lisinopril.
• HCTZ is a thiazide diuretic (water pill) hctz lisinopril. It increases the amount ofwater and salt you lose in your urine and decreases edema (swelling or fluidretention) hctz lisinopril.
• Together, HCTZ and irbesartan are used to reduce hypertension (high bloodpressure) hctz lisinopril.
• HCTZ and irbesartan may also be used for purposes other than those listedin this medication guide hctz lisinopril.
Who should not take HCTZ and irbesartan?
• Do not take HCTZ and irbesartan without first talking to your doctorif you have an allergy to sulfa-based drugs such as sulfa antibiotics hctz lisinopril. You mayhave an allergic reaction to hydrochlorothiazide hctz lisinopril.
• Before taking HCTZ and irbesartan, tell your doctor if you
· have diabetes;
· have gout;
· have a collagen vascular disease such as systemic lupus erythematosus;
· have pancreatitis;
· have kidney disease;
· have liver disease;
· have high levels of cholesterol or triglycerides in your blood;
· have high levels of potassium in your blood; or
· are taking potassium a supplement (e.g., K-Dur, Klor-Con, others),or a potassium-sparing diuretic such as amiloride (Midamor), triamterene (Dyrenium,Dyazide, Maxzide), or spironolactone (Aldactone) hctz lisinopril.
• You may not be able to take HCTZ and irbesartan, or you may require adosage adjustment or special monitoring during treatment if you have any ofthe conditions listed above hctz lisinopril.
• HCTZ and irbesartan is in the FDA pregnancy category D hctz lisinopril. This means thatit is known to cause birth defects in an unborn baby hctz lisinopril. When used during the secondand third trimesters of pregnancy, irbesartan can cause injury and even deathof the developing baby hctz lisinopril. Do not take this medication if you are pregnant hctz lisinopril.
• HCTZ passes into breast milk and may harm a nursing infant hctz lisinopril. It is notknown whether irbesartan passes into breast milk hctz lisinopril. Do not take this medicationwithout first talking to your doctor if you are breast-feeding a baby hctz lisinopril.
How should I take HCTZ and irbesartan?
• Take HCTZ and irbesartan exactly as directed by your doctor hctz lisinopril. If you donot understand these directions, ask your pharmacist, nurse, or doctor to explainthem to you hctz lisinopril.
• Take each dose with a full glass of water hctz lisinopril.
• HCTZ and irbesartan can be taken with or without food hctz lisinopril.
• Stop taking HCTZ and irbesartan and contact your doctor if lightheadednessor fainting occurs hctz lisinopril.
• Do not stop taking this medication without first talking to your doctor hctz lisinopril. If you stop taking this medication suddenly, your condition could become worse hctz lisinopril.
• Store HCTZ and irbesartan at room temperature away from moisture andheat hctz lisinopril.
What happens if I miss a dose?
• Take the missed dose as soon as you remember hctz lisinopril. However, if it is almosttime for your next dose, skip the missed dose and take only your next regularlyscheduled dose hctz lisinopril. Do not take a double dose of this medication hctz lisinopril.
What happens if I overdose?
• Seek emergency medical attention hctz lisinopril.
• Symptoms of an overdose of HCTZ and irbesartan are not well known butmay include dizziness, weakness, fainting, fatigue, low blood pressure, andchanges in heart rate hctz lisinopril.
What should I avoid while taking HCTZ and irbesartan?
• Use caution when driving, operating machinery, or performing other hazardousactivities hctz lisinopril. HCTZ and irbesartan may cause dizziness or drowsiness hctz lisinopril. If you experiencedizziness or drowsiness, avoid these activities hctz lisinopril. Also, use caution when risingfrom a sitting or lying position hctz lisinopril.
• Stop taking HCTZ and irbesartan and contact your doctor if lightheadednessor fainting occurs hctz lisinopril.
• Use alcohol cautiously hctz lisinopril. Alcohol may increase the drowsiness and dizzinessthat may occur while you are taking HCTZ and irbesartan hctz lisinopril.
• Avoid a diet high in salt hctz lisinopril. Too much salt may cause your body to retainwater hctz lisinopril. Talk to your doctor before making changes in your diet hctz lisinopril.
• Do not use salt substitutes or take potassium supplements without firsttalking to your doctor hctz lisinopril. HCTZ and irbesartan can affect potassium levels in yourbody hctz lisinopril.
• Avoid prolonged exposure to sunlight hctz lisinopril. HCTZ and irbesartan may increasethe sensitivity of your skin to sunlight hctz lisinopril. Use a sunscreen and wear protectiveclothing when exposure to the sun is unavoidable hctz lisinopril.
• Avoid becoming overheated in hot weather hctz lisinopril. It is easy to become dangerouslydehydrated while you are taking HCTZ and irbesartan hctz lisinopril.
What are the possible side effects of HCTZ and irbesartan?
• If you experience any of the following serious side effects, stop takingthis medication and call your doctor immediately or seek emergency medical treatment:
· an allergic reaction (difficulty breathing; closing of your throat;swelling of your lips, tongue, or face; or hives);
· fast heartbeats;
· little or no urine;
· unusual fatigue, abnormal bleeding or bruising;
· yellow skin or eyes;
· confusion; or
· fainting hctz lisinopril.
• Other, less serious side effects may be more likely to occur hctz lisinopril. Continueto take the medication and talk to your doctor if you experience
· dizziness;
· nausea or upset stomach;
· diarrhea;
· headache;
· cough;
· muscle pain or cramps;
· rash; or
· anxiety or nervousness hctz lisinopril.
• Side effects other than those listed here may also occur hctz lisinopril. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome hctz lisinopril.
What other drugs will affect HCTZ and irbesartan?
• Before taking HCTZ and irbesartan, tell your doctor if you are taking
· a potassium supplement such as K-Dur, Klor-Con, and others;
· a potassium-sparing diuretic (water pill) such as amiloride (Midamor),spironolactone (Aldactone), or triamterene (Dyrenium, Dyazide, Maxzide);
· a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Motrin,Advil, Nuprin), ketoprofen (Orudis, Orudis KT, Oruvail), diclofenac (Cataflam,Voltaren), indomethacin (Indocin), nabumetone (Relafen), oxaprozin (Daypro),naproxen (Naprosyn, Anaprox, Aleve), and others;
· an oral diabetes medication such as glipizide (Glucotrol), glyburide(Micronase, Glynase, Diabeta), chlorpropamide (Diabinese), tolazamide (Tolinase),or tolbutamide (Orinase);
· a steroid medicine such as prednisone (Orasone, Deltasone, others),methylprednisolone (Medrol), prednisolone (Pediapred, Prelone), and others;
· cholestyramine (Questran) or colestipol (Colestid);
· lithium (Lithobid, Eskalith, others); or
· digoxin (Lanoxin) hctz lisinopril.
• You may require a dosage adjustment or special monitoring during treatmentif you are taking any of the medicines listed above hctz lisinopril.
• Drugs other than those listed here may also interact with HCTZ and irbesartanor affect your condition hctz lisinopril. Talk to your doctor and pharmacist before taking anyprescription or over-the-counter medicines hctz lisinopril.
Where can I get more information?
• Your pharmacist has additional information about HCTZ and irbesartanwritten for health professionals that you may read hctz lisinopril.
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