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What is the most important information I should know about hydrochlorothiazide?
• To reduce nighttime urination, take hydrochlorothiazide early in theday unless otherwise directed by your doctor hydrochlorothiazide without prescription.
• Use caution when driving, operating machinery, or performing other hazardousactivities hydrochlorothiazide without prescription. Hydrochlorothiazide may cause dizziness hydrochlorothiazide without prescription. If you experience dizziness,avoid these activities hydrochlorothiazide without prescription.


What is hydrochlorothiazide?
• Hydrochlorothiazide is a thiazide diuretic (water pill) hydrochlorothiazide without prescription. It decreasesthe amount of fluid in your body by increasing the amount of salt and wateryou lose in your urine hydrochlorothiazide without prescription.
• Hydrochlorothiazide is used to lower blood pressure and to decrease edema(swelling) hydrochlorothiazide without prescription.
• Hydrochlorothiazide may also be used for purposes other than those listedin this medication guide hydrochlorothiazide without prescription.


Who should not take hydrochlorothiazide?
• Do not take hydrochlorothiazide without first talking to your doctorif you have an allergy to sulfa-based drugs such as sulfa antibiotics hydrochlorothiazide without prescription. You mayhave an allergic reaction to hydrochlorothiazide hydrochlorothiazide without prescription.
• Before taking hydrochlorothiazide, tell your doctor if you have
· diabetes,
· gout,
· a collagen vascular disease such as systemic lupus erythematosus,
· pancreatitis,
· kidney disease,
· liver disease, or
· high levels of cholesterol or triglycerides (types of fat) in yourblood hydrochlorothiazide without prescription.
• You may need a dosage adjustment or special monitoring during therapyif you have any of the conditions listed above hydrochlorothiazide without prescription.
• Hydrochlorothiazide is in the FDA pregnancy category B hydrochlorothiazide without prescription. This means thatit is not expected to harm an unborn baby hydrochlorothiazide without prescription. Do not take hydrochlorothiazide withoutfirst talking to your doctor if you are pregnant hydrochlorothiazide without prescription.
• Hydrochlorothiazide passes into breast milk and may harm a nursing infant hydrochlorothiazide without prescription. Do not take hydrochlorothiazide without first talking to your doctor if youare breast-feeding a baby hydrochlorothiazide without prescription.


How should I take hydrochlorothiazide?
• Take hydrochlorothiazide exactly as directed by your doctor hydrochlorothiazide without prescription. If you donot understand these directions, ask your pharmacist, nurse, or doctor to explainthem to you hydrochlorothiazide without prescription.
• Take each dose with a full glass of water hydrochlorothiazide without prescription.
• To reduce nighttime urination, take hydrochlorothiazide early in theday unless otherwise directed by your doctor hydrochlorothiazide without prescription.
• Do not stop taking hydrochlorothiazide suddenly even if you feel better hydrochlorothiazide without prescription. Stopping suddenly could make your condition worse hydrochlorothiazide without prescription.
• Store this medication at room temperature away from moisture and heat hydrochlorothiazide without prescription.


What happens if I miss a dose?
• Take the missed dose as soon as you remember hydrochlorothiazide without prescription. However, if it is almosttime for your next dose, skip the dose you missed and take only your next regularlyscheduled dose hydrochlorothiazide without prescription. Do not take a double dose of this medication hydrochlorothiazide without prescription.


What happens if I overdose?
• Seek emergency medical attention hydrochlorothiazide without prescription.
• Symptoms of a hydrochlorothiazide overdose include increased urination,nausea, vomiting, diarrhea, fatigue, lethargy, and unconsciousness hydrochlorothiazide without prescription.


What should I avoid while taking hydrochlorothiazide?
• Use caution when driving, operating machinery, or performing other hazardousactivities hydrochlorothiazide without prescription. Hydrochlorothiazide may cause dizziness hydrochlorothiazide without prescription. If you experience dizziness,avoid these activities hydrochlorothiazide without prescription.
• Use alcohol cautiously hydrochlorothiazide without prescription. Alcohol may increase the side effects of hydrochlorothiazide hydrochlorothiazide without prescription.
• Avoid a diet high in salt hydrochlorothiazide without prescription. Too much salt may cause your body to retainwater and may decrease the effects of hydrochlorothiazide hydrochlorothiazide without prescription.
• Avoid prolonged exposure to sunlight hydrochlorothiazide without prescription. Hydrochlorothiazide may increasethe sensitivity of your skin to sunlight hydrochlorothiazide without prescription. Use a sunscreen and wear protectiveclothing when exposure to the sun is unavoidable hydrochlorothiazide without prescription.
• Avoid becoming overheated in hot weather and during exercise hydrochlorothiazide without prescription. It is easierto become dangerously dehydrated while taking hydrochlorothiazide hydrochlorothiazide without prescription.


What are the possible side effects of hydrochlorothiazide?
• If you experience any of the following serious side effects, stop takinghydrochlorothiazide and seek emergency medical attention:
· an allergic reaction (difficulty breathing; closing of your throat;swelling of your lips, tongue, or face; or hives);
· unusual fatigue;
· abnormal bleeding or bruising;
· yellow skin or eyes;
· confusion;
· irregular heartbeats or a fluttering feeling in your chest; or
· little or no urine hydrochlorothiazide without prescription.
• Other, less serious side effects are more likely to occur hydrochlorothiazide without prescription. Continue totake hydrochlorothiazide and talk to your doctor if you experience
· dizziness, especially when you switch to sitting or standing from alying position;
· tingling or numbness in your arms, legs, hands, or feet;
· excessive urination;
· muscle weakness or cramps;
· increased hunger or thirst;
· nausea or decreased appetite;
· abdominal pain;
· sensitivity to sunlight; or
· impotence hydrochlorothiazide without prescription.
• Side effects other than those listed here may also occur hydrochlorothiazide without prescription. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome hydrochlorothiazide without prescription.


What other drugs will affect hydrochlorothiazide?
• Before taking hydrochlorothiazide tell your doctor if you are takingany of the following medications:
· lithium (Lithobid, Eskalith, others);
· digoxin (Lanoxin, Lanoxicaps);
· the cholesterol-lowering drugs cholestyramine (Questran) or colestipol(Colestid);
· a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Motrin,Advil, Nuprin), naproxen (Naprosyn, Anaprox, Aleve), ketoprofen (Orudis, OrudisKT, Oruvail), indomethacin (Indocin), diclofenac (Cataflam, Voltaren), etodolac(Lodine), nabumetone (Relafen), oxaprozin (Daypro), piroxicam (Feldene), sulindac(Clinoril), tolmetin (Tolectin), fenoprofen (Nalfon), ketorolac (Toradol), orflurbiprofen (Ansaid);
· a diabetes medication such as glipizide (Glucotrol), glyburide (Micronase,Glynase, Diabeta), chlorpropamide (Diabinese), tolazamide (Tolinase), tolbutamide(Orinase), and others; or
· a steroid medicine such as cortisone (Cortone), dexamethasone (Decadron,Hexadrol), hydrocortisone (Cortef, Hydrocortone), prednisone (Orasone, Deltasone),prednisolone (Delta Cortef, Prelone), methylprednisolone (Medrol), and others hydrochlorothiazide without prescription.
• You may not be able to take hydrochlorothiazide, or you may require adosage adjustment or special monitoring during treatment if you are taking anyof the medications listed above hydrochlorothiazide without prescription.
• Also, before taking hydrochlorothiazide, tell your doctor if you aretaking any other medicine to treat high blood pressure, water retention, heartproblems, prostate problems, or another condition hydrochlorothiazide without prescription. Some medicines used to treatthese conditions may interact with hydrochlorothiazide and the effects on yourheart may be increased hydrochlorothiazide without prescription.
• Hydrochlorothiazide may increase the effects of other drugs that causedrowsiness, including sedatives (used to treat insomnia), pain relievers, seizuremedicines, antidepressants, alcohol, antihistamines, anxiety medicines, andmuscle relaxants hydrochlorothiazide without prescription. Tell your doctor about all medicines that you are taking,and do not take any medicine without first talking to your doctor hydrochlorothiazide without prescription.
• Drugs other than those listed here may also interact with hydrochlorothiazideor affect your condition hydrochlorothiazide without prescription. Talk to your doctor and pharmacist before taking anyprescription or over-the-counter medicines hydrochlorothiazide without prescription.


Where can I get more information?
• Your pharmacist has additional information about hydrochlorothiazidewritten for health professionals that you may read hydrochlorothiazide without prescription.


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