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Moduretic is a diuretic combination used in the treatment of high blood pressure and congestive heart failure, conditions which require the elimination of excess fluid (water) from the body. When used for high blood pressure, Moduretic can be used alone or with other high blood pressure medications. Diuretics help your body produce and eliminate more urine, which helps lower blood pressure. Moduretic is indicated in those patients with hypertension or with congestive heart failure who develop hypokalemia when thiazides or other kaliuretic diuretics are used alone, or in whom maintenance of normal serum potassium levels is considered to be clinically important, e.g., digitalized patients, or patients with significant cardiac arrhythmias. Why Is Moduretic Prescribed?Moduretic exactly as prescribed by your doctor. Stopping Moduretic suddenly could cause your condition to worsen.If you miss a dose...Take the forgotten dose as soon as you remember. If it is almost time for your next does, skip the one you missed and go back to your regular schedule. Never take a double dose.Storage instructions...Store at room temperature. Like other potassium-conserving diuretic combinations, Moduretic may cause hyperkalemia (serum potassium levels greater than 5.5 mEq per liter). PrecautionsAvoid alcohol while taking this medication.If Moduretic is taken with certain other drugs, the effects of either could be increased, decreased, or altered. These are not all the potential side effects that may arise due to one's use of Aquazide. There was no evidence of a tumorigenic effect when amiloride HCl was administered for 92 weeks to mice at doses up to 10 mg/kg/day (25 times the maximum daily human dose). Hydrochlorothiazide was not genotoxic in vitro in the Ames mutagenicity assay of Salmonella typhimurium strains TA 98, TA 100, TA 1535, TA 1537, and TA 1538 and in the Chinese Hamster Ovary (CHO) test for chromosomal aberrations, or in vivo in assays using mouse germinal cell chromosomes, Chinese hamster bone marrow chromosomes, and the Drosophila sex-linked recessive lethal trait gene. Moduretic ContraindicationsPatients with evidence of renal functional impairment (blood urea nitrogen [BUN] levels over 30 mg per 100 mL or serum creatinine levels over 1.5 mg per 100 mL) or diabetes mellitus should not receive the drug without careful, frequent and continuing monitoring of serum electrolytes, creatinine, and BUN levels. Potassium supplementation in the form of medication, potassium-containing salt substitutes or a potassium-rich diet should not be used with Moduretic except in severe and/or refractory cases of hypokalemia. Moduretic should not be given to patients receiving other potassium-conserving agents, such as spironolactone or triamterene. |
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