Triamterene-HCTZ is a combination diuretic, a type of medicine that increases urination and eliminates water and salts. One of the drugs (hydrochlorothiazide) is a thiazide diuretic and is commonly prescribed for high blood pressure. Triamterene is a potassium-sparing diuretic that is often used when low potassium is an issue or a risk. Triamterene-HCTZ tablets or capsules are taken once daily without regard to food.
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Triamterene-hydrochlorothiazide, triamterene HCTZ
Treats fluid retention (edema) and high blood pressure.
Diuretic, potassium-sparing/thiazide combination
Tablet, capsule
By mouth
Triamterene-HCTZ is a prescription generic drug that treats fluid retention and high blood pressure. It is usually prescribed to people who develop low potassium when taking only hydrochlorothiazide.
Tablet
37.5 mg triamterene/25 mg hydrochlorothiazide
75mg/50 mg
Capsule
37.5mg/25 mg
50 mg/25 mg
For high blood pressure: One to two tablets or capsules once daily
For fluid retention: One to two tablets or capsules once daily
Triamterene-HCTZ
37.5-25mg capsule
Triamterene-HCTZ
50-25mg capsule
Triamterene-HCTZ
37.5-25mg tablet
Triamterene-HCTZ
75-50mg tablet
Follow all the prescriber’s instructions.
Take only one dose daily with or without food.
Swallow the tablet or capsule whole with a drink of water. Do not break, crush, or chew it.
Store the medicine in a closed container at room temperature away from light and moisture.
Take a dose as soon as you remember.
If it is almost time for your next dose, wait until then and take a regular dose.
Do not take extra medicine to make up for a missed dose.
This medicine is not right for everyone.
Do not use it if you have had an allergic reaction to triamterene, hydrochlorothiazide, or a sulfa drug.
Trimaterene is also contraindicated in people:
Unable to urinate
Have severe kidney disease
Have high potassium levels
Tell any healthcare provider or dentist who treats you that you are using this medicine.
Triamterene-HCTZ treatment requires regular check-ups and blood tests to monitor the effectiveness and safety of the treatment. Keep all appointments.
Before starting triamterene-HCTZ, tell the prescriber if you are pregnant, breastfeeding, or if you have:
Liver disease, especially cirrhosis of the liver
Electrolyte imbalances
Heart rhythm abnormalities
Diabetes
Gout
Lupus
A history of kidney stones
Parathyroid gland problems
Low folic acid levels
This medicine can cause serious side effects, including:
Electrolyte imbalances
Kidney problems, including kidney stones
Narrow-angle glaucoma
High uric acid levels
New or worsening gout
Increased risk of skin cancer
This medicine could lower your blood pressure too much and make you dizzy, lightheaded, or faint.
Sit or lie down if you feel dizzy.
Do not drive or engage in risky activities until you know how this medicine affects you.
Drink plenty of fluids if you exercise, sweat more than usual, or have diarrhea or vomiting while you are using this medicine.
This medicine can increase the risk of skin cancer.
Wear sunscreen or protective clothing when exposed to the sun.
Do not use sunlamps or tanning beds.
Never use triamterene-HCTZ with:
Other potassium-sparing diuretics
Potassium supplements or salt substitutes (except in people with low potassium)
To avoid potentially hazardous drug interactions, tell the prescribing healthcare provider about all prescription drugs, over-the-counter medications, and supplements regularly used, particularly:
Other diuretics
Laxatives
Blood pressure drugs, including ACE inhibitors
NSAIDs, particularly indomethacin
Drugs that affect heart rhythms
Diabetes medications
Drugs that make you sleepy, such as narcotic pain relievers or sleeping pills
Ask your doctor or healthcare provider before you use any medicine, supplement, or salt substitute that contains potassium.
Avoid alcohol unless you’ve consulted with the prescriber.
Tell any doctor or healthcare provider who treats you that you are using this medicine.
Serious side effects
Talk to a healthcare provider if you notice any signs or symptoms of a possible serious side effect:
Dry mouth, increased thirst, muscle cramps
Confusion, weakness, uneven heartbeat, trouble breathing, numbness or tingling in your hands, feet, or lips
Chest pain, palpitations, nausea, muscle weakness
Nausea, vomiting, headache, fatigue, confusion, low energy, irritability
Sudden and severe stomach pain, nausea, vomiting, fever, lightheadedness
Lightheadedness, dizziness, or fainting
Fast, pounding, or uneven heartbeat
Change in how much or how often you urinate, problems urinating, pain in your side or lower back
Yellow skin or eyes
Unusual bleeding, bruising, or weakness
Blurred vision, sudden eye pain, swelling or redness in one eye
Possible skin cancer: sores, reddish patch or irritated area, shiny bump, pink growth, or white, yellow or waxy scar-like area on the skin
Drug reaction: blistering, peeling, skin rash
Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
Some serious side effects may have no symptoms. Regular blood tests are required to spot these problems before they become symptomatic:
High potassium
High calcium
Low sodium
Low chloride
Low magnesium
Low phosphate
High blood sugar
High uric acid
Liver dysfunction
Elevated cholesterol and fats
Less serious side effects
Dizziness
Fatigue
Headache
Dry mouth
Dyazid drug summary, Prescriber’s Digital Reference (PDR)
Triamterene, StatPearls
Triamterene hydrochlorothiazide capsule prescribing information, DailyMed (NIH National Library of Medicine
Triamterene hydrochlorothiazide tablet prescribing information, DailyMed (NIH National Library of Medicine
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