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- Pharmacology For Triamterene + Benzthiazide
Triamterene + Benzthiazide Pharmacology
Triamterene + Benzthiazide
About Triamterene + BenzthiazideN/AMechanism of Action of Triamterene + BenzthiazideN/APharmacokinets of Triamterene + BenzthiazideN/AOnset of Action for Triamterene + BenzthiazideN/ADuration of Action for Triamterene + BenzthiazideN/AHalf Life of Triamterene + BenzthiazideN/ASide Effects of Triamterene + BenzthiazideN/AContra-indications of Triamterene + BenzthiazideN/ASpecial Precautions while taking Triamterene + BenzthiazideN/APregnancy Related InformationN/AOld Age Related InformationN/ABreast Feeding Related InformationN/AChildren Related InformationN/AIndications for Triamterene + BenzthiazideN/AInteractions for Triamterene + BenzthiazideN/ATypical Dosage for Triamterene + BenzthiazideN/ASchedule of Triamterene + BenzthiazideN/AStorage Requirements for Triamterene + BenzthiazideN/AEffects of Missed Dosage of Triamterene + BenzthiazideN/AEffects of Overdose of Triamterene + BenzthiazideN/ATriamterene
About TriamtereneA potassium-sparing diuretic, Diuretic,Antioedema, Adjunctive in therapy of hypertension.Mechanism of Action of TriamtereneTriamterene exerts its diuretic action by interacting with renal epithelial Na+ channels in distal tubules and collecting duct and prevent sodium reabsorption. It prevents potassium and magnesium loses. It also increases chloride, bicarbonate, and water excretion. The drug augment the natriuretic and anti hypertensive response of other diuretic drugs. It is used in the management of edema associated with congestive heart failure, hepatic cirrhosis with ascites, nephrotic syndrome, and idiopathic edema. It is used mainly in combination with other drugs in the management of hypertension and to correct hypokalemia caused by other diuretic drugsPharmacokinets of TriamtereneAbsorption: Rapidly but incompleately absorbed orally, Distribution: It is distributed in a protein bound form, Metabolism: It metabolized in to an active metabolite in the body,
Excretion: Excreted through urine.Onset of Action for Triamterene2 to4hoursDuration of Action for Triamterene12 to 16 hoursHalf Life of Triamterene100 to 150minutesSide Effects of Triamterene1.Headache
2.Dizziness
3.Nausea
4.Diarrhoea
5.Vomiting
6.Dry mouth
7.Weakness
8.Hyper kalemia
9.Hyponatremia
10.Thrombocytopenia
11.Agranulocytosis
12.Photosensitivity
13.Reduce glucose tolerance
14.Altered liver function tests
15.Altered kidney function tests
16.Gastro intestinal disturbances
17.Interstitial nephritis
18.Kidney stones
19.Rashes
20.Ototoxicity
Contra-indications of Triamterene1.Hypersensitivity to the drug
2.Renal impairment
3.Hyper kalemia
4.Along with other potassium sparing diuretics
5.Anuria
6.Hepatic impairment
Special Precautions while taking Triamterene1.Gout
2.Diabetes mellitus
3.Deliberate individuals
Pregnancy Related InformationContraindicatedOld Age Related InformationUse with cautionBreast Feeding Related InformationContraindicatedChildren Related InformationUse with cautionIndications for Triamterene1.Oedema
2.Liddle`s syndrome
3.Adjunctive in therapy of hypertension
Interactions for TriamtereneAmantadine: Triamterene increases the toxic effects of Amantadine.
ACE inhibitors: May result in significant hyperkalaemia.
Indomethacin: May produce unexpectedly high incidence of nephrotoxicity.
Potassium preparations: May result in hyperkalaemia, possibly with cardiac arrhythmias or cardiac arrest, particularly in those with impaired renal function.
Lab tests: Since both triamterene and quinidine have similar fluorescene spectra, triamterene will interfere with fluoroscent measurement of Quinidine serum levels.Typical Dosage for Triamterene100 to 250mg/day in divided doses.
Children: 2mg/kg two times daily. Take after break fast & lunch. Reduce the dosage after one week in to alternate days.
Schedule of TriamtereneHStorage Requirements for TriamtereneStore at controlled room temperature at a range of 20 to 25 degree C. in a well closed container and protects from light.
Effects of Missed Dosage of TriamtereneTake the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.Effects of Overdose of TriamtereneTreatment is supportive and symptomatic. Remove drug from the body by induced emesis and gastric lavage. Monitor and support electrolyte balance and blood acidosis. Reduce serum potassium with I.V. sodium bicarbonate or glucose with insulin. Potassium level is also reduced by a cation exchange resins like sodium polystyrene sulfonate given orally or as retention enema.Benzthiazide
About BenzthiazideThiazide diuretic, Diuretic ,antihypertensive ,antiedema.Mechanism of Action of BenzthiazideIt is thiazide diuretic which exerts its action by acting at site-3(central dilating segment of early distal tubule). It binds to Na+Cl- symporter and inhibits Na+Cl- symport at the luminal membrane. It has additional carbonic anhydrase inhibitory actions in proximal tubules. It increases natriuresis, kaliuresis and diuresis. It decreases Ca2+ excretion and increases Mg2+excretion. It also has minor carbonic anhydrase inhibitory action. It also causes direct arteriolar vasodilatation and decreases total peripheral resistance. The antihypertensive actions of the drug may be attributable to depletion of sodium and subsequent reduction in plasma volume and a decrease in peripheral resistance. Decrease in peripheral resistance is due to either the loss of sodium from the arteriolar wall or a direct action on the vascular bed. It is an effective drug in edema associated with congestive heart failure.
Pharmacokinets of BenzthiazideAbsorption: It is absorbed after oral administration. Distribution:About 30% distributed in protein bound form.Excretion: Excreted unchanged in urine.
Onset of Action for BenzthiazideN/ADuration of Action for BenzthiazideN/AHalf Life of BenzthiazideN/ASide Effects of Benzthiazide1. Dizziness
2. Blurred vision
3. Confusion
4. Tingling fingers
5. Dry mouth
6. Nausea
7. Diarrhoea
8. Constipation
9. Vomiting
10. Weakness
11. Hypokalaemia
12. Hyponatraemia
13. Hyperuricaemia
14. Elevated levels of glucose, calcium and lipids
15. Gastro intestinal disturbances
16. Polyuria
17. Electrolyte imbalance
18. Jaundice
19. Rashes
20. Photosensitivity
21. Fever
22. Itching
23. Myalgia
24. Muscle cramps
25. Arthralgia
26. Blood dyscrasias
27. Ototoxicity
Contra-indications of Benzthiazide1. Hyper uricaemia
2. Hyper calcaemia
3. Renal impairment
4. Hepatic impairment
5. Anuria
6. Hypersensitivity to the drug
7. Hyper sensitivity to sulfonamides
8. Fluid and electrolyte imbalance
Special Precautions while taking Benzthiazide1. Gout
2. Diabetes mellitus
3. Renal impairment
4. Hepatic impairment
5. Monitor and correct Fluid and electrolyte imbalance
6. Hyper parathyroidism
7. Cirrhosis
Pregnancy Related InformationContraindicatedOld Age Related InformationUse with cautionBreast Feeding Related InformationContraindicatedChildren Related InformationMay be usedIndications for Benzthiazide1. Hypertension
2. Oedema associated with heart failure
3. Oedema due to renal and hepatic diseases
Interactions for BenzthiazideN/ATypical Dosage for BenzthiazideAdults:It is given in combination with Triamterene.
Hypertension: 25mg once daily or in divided doses. Increased to 50mg if required; depending up on the patient`s response.
Oedema:
Adults:
Starts with 25 to 50mg. Increased the dose until desired response is obtained.
Maximum dose: 200mg/day
Maintenance dosage: 25 to 100mg daily or on alternate days.
Schedule of BenzthiazideN/AStorage Requirements for BenzthiazideStore at room temperature in a well closed container and protected from light.Effects of Missed Dosage of BenzthiazideTake the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose.Continue the regular schedule.Do not double the dose.Effects of Overdose of BenzthiazideTreatment is supportive and symptomatic. Remove drug from the body by induced emesis and gastric lavage. Monitor and assist respiratory, cardiovascular, and renal function as indicated. Monitor and support fluid and electrolyte balance.Home Delivery for Triamterene + Benzthiazide in Your City
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Triamterene + Benzthiazide is a generic medicine name and there are several brands available for it. Some of the brands for triamterene + benzthiazide might be better known than triamterene + benzthiazide itself. If the pharmacy that's willing to deliver medicines to your home doesn't have triamterene + benzthiazide in stock, you can ask for one of the branded alternatives for triamterene + benzthiazide.
