Maxzide

— THERAPEUTIC CATEGORIES —
  • Edema
  • Hypertension

Maxzide Generic Name & Formulations

General Description

Triamterene 75mg, hydrochlorothiazide 50mg; scored tabs.

Pharmacological Class

Diuretic (K+ sparing) + (thiazide).

See Also

How Supplied

Tabs—100

Manufacturer

Maxzide Indications

Indications

Edema.

Maxzide Dosage and Administration

Adult

Initially one Maxzide-25mg tab/day. Usual dosage: 1–2 Maxzide-25mg tabs or one Maxzide tab once daily. As a substitute for triamterene 50–100mg/day and hydrochlorothiazide 25–50mg/day in less bioavailable form, give one Maxzide-25mg tab/day.

Children

Not established.

Maxzide Contraindications

Contraindications

Hyperkalemia. Renal impairment. Anuria. Sulfonamide allergy. Concomitant potassium or K+-sparing diuretics.

Maxzide Boxed Warnings

Boxed Warning

Risk of hyperkalemia.

Maxzide Warnings/Precautions

Warnings/Precautions

Diabetes. Acidosis predisposition. Electrolyte imbalance. Excessive diuresis. History of renal stones. Gout. Asthma. SLE. Surgery. Monitor electrolytes, renal function. Discontinue if serum potassium >5.5mEq/L or <3mEq/L. Hepatic impairment: monitor for hepatic coma, if confusion increases, discontinue for a few days. Elderly. Severely ill. Pregnancy. Nursing mothers: not recommended.

Maxzide Pharmacokinetics

See Literature

Maxzide Interactions

Interactions

Digitalis, lithium toxicity. Adjust antidiabetic, antigout medications. Hyperkalemia more likely with ACE inhibitors. NSAIDs may cause renal failure. Hypokalemia with corticosteroids, ACTH, amphotericin B. Hypotension with CNS depressants. Potentiates other antihypertensives, nondepolarizing muscle relaxants. Antagonized by NSAIDs. Hyponatremia with sulfonylureas. Antagonizes folic acid. May block epinephrine. May interfere with parathyroid tests.

Maxzide Adverse Reactions

Adverse Reactions

Drowsiness, insomnia, muscle cramps, weakness, headache, GI disturbances, dizziness, orthostatic hypotension, hyperuricemia, impotence, renal stones, tachycardia, dyspnea, dry mouth, depression, anxiety, urine discoloration, elevated liver enzymes; HCTZ: increased risk for non-melanoma skin cancer.

Maxzide Clinical Trials

See Literature

Maxzide Note

Not Applicable

Maxzide Patient Counseling

See Literature

Maxzide Generic Name & Formulations

General Description

Triamterene 75mg, hydrochlorothiazide 50mg; scored tabs.

Pharmacological Class

Diuretic (K+ sparing) + (thiazide).

See Also

How Supplied

Tabs—100

Manufacturer

Maxzide Indications

Indications

Hypertension when normokalemia is essential.

Maxzide Dosage and Administration

Adult

1 tab daily.

Children

Not established.

Maxzide Contraindications

Contraindications

Hyperkalemia. Renal impairment. Anuria. Sulfonamide allergy. Concomitant potassium or K+-sparing diuretics.

Maxzide Boxed Warnings

Boxed Warning

Risk of hyperkalemia.

Maxzide Warnings/Precautions

Warnings/Precautions

Diabetes. Acidosis predisposition. Electrolyte imbalance. Excessive diuresis. History of renal stones. Gout. Asthma. SLE. Surgery. Monitor electrolytes, renal function. Discontinue if serum potassium >5.5mEq/L or <3mEq/L. Hepatic impairment: monitor for hepatic coma, if confusion increases, discontinue for a few days. Elderly. Severely ill. Pregnancy. Nursing mothers: not recommended.

Maxzide Pharmacokinetics

See Literature

Maxzide Interactions

Interactions

Digitalis, lithium toxicity. Adjust antidiabetic, antigout medications. Hyperkalemia more likely with ACE inhibitors. NSAIDs may cause renal failure. Hypokalemia with corticosteroids, ACTH, amphotericin B. Hypotension with CNS depressants. Potentiates other antihypertensives, nondepolarizing muscle relaxants. Antagonized by NSAIDs. Hyponatremia with sulfonylureas. Antagonizes folic acid. May block epinephrine. May interfere with parathyroid tests.

Maxzide Adverse Reactions

Adverse Reactions

Drowsiness, insomnia, muscle cramps, weakness, headache, GI disturbances, dizziness, orthostatic hypotension, hyperuricemia, impotence, renal stones, tachycardia, dyspnea, dry mouth, depression, anxiety, urine discoloration, elevated liver enzymes; HCTZ: increased risk for non-melanoma skin cancer.

Maxzide Clinical Trials

See Literature

Maxzide Note

Not Applicable

Maxzide Patient Counseling

See Literature

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