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  Trichlormethiazide

Trichlormethiazide

Pronunciation

(trye klor meth EYE a zide)

Brand Names

Metahydrin®; Naqua®

Therapeutic Categories

Antihypertensive Agent; Diuretic, Thiazide

What is this medicine used for?

  • This medicine is used for the treatment of high blood pressure. It gets rid of extra fluid (salt and water) in the body.

How does it work?

  • Trichlormethiazide lowers blood pressure and gets rid of extra salt and water in the body by acting on the kidneys.

How is it best taken?

  • Take with food early in the day. This prevents getting up at night to use the bathroom.

What do I do if I miss a dose?

  • Take a missed dose as soon as possible.
  • If it is almost time for the next dose, skip the missed one. Return to your regular schedule.
  • Do not take a double dose or extra doses.

What are the precautions when taking this medicine?

  • Avoid alcohol (includes wine, beer, and liquor). Can worsen high blood pressure or fluid gain.
  • Use caution if you are diabetic. Talk with healthcare provider. Can increase glucose.
  • Not for use in kidney disease. Talk with healthcare provider.
  • Watch for gout attacks. If you have sudden pain in a single joint, like the toe, talk with healthcare provider.
  • You can get sunburned more easily. Avoid lots of sun. Use sunscreen; wear protective clothing and eyewear.
  • Do not use over-the-counter products that increase blood pressure. These include cough or cold remedies, diet pills, stimulants, ibuprofen or like products, and certain herbs or supplements. Talk with healthcare provider.
  • Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, throat; or any other symptoms involved.
  • Tell healthcare provider if you are pregnant or plan on getting pregnant.
  • Tell healthcare provider if you are breast-feeding.

What are the common side effects of this medicine?

  • Lightheaded. Avoid driving, doing other tasks or hobbies that require you to be alert until you see how this medicine affects you.
  • Dizziness is common. Rise slowly over several minutes from sitting or lying position. Be careful climbing stairs.
  • Dry mouth. Frequent mouth care, sucking hard candy, or chewing gum may help.
  • Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard candy, or chewing gum may help.
  • Low potassium. This may make you feel tired, weak, or have numbness, tingling, muscle cramps, constipation, vomiting, or rapid heartbeats. May require taking supplements and/or eating foods rich in potassium. Talk with healthcare provider.

What should I monitor?

  • If you are using this medicine for fluid removal, check daily weight. Report a weight gain or lack of weight loss per week.
  • Check blood sugar as ordered by healthcare provider.
  • Check blood pressure regularly.
  • Follow diet plan (low salt) and exercise program as recommended by healthcare provider.
  • Check blood work (potassium). Talk with healthcare provider.

Reasons to call healthcare provider immediately

  • Signs of a life-threatening reaction. These include wheezing; tightness in the chest; fever; itching; bad cough; blue skin color; fits; swelling of face, lips, tongue, or throat.
  • Passing out, fainting, dizziness, or lightheadedness.
  • Signs of low potassium (see above). Can lead to serious heartbeat problems.
  • Severe nausea, vomiting, and/or diarrhea.
  • Any rash.

How should I store this medicine?

  • Store in a tight, light-resistant container at room temperature.

General statements

  • Do not share your medicine with others and do not take anyone else's medicine.
  • Keep all medicine out of the reach of children and pets.
  • Keep a list of all your medicines (prescription, herbal/supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, pharmacist, physician assistant)
  • Talk with healthcare provider before starting any new medicine, including over-the-counter or natural products (herbs, vitamins).

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