Periodic BUN and serum creatinine determinations should made, especially in the elderly diabetics or those with suspected or conllrmed renal insulliciency. Cumulative effects the drug may develop in patients with impaired renal function. Thiazides should used with caution in patients with impaired hepatic function. Blood dyscrasias have been reported In patients receiving triamterene and leukopenia, thrombocytopenia, agranulocytosis and aplastic and hemolytic anemia have been reported with thiazides. Thiazides mav cause manifestation latent diabetes tig may occur transient elevated BUN or creatinine or both nyperglycemia and glycosuria diabetic insulin requirements mav altered, hyperuricemia and gout, digitalis intoxication in hypokalemia, decreasing alkali reserve with possible metabolic buy a phd thesis acidosis. Vyazide interleres with fluorescent measurement quinidine Hypokalemia uncommon with Vyazide but should develop, corrective measures should taken such as potassium supplementation orincreased dietary intake potassium-rich foods Corrective measures should proofread essay instituted cautiously and serum potassium levels determined Discontinue corrective measures and Vyazide should laboratory values reveal elevated serum potassium. Chloride deficit may occur as well as dilulional hyponatremia Concurrent use with chlorpropamide may increase the risk severe hyponatremia. Serum PBI levels may decrease without signs thyroid disturbance Calcium excretion decreased thiazides.
Vyazide should withdrawn before conducting tests lor parathyroid function. Thiazides may add or help with paraphrasing potentiate the action other antihypertensive drugs. Diuretics reduce renal clearance lithium and increase the risk lithium Adverse Reactions IVIuscle cramps, weakness, dizziness headache, dry mouth anaphylaxis, rash, urticaria, photosensitivity purpura, other dermatoiogical conditions nausea and vomiting diarrhea, constipation, other gastrointestinal disturbances postural hypotension may aggravated alcohol barbiturates, or narcotics. Necrotizing vasculitis, paresthesias icterus, pancreatitis, xanthopsia and respiratory distress including pneumonitis and pulmonary edema, transient blurred thesis service vision Copyright an article published in the North Carolina Medical Journal retained the author, but the copyright each entire issue the property The North Carolina Medical Society, and permission reprint all or any part a published article must negotiated with the author and the editor jointly. The reprinted material must carry a credit line signifying that appeared in the North Carolina Medical Medical articles, editorials, patient oriented articles, letters the editor and all other text submitted for publication must double-spaced throughout, including references and legends. The material should typed one side the paper with Vi inch margins all around. Do not use an all-caps or a script typeface. Submit one original and one copy. Please sure include your writers help online phone number.
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