rauwolfia alkaloids with thiazide diuretics-oral (cont.)

SIDE EFFECTS: Dizziness, drowsiness, headache, loss of appetite, nasal congestion, frequent urination or fatigue may occur as your body adjusts to the medication. To avoid dizziness and lightheadedness when rising from a seated or lying position, change positions slowly. Avoid prolonged standing and be careful on stairs. Inform your doctor if you develop: chest pain, an irregular heartbeat, shortness of breath, depression, impotence, stomach cramps, skin rash, nervousness. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: This medication may increase sensitivity to sunlight. Avoid prolonged exposure. Wear protective clothing and use a sunscreen. This medicine should be used only when clearly needed during pregnancy. Small amounts of this medication appear in breast milk. Consult with your doctor before breast-feeding. Warning to diabetic patients: this medication may raise your blood sugar. It is best to avoid alcohol and becoming over-heated because of an increased likelihood of lightheadedness and dizziness. Be sure your doctor knows your complete medical history especially if: you are prone to depression, you have ulcers or gallstones. Tell your doctor if you are allergic to sulfa drugs. You may also be allergic to this medication.

DRUG INTERACTIONS: Inform your doctor about all the medicine you use (both prescription and nonprescription), especially of: MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, selegiline, tranylcypromine), digoxin. Avoid any drugs that increase your heart rate or make you excited, like decongestants, because it may interfere with your blood pressure medicine. Decongestants are commonly found in cough-and-cold medicines. If your medicine contains a thiazide and you take colestipol or cholestyramine, take the diuretic 1 hour before or 4 hours after the cholesterol-lowering medicine because of decreased adsorption. Do not start or stop any medicine without doctor or pharmacist approval.

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