thiazide diuretics-oral (cont.)

PRECAUTIONS: Tell your doctor your medical history, especially about: gout, diabetes, liver problems, urinary problems, any allergies (especially to sulfa medications). Thiazide diuretics may increase sensitivity to sunlight. Avoid prolonged sun exposure. If you become sun sensitive, use a sunscreen and wear protective clothing when outdoors. This medication should be used during pregnancy only if clearly needed. Discuss the risks and benefits with your doctor. Thiazide diuretics appear in breast milk. Though there have been (to date) no reports of harm to nursing infants, consult your doctor before breast-feeding.

DRUG INTERACTIONS: This drug is not recommended for use with: dofetilide. Ask your doctor or pharmacist for more details. Inform your doctor about all the medicines you may use (both prescription and nonprescription), especially if you take: lithium, digoxin, oral drugs used for diabetes, aspirin, NSAIDs (e.g., ibuprofen, naproxen), fluconazole. If you take colestipol or cholestyramine for high cholesterol, take the diuretic 1 hour before or 4 hours after because of decreased absorption into the bloodstream. Avoid any drugs that increase your heart rate or make you excited like decongestants because it may counter-act your blood pressure medicine. Decongestants are commonly found in over the counter cough-and-cold products. Ask your pharmacist if you are uncertain about decongestants in over-the-counter products. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include unconsciousness, nausea/vomiting, weakness, slow or shallow breathing, dizziness, confusion, unusually slow heartbeat, seizures, drowsiness, or fainting.

NOTES: Do not share this medication with others. This drug may reduce the potassium levels in your blood. Ask your doctor about increasing your dietary potassium. Salt substitutes contain potassium and may be beneficial. Sometimes a potassium supplement medication will be prescribed by your doctor.

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