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- $Unique_ID{BRK03190}
- $Pretitle{}
- $Title{indapamide}
- $Subject{Lozol Rorer Diuretic antihypertensive indapamide high blood pressure
- fluid accumulation body heart failure cirrhosis liver kidney disease
- elimination salt water kidneys}
- $Volume{}
- $Log{}
-
- Copyright (C) 1993 Publications International, Ltd.
-
-
- indapamide
- ------------------------------------------------------------------------------
-
- BRAND NAME (Manufacturer)
-
- Lozol (Rorer)
-
- TYPE OF DRUG
-
- Diuretic and antihypertensive
-
- INGREDIENT
-
- indapamide
-
- DOSAGE FORM
-
- Tablets (2.5 mg)
-
- STORAGE
-
- Store at room temperature in a tightly closed container.
-
- USES
-
- Indapamide is prescribed to treat high blood pressure. It is also used
- to reduce fluid accumulation in the body caused by conditions such as heart
- failure, cirrhosis of the liver, kidney disease, and the long-term use of some
- drugs. This drug reduces fluid accumulation by increasing the elimination of
- salt and water through the kidneys.
-
- TREATMENT
-
- To decrease stomach irritation, you can take indapamide with a glass of
- milk or with a meal (unless your doctor directs you to do otherwise). Try to
- take it at the same time every day. Avoid taking a dose after 6:00 p.m.;
- otherwise, you may have to get up during the night to urinate.
- If you miss a dose of this medication, take the missed dose as soon as
- possible, unless it is almost time for the next dose. In that case, do not
- take the missed dose at all; just wait until the next scheduled dose. Do not
- double the dose.
- This medication does not cure high blood pressure, but it will help to
- control the condition as long as you continue to take it.
-
- SIDE EFFECTS
-
- Minor.
-
- Constipation, cramps, diarrhea, dizziness, drowsiness, headache,
- heartburn, loss of appetite, restlessness, or upset stomach. As your body
- adjusts to the medication, these side effects should disappear.
- This drug can cause increased sensitivity to sunlight. Therefore, avoid
- prolonged exposure to sunlight and sunlamps. Wear protective clothing, and
- use an effective sunscreen.
- To relieve constipation, increase the amount of fiber in your diet (fresh
- fruits and vegetables, salads, bran, and whole-grain breads) and exercise more
- (unless your doctor directs you to do otherwise).
- To avoid dizziness or light-headedness when you stand, contract and relax
- the muscles of your legs for a few moments before rising. Do this by pushing
- one foot against the floor while raising the other foot slightly, alternating
- feet so that you are "pumping" your legs in a pedaling motion.
-
- Major.
-
- Tell your doctor about any side effects that are persistent or
- particularly bothersome. IT IS ESPECIALLY IMPORTANT TO TELL YOUR DOCTOR about
- blurred vision, confusion, difficulty in breathing, dry mouth, excessive
- thirst, excessive weakness, fever, itching, joint pain, mood changes, muscle
- pain or spasms, nausea, palpitations, skin rash, sore throat, tingling in the
- fingers or toes, unusual bleeding or bruising, vomiting, or yellowing of the
- eyes or skin.
-
- INTERACTIONS
-
- Indapamide interacts with several other types of medications:
- 1. It may decrease the effectiveness of oral anticoagulants, antigout
- medications, insulin, oral antidiabetic medicines, and methenamine.
- 2. Fenfluramine can increase the blood-pressure-lowering effects of
- indapamide (which can be dangerous).
- 3. Indomethacin can decrease the blood-pressure-lowering effects of
- indapamide, thereby counteracting the desired effects.
- 4. Cholestyramine and colestipol can decrease the absorption of this
- medication from the gastrointestinal tract. Indapamide should, therefore, be
- taken one hour before or four hours after a dose of cholestyramine or
- colestipol (if you have also been prescribed one of these drugs).
- 5. Indapamide may increase the side effects of amphotericin B, calcium,
- cortisone and cortisone-like steroids (such as dexamethasone, hydrocortisone,
- prednisone, and prednisolone), digoxin, digitalis, lithium, and vitamin D.
- BE SURE TO TELL YOUR DOCTOR about any medications you are currently
- taking, especially any of those listed above.
-
- WARNINGS
-
- * Tell your doctor about unusual or allergic reactions you have had to
- any medications, especially to indapamide or any other sulfa drugs, including
- other diuretics, oral antidiabetic medications, and sulfonamide antibiotics.
- * Tell your doctor if you now have or if you have ever had kidney disease
- or problems with urination, diabetes mellitus, gout, liver disease, asthma,
- pancreatic disease, or systemic lupus erythematosus.
- * Indapamide can cause potassium loss. Signs of potassium loss include
- dry mouth, thirst, weakness, muscle pain or cramps, nausea, and vomiting. If
- you experience any of these symptoms, call your doctor. To help avoid
- potassium loss, take this drug with a glass of fresh or frozen orange juice or
- cranberry juice, or eat a banana every day. The use of a salt substitute also
- helps to prevent potassium loss. Do not change your diet or use a salt
- substitute, however, before discussing it with your doctor. Too much
- potassium can also be dangerous. Your doctor may want to have blood tests
- performed periodically to monitor your potassium levels.
- * In order to avoid dizziness or fainting while taking this medication,
- try not to stand for long periods of time; avoid drinking excessive amounts of
- alcohol; and avoid getting overheated (do not perform strenuous exercise in
- hot weather or take hot baths, showers, or saunas).
- * If you have high blood pressure, do not take any over-the-counter
- (nonprescription) medications for weight control or for allergy, asthma,
- cough, cold, or sinus problems unless your doctor directs you to do so.
- * To prevent dehydration (severe water loss) while taking this
- medication, check with your doctor if you have any illness that causes severe
- or continuous nausea, vomiting, or diarrhea.
- * This medication can raise blood sugar levels in diabetic patients.
- Therefore, blood sugar levels should be carefully monitored by blood or urine
- tests when this medication is being taken.
- * Be sure to tell your doctor if you are pregnant. Studies in humans
- have not been conducted, but adverse effects have been observed in the fetuses
- of animals that received large doses of this drug during pregnancy. Also,
- tell your doctor if you are breast-feeding an infant. Although problems in
- humans have not been reported, small amounts of this medication can pass into
- breast milk, so caution is warranted.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-