Find a comprehensive guide to possible side effects including common and rare side effects when taking Micardis HCT (Telmisartan and Hydrochlorothiazide Tablets) for.
Hydrochlorothiazide can cause hypokalemia and hyponatremia. Thiazides have been shown to increase the urinary excretion of magnesium; this may result in hypomagnesemia. Hypomagnesemia can result in hypokalemia which may be difficult to treat despite potassium repletion.
Monitor serum electrolytes periodically. Hydrochlorothiazide decreases urinary calcium excretion and may cause elevations of serum calcium. Hydrochlorothiazide may alter glucose tolerance and raise serum levels of cholesterol and triglycerides. Hyperuricemia may occur or frank gout may be precipitated in certain patients receiving thiazide therapy.
Because telmisartan decreases uric acid , telmisartan in combination with hydrochlorothiazide attenuates the diuretic -induced hyperuricemia. Acute Myopia And Secondary Angle-Closure Glaucoma Hydrochlorothiazide, a sulfonamide, can cause an idiosyncratic reaction, resulting in acute transient myopia and acute angle-closure glaucoma. Symptoms include acute onset of decreased visual acuity or ocular pain and typically occur within hours to weeks of drug initiation.
Untreated acute angle-closure glaucoma can lead to permanent vision loss. The primary treatment is to discontinue hydrochlorothiazide as rapidly as possible. Prompt medical or surgical treatments may need to be considered if the intraocular pressure remains uncontrolled. Risk factors for developing acute angleclosure glaucoma may include a history of sulfonamide or penicillin allergy. Systemic Lupus Erythematosus Thiazide diuretics have been reported to cause exacerbation or activation of systemic lupus erythematosus.
Postsympathectomy Patients The antihypertensive effects of hydrochlorothiazide may be enhanced in the postsympathectomy patient. Discuss treatment options with women planning to become pregnant. Symptomatic Hypotension And Syncope Advise patients that lightheadedness can occur, especially during the first days of therapy, and to report it to their healthcare provider.
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Repeat these 2 rows until 4 7, 15 stitches remain. Bind off all stitches. Slip stitches from the stitch holder onto needle with right side facing. Join wool at side. Pattern to the last 2 stitches. K or P 2 together. Continue in pattern until shoulder measures about 2 3, 4 inches from the bound off stitches at the neck edge. K or P 2 together, pattern to the end of the row. Pattern to the last 2 stitches, K or P2 together.
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Micardis HCT
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