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Precautions

Do NOT use Hydrochlorothiazide if:

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• you can't urinate

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• you consider dofetilide or ketanserin.

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Contact your physician or health care provider without delay if any of these apply to you.

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Some health conditions may connect to Hydrochlorothiazide. Tell your doctor or pharmacist if you have any medical conditions, in particular when any with the following affect you:

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• if you happen to be pregnant, about to get pregnant, or are breast-feeding

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• in case you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• for those who have allergies to medicines, foods, or other substances

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• if you have had a severe hypersensitivity (eg, rash; hives; itching; difficulty breathing; tightness inside chest; swelling in the mouth, face, lips, or tongue) to your sulfonamide medicine (eg, sulfamethoxazole)

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• in case you have gout, liver problems, (eg, cirrhosis), lupus, kidney problems, diabetes, asthma, parathyroid gland problems, or high blood cholesterol or lipid levels

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• when you have high or low blood electrolyte levels (eg, sodium, potassium, magnesium, calcium)

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• in case you consider another medicine for high blood pressure levels.

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Some medicines may talk with Hydrochlorothiazide. Tell your health care provider if you take any other medicines, especially any in the following:

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• Digoxin, dofetilide, or ketanserin since the risk of irregular heartbeat could be increased

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• Barbiturates (eg, phenobarbital), corticotropin, corticosteroids (eg, prednisone), or narcotic pain medicines (eg, codeine) since they might increase the probability of Hydrochlorothiazide's unwanted side effects

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• Cholestyramine, colestipol, or nonsteroidal anti-inflammatory medicines (NSAIDs) (eg, ibuprofen) given that they may decrease Hydrochlorothiazide's effectiveness

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• Diazoxide or lithium for the reason that risk of their negative effects may be increased by Hydrochlorothiazide

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• Diabetes medicines (eg, glipizide, metformin) or insulin as their effectiveness might be decreased by Hydrochlorothiazide.

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This may not be an entire set of all interactions that could occur. Ask your health care provider if Hydrochlorothiazide may interact with medicines that you take. Check with your medical provider prior to starting, stop, or alter the dose of the medicine.

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Important safety information:

• Hydrochlorothiazide may cause dizziness or blurred vision. These effects might be worse if you go on it with alcohol or certain medicines. Use Hydrochlorothiazide with caution. Do not drive or perform other possible unsafe tasks before you recognize how you respond to it.

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• Hydrochlorothiazide might cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially within the morning. Sit or take a nap on the first sign of all of these effects.

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• Your doctor could also prescribe a potassium supplement in your case. If so, consider the potassium supplement the same manner prescribed. Do not begin taking additional potassium by yourself or make positive changes to diet to incorporate more potassium without first checking together with your doctor.

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• Tell your physician or dentist which you take Hydrochlorothiazide before you get any medical or dental treatments, emergency care, or surgery.

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• Tell your doctor should you be exposed to high temperatures. The probability of certain unwanted effects (eg, low blood sodium levels) could be increased in summer.

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• Hydrochlorothiazide may cause you to become sunburned quicker. Avoid the sun, sunlamps, or tanning booths before you recognize how you reply to Hydrochlorothiazide. Use a sunscreen or wear protective clothing if you has to be outside for more than a limited time.

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• Patients having medicine for high blood pressure often feel tired or run down for some weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your medical professional if you develop any new symptoms.

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• Hydrochlorothiazide may increase your blood sugar levels. High blood glucose levels might make you're feeling confused, drowsy, or thirsty. It can also cause you to flush, breathe faster, or have a very fruit-like breath odor. If these symptoms occur, tell your doctor right away.

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• Diabetes patients - Check blood sugar levels closely. Ask your medical professional prior to deciding to affect the dose of the diabetes medicine.

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• Hydrochlorothiazide may restrict certain diagnostic tests, including parathyroid function tests. Be sure your physician and lab personnel know you consider Hydrochlorothiazide.

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• Lab tests, including kidney function, hypertension, and electrolyte levels, may be performed while you use Hydrochlorothiazide. These tests could be utilized to monitor your condition or pay attention to unwanted effects. Be sure to keep all doctor and lab appointments.

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• Use Hydrochlorothiazide with caution inside the elderly; they might be more responsive to its effects, especially dizziness.

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• Pregnancy and breast-feeding: Hydrochlorothiazide might cause harm to the fetus. If you conceive, speak to your doctor. You will need to discuss the huge benefits and risks of using Hydrochlorothiazide while you might be pregnant. Hydrochlorothiazide is located in breast milk. If you might be or will be breast-feeding whilst you use Hydrochlorothiazide, check using your doctor. Discuss any possible risks to your baby.

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