Diurex water pills for high blood pressure

Reyes Syndrome: Children and teenagers should not use this product for chicken pox or flu symptoms before a doctor is consulted about Reyes Syndrome, a rare but serious illness reported to be associated with aspirin. Allergy alert: Magnesium Salicylate may cause a severe allergic reaction which may include: hives, facial swelling, asthma (wheezing), shock. Stomach bleeding warning: This product contains a non-steroidal anti-inflammatory drug (NSAID), which may cause severe stomach bleeding. The chance is higher if you are age 60 or older, have had stomach ulcers or bleeding problems, take a blood thinning (anticoagulant) or steroid drug, take other drugs containing prescription or nonprescription NSAIDs [aspirin, ibuprofen, naproxen or others], have 3 or more alcoholic drinks every day while using this product, take more or for a longer time than directed. Do not use if you have ever had an allergic reaction to any other pain reliever/fever reducer. Ask a doctor before use if stomach bleeding warning applies to you or you have a history of stomach problems, such as heartburn, you have high blood pressure, heart disease, liver cirrhosis or kidney disease, you are taking a diuretic. Ask a doctor or pharmacist before use if you are taking a prescription drug for diabetes, gout or arthritis, or taking any other drug. When using this product, limit the use of caffeine-containing medications, foods or beverages because too much caffeine may cause: nervousness, irritability, sleeplessness, occasional rapid heart beat. The recommended dose of this product contains about as much caffeine as one cup of coffee. Stop use and ask a doctor if an allergic reaction occurs. Seek medical help right away if pain gets worse or lasts more than 10 days, fever gets worse or lasts more than 3 days, redness or swelling is present, ringing in the ears or loss of hearing occurs, any new symptoms appear, you experience any of the following signs of stomach bleeding: feel faint, vomit blood, have bloody or black stools, have stomach pain that does not get better. If pregnant or breast-feeding, ask a health professional before use. Keep out of reach of children. In case of overdose, get medical help or contact a poison control center right away.

For temporary relief of temporary water weight gain, bloat, swelling, full feeling, fatigue, minor aches and pains associated with the premenstrual and menstrual periods.

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One of the most common types of blood pressure medications is known as a diuretic. These medicines lower your blood pressure by helping your body get rid of excess water and salt through your kidneys, allowing your heart to pump better.

Diuretics are commonly known as "water pills" and they treat several conditions, including hypertension (high blood pressure), heart failure, and kidney problems. For blood pressure, they may be used alone or added to another medication.

Classes of diuretics include:

• Thiazide diuretics
• Loop diuretics
• Potassium-sparing diuretics

Thiazide Diuretics

Thiazide diuretics are used to treat blood pressure and also to get rid of excess fluid, or edema, in patients with heart failure, liver disease, steroid use, and estrogen-replacement therapy.

Some common thiazide diuretics used to treat hypertension include:

• Hydrochlorothiazide
• Indapamide
• Chlorothiazide
• Metolazone
• Chlorthalidone

Loop Diuretics

Loop diuretics are used to treat edema in congestive heart failure as well as kidney and liver disease. They work by blocking the reabsorption of fluid that passes through your kidneys, and then you pass that excess fluid as urine.

Other loop diuretics are:

• Lasix (furosemide)
• Bumex (bumetanide)
• Demadex (torsemide)
• Edecrin (ethacrynic acid)

Potassium-Sparing Diuretics

Potassium-sparing diuretics are often used at the same time as other diuretics to maintain the potassium balance in your body. They don't lower blood pressure significantly when used alone. Potassium-sparing diuretics include:

• Aldactone
• Spironolactone
• Amiloride
• Triamterene

Side Effects

Diuretics can cause numerous side effects, including some that may be dangerous. The specific side-effect profile is different for each drug, so you'll want to get familiar with the one(s) you're taking.

In general, some common side effects of diuretics include:

• Frequent urination: You may need to urinate more often than usual after taking a diuretic. This symptom usually subsides after a few hours.
• Electrolyte imbalance: You can lose electrolytes (including sodium and potassium, depending on the drug) in your urine when you are taking a diuretic, so your healthcare provider may monitor your blood chemistry while you're taking these drugs.
• Weakness and fatigue: These side effects usually resolve after a few weeks, as you get used to the drug.
• Muscle cramps: This can occur when a diuretic leads to low potassium levels. In some cases, healthcare providers recommend a daily potassium supplement for their patients on diuretics. Don't just assume you need one, though. This is a decision that's best made with your healthcare provider.
• Dizziness, blurred vision: These symptoms can result from dehydration. Watch for symptoms, which include decreased urine output, excessive thirst or mouth dryness, or dark-colored urine. Let your healthcare provider know the drug could be dehydrating you.

Less common side effects are:

• Increase in blood sugar levels in diabetics
• Attacks of gout
• Impotence in men (rarely)

As with any drug, diuretics sometimes cause dangerous side effects. Contact your healthcare provider right away if you notice any of the following symptoms:

• Fever
• Sore throat and mouth ulcers
• Unexplained bleeding or bruising
• Ringing in your ears

Do you have an allergy to sulfa drugs? Many diuretic drugs contain sulfa, so tell your healthcare provider if you have an allergy to sulfa (or any medication). Making sure this information is in your chart and on file with your pharmacy can help protect you from getting a drug that you shouldn't take.

Important Concerns

Dozens of different antihypertensive medications are on the market, and each one has its pros and cons. Your healthcare provider can go over the risks and benefits with you. Your pharmacist is also a great resource for information about how medications may affect you.

To protect your health, you should be aware of several things about taking diuretics to control your hypertension.

• When you healthcare provider prescribes a diuretic (or any drug), make sure they're aware of any medications—prescription or over-the-counter—that you're taking. This includes nutritional supplements and herbal remedies, as well.
• Consider taking your diuretic in the morning, so you won't be up at night going to the bathroom.
• While you're on a diuretic, your healthcare provider may want to monitor your blood pressure, electrolyte levels, and kidney function regularly, so be certain to keep all of your appointments as scheduled.
• Remember that diuretics can cause abnormal levels of potassium or sodium. If you're taking a potassium-sparing diuretic, your healthcare provider may tell you to avoid foods that are rich in potassium. These foods include some salt substitutes.
• Women who are pregnant or breastfeeding shouldn't use diuretics.
• Lifestyle factors, like smoking and salty foods, can keep your medicine from working effectively. Let your healthcare provider know if you need help or guidance giving up cigarettes or making healthy changes to your diet.

Managing Your Blood Pressure

Keeping your blood pressure at a good level is important to your health, and prescription drugs are only part of the solution to hypertension. It can also help if you:

• Take your medicines as prescribed
• Check your blood pressure at the same time each day, if your healthcare provider wants you to track it

Lifestyle changes may help you control your blood pressure with lower doses of medication, or they may allow you to go off of medication altogether. These include:

• Eating a healthy diet
• Maintaining a healthy weight
• Exercising regularly

By Karen Shackelford, MD
Karen Shackelford, MD, is an emergency medicine physician with years of experience helping patients dealing with blood pressure issues.

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