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Indications of hydrochlorothiazide and indapamide??
Hypertension
odema
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precautions of hydrochlorothiazide and indamapmide?
Hypokalaemia with high doses
Gout
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Adverse effects of hydrochlorothiazide and indapamide?
- dizziness, weakness, muscle cramps, orthostatic hypotension, hyponatraemia, hypokalaemia,
- hypomagnesaemia
Effects on glucose tolerance, plasma lipids and male sexual function are minimal with low doses.
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Dose of hydrochlothiazide?
HTN?
Odema?
Hypertension, 12.5–25 mg in the morning.
Oedema, 25–100 mg daily, or intermittently
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Counselling for hydrochlorothiazide and indapamide?
You may feel dizzy on standing when taking this medicine. Get up gradually from sitting or lying to minimise this effect; sit or lie down if you become dizzy.
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Dose of indapamide?
1.25–2.5 mg once daily in the morning.
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Indications for frusemide?
Odema
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Precautions for using frusemide?
prostatic obstruction - may worsen
Gout
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Adverse effects of frusemide?
dehydration, gout, dizziness, orthostatic hypotension,
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Dose of frusemide?
20-40mg once or twice daily maintain at 20-400mg daily
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Counselling of frusemide?
This medicine is usually taken once daily in the morning. If you are taking it twice a day, take the first dose in the morning and the second dose before 6 pm.
- You may feel dizzy on standing when taking this
- medicine. Get up gradually from sitting or lying to minimise this effect; sit or lie down if you become dizzy.
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Indications for spironolactone?
- Primary hyperaldosteronism
- Refractory oedema associated with secondary hyperaldosteronism, eg cirrhosis of the liver
- Hirsutism in females
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Precautions of spironolactone?
- hyperkalaemia -- contraindicated
- Treatment with drugs that can increas potassium concentration oe ACEI
- severe renal impairment -- contraindicated
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Adverse effects of spironolactone?
- weakness, headache, nausea, vomiting, breast pain
- diarrhoea, drowsiness, confusion, impotence,
- menstrual irregularities.
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Dose of spironolactone?
Primary hyperaldosteronism
odema
Hirsutism in females
severe heart failure
- 50–200 mg daily in 1 or 2 doses.-- Primary hyperaldosteronism
- 100 mg once daily; maintenance 25–200 mg daily. -odema
- 50-100mg daily - Hirsutism in females
- 25-50mg - heart failure
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Counselling for spironolactone?
Do not take potassium supplements while you are taking this medicine unless your doctor tells you to.
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