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amiloride/hydrochlorothiazide (Moduretic)

 

Classes: Thiazide Combos

Dosing and uses of Moduretic (amiloride-hydrochlorothiazide)

 

Adult dosage forms and strengths

amiloride/hydrochlorothiazide

tablet

  • 5mg/50mg

 

Hypertension

5-10 mg/50-100 mg (amiloride/HCTZ)/day PO

 

Pediatric dosage forms and strengths

Safety & efficacy not established

 

Moduretic (amiloride-hydrochlorothiazide) adverse (side) effects

1-10%

Amiloride

  • Hyperkalemia (10%)
  • Anorexia (3-8%)
  • Diarrhea (3-8%)
  • Headache (3-8%)
  • Nausea (3-8%)
  • Vomiting (3-8%)
  • Abdominal pain (<3%)
  • Appetite changes (<3%), Constipation (<3%), Cough (<3%), Dizziness (<3%), Dyspnea (<3%), Encephalopathy (<3%), Fatigue (<3%), Gas pain (<3%), Impotence (<3%), Muscle cramps (<3%), Weakness (<3%)

Hydrochlorothiazide

  • Hypotension
  • Anorexia
  • Epigastric distress
  • Hypokalemia
  • Phototoxicity

 

Warnings

Contraindications

Hypersensitivity to amiloride, HCTZ or sulfonamides

Acute renal failure

Acute/severe hepatic failure

Anuria

Hyperkalemia

 

Pregnancy and lactation

Pregnancy category: B

Lactation: Excretion in breast milk is unknown. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.

 

Pregnancy categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.