can hctz cause low sodium?
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With HCTZ, especially at the higher 50-mg dose and especially in the elderly, the kidney is unable to get rid of all the free water we drink, and the sodium in the urine can exceed the sodium in blood, leading to a lowering of the blood sodium level.
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Two of the major classes, thiazide diuretics and loop diuretics, tend to lower potassium levels in the blood. But drugs in the other class, potassium-sparing diuretics, tend to raise potassium levels in the blood. Examples of these include spironolactone (Aldactone, generic) and triamterene (Dyrenium, generic).
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Hydrochlorothiazide is not expected to be harmful to an unborn baby. However, if you take this medicine during pregnancy, your newborn baby may develop jaundice or other problems. Tell your doctor if you are pregnant or plan to become pregnant while taking hydrochlorothiazide.
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Hydrochlorothiazide and chlorthalidone Hydrochlorothiazide (HCTZ) and chlorthalidone are diuretics used to lower blood pressure but may increase your risk for high blood sugar and diabetes.
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Hydrochlorothiazide does not cause specific withdrawal symptoms, but quitting this medication suddenly can lead to higher blood pressure, heart problems, and an increase in water retention from the underlying medical conditions that the prescription drug treats.
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Sodium intake While sodium is necessary in small quantities, too much can have a negative impact on health. Those with kidney, heart, or liver issues, or people on a sodium-restricted diet, should monitor their sodium intake and limit their use of all salt, including pink Himalayan salt.
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In hyponatremia, the level of sodium in blood is too low. A low sodium level has many causes, including consumption of too many fluids, kidney failure, heart failure, cirrhosis, and use of diuretics. Symptoms result from brain dysfunction.
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Using ZEGERID for a long time may cause problems such as swelling and weight gain. Tell your doctor if this happens. If you are on a low-sodium diet or at risk of developing congestive heart failure (CHF), you and your doctor should decide if you will take ZEGERID.
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['Burns that affect a large area of the body.', 'Diarrhea.', 'Diuretic medicines (water pills), which increase urine output and loss of sodium through the urine.', 'Heart failure.', 'Kidney diseases.', 'Liver cirrhosis.', 'Syndrome of inappropriate antidiuretic hormone secretion (SIADH)', 'Sweating.']
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This causes more sodium (and water) to pass into the collecting duct and be excreted in the urine. They are called K+-sparing diuretics because they do not produce hypokalemia like the loop and thiazide diuretics.
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The small amounts that are added to food don't alter their sodium content significantly. However, you may want to avoid yeast extract if you have a problem with blood pressure or another reason to limit sodium. Some people experience mild flushing of the skin and headaches when they eat glutamates or MSG.
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Conclusion. In people with or without hypertension, using low-sodium salt substitutes reduced blood pressure but did not affect new or existing hypertension or death.
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Hyperglycemia is also a common side effect. The tendency, as for all loop diuretics, to cause low serum potassium concentration (hypokalemia) has given rise to combination products, either with potassium or with the potassium-sparing diuretic amiloride (Co-amilofruse).
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Frequently prescribed combination medications include pills in which the diuretic hydrochlorothiazide (HCTZ) is added to a beta blocker such as atenolol or metoprolol or an ACE inhibitor such as benazepril or lisinopril. Some of the most commonly used combination medications are listed in Table 7.
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They can also can cause hypokalemia, hyperglycemia and glucose intolerance, hyperlipidemia, hyponatremia, hyperuricemia, hypomagnesemia. Thiazide diuretics can cause hypercalcemia while loop diuretics increase the excretion of calcium which can lead to hypocalcemia.
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Low blood sodium (hyponatremia) occurs when you have an abnormally low amount of sodium in your blood or when you have too much water in your blood. Low blood sodium is common in older adults, especially those who are hospitalized or living in long-term care facilities.
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Lasix (Furosemide) is a very effective water pill and it'll certainly make you go to the bathroom more often. Removes water from the body, which lowers blood pressure. Microzide (hydrochlorothiazide (HCTZ)) is a well-tolerated water pill that's often the first-choice treatment for mild high blood pressure.