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Thiazides.including hydrochlorothiazide.can cause fluid or electrolyte imbalance (hypokalaemia.hyponatraemia.and hypochloremic alkalosis). Warning signs of fluid or electrolyte imbalance are dryness of mouth.thirst.weakness.lethargy.drowsiness.muscle pain or cramps.muscular fatigue.hypotension.oliguria.tachycardia.and gastrointestinal disturbances such as nausea or vomiting. Dilutional hyponatraemia may occur in oedematous patients in hot weather. Chloride deficit is generally mild and does not require treatment. Thiazides have been shown to increase the urinary excretions of magnesium.which may viagra to malta. result in hypomagnesaemia.

Hydrochlorothiazide should not be used for gestational oedema.gestational hypertension or preeclampsia due to the risk of decreased plasma volume and placental hypoperfusion.without a beneficial effect on zestoretic online course of the disease.

Congestive heart failure (CHF) refers to a condition in which the heart loses the ability to function properly. Heart disease.

To minimize dose-dependent side effects.it is usually appropriate to begin combination therapy only after a patient has failed to achieve the desired effect with monotherapy.

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