TRIAMTERENE-HYDROCHLOROTHIAZID (TRIAMTERENE/HYDROCHLOROTHIAZIDE)

Moderate

• acarbose

• Accupril

• Accuretic

• Aceon

• Advil

• Advil Allergy Sinus

• Advil Allergy-congestion Rlf

• Advil Cold & Sinus

• Advil Congestion Relief

• Advil Liqui-gel

• Advil Migraine

• Advil Pm

• Advil Pm Liqui-gels

• Aleve

• Aleve Cold & Sinus

• Aleve Sinus & Headache

• Aleve-d Sinus & Cold

• Aleve-d Sinus & Headache

• All Day Pain Relief

• All Day Pain Relief Sinus & Co

• All Day Relief

• Altace

• Amaryl

• amlodipine-benazepril

• amlodipine-olmesartan

• amlodipine-valsartan

• amlodipine-valsartan-hcthiazid

• Anaprox

• Anaprox Ds

• Angeliq

• Ansaid

• Apidra

• Apidra Solostar

• Arthrotec 50

• Atacand

• Atacand Hct

• Avalide

• Avapro

• azilsartan med-chlorthalidone

• azilsartan medoxomil

• Azor

• benazepril

• benazepril-hydrochlorothiazide

• Benicar

• Benicar Hct

• Beyaz

• Caldolor

• Cambia

• candesartan

• candesartan-hydrochlorothiazid

• captopril

• captopril-hydrochlorothiazide

• Cataflam

• Celebrex

• celecoxib

• Child Ibuprofen

• Children's Advil

• Children's Ibu-drops

• Children's Ibuprofen

• Children's Medi-profen

• Children's Motrin

• Children's Profen Ib

• chlorphen-phenyleph-ibuprofen

• chlorphen-pseudoeph-ibuprofen

• cholestyramine (with sugar)

• Cholestyramine Light

• cholestyramine-aspartame

• Cold & Sinus Pain Relief

• Cold-sinus Relief

• Colestid

• Colestid Flavored

• colestipol

• Cozaar

• Daypro

• Diabeta

• diazoxide

• diclofenac epolamine

• diclofenac potassium

• diclofenac sodium

• diclofenac submicronized

• diclofenac-misoprostol

• Digox

• digoxin

• Diovan Hct

• drospirenone-e.estradiol-lm.FA

• drospirenone-estradiol

• drospirenone-ethinyl estradiol

• Duetact

• Duexis

• Ec-naprosyn

• Edarbi

• Edarbyclor

• enalapril maleate

• enalapril-hydrochlorothiazide

• enalaprilat

• Epaned

• eprosartan

• eprosartan-hydrochlorothiazide

• etodolac

• Exforge

• Exforge Hct

• Feldene

• fenoprofen

• Flanax

• Flector

• flurbiprofen

• fosinopril

• fosinopril-hydrochlorothiazide

• Gianvi (28)

• glimepiride

• glipizide

• glipizide-metformin

• Glucotrol

• Glucotrol Xl

• Glucovance

• glyburide

• glyburide micronized

• glyburide-metformin

• Glynase

• Glyset

• Humalog

• Humalog Kwikpen

• Humalog Mix 50-50

• Humalog Mix 50-50 Kwikpen

• Humalog Mix 75-25

• Humalog Mix 75-25 Kwikpen

• Humulin 70/30

• Humulin N

• Humulin N Kwikpen

• Humulin R

• Humulin R U-500 "Concentrated"

• hydrocodone-ibuprofen

• Hyzaar

• I-prin

• Ibu-drops

• Ibudone

• ibuprofen

• Ibuprofen Cold

• Ibuprofen Cold-sinus(with Pse)

• Ibuprofen Ib

• Ibuprofen Jr Strength

• ibuprofen lysine (PF)

• Ibuprofen Pm

• ibuprofen-diphenhydramine

• ibuprofen-diphenhydramine HCl

• ibuprofen-famotidine

• ibuprofen-oxycodone

• ibuprofen-phenylephrine HCl

• Indocin

• indomethacin

• indomethacin sodium

• Infant's Ibuprofen

• Infant's Medi-profen

• Infant's Motrin

• Infants Ibu-drops

• Infants Profenib

• insulin asp prt-insulin aspart

• insulin aspart

• insulin detemir

• insulin glargine

• insulin glulisine

• insulin lispro

• insulin lispro protam-lispro

• insulin NPH and regular human

• insulin regular hum U-500 conc

• insulin regular human

• irbesartan

• irbesartan-hydrochlorothiazide

• ketoprofen

• ketorolac

• Lanoxin

• Lanoxin Pediatric

• Lantus

• Lantus Solostar

• Levemir

• Levemir Flexpen

• lisinopril

• lisinopril-hydrochlorothiazide

• Loryna (28)

• losartan

• losartan-hydrochlorothiazide

• Lotensin

• Lotrel

• Mavik

• Medi-profen

• Mediproxen

• mefenamic acid

• meloxicam

• Micardis

• Micardis Hct

• Midol (naproxen)

• miglitol

• Mobic

• moexipril

• moexipril-hydrochlorothiazide

• Motrin Ib

• Motrin Pm

• nabumetone

• Nalfon

• Naprelan Cr

• Naprosyn

• naproxen

• naproxen sodium

• naproxen-esomeprazole

• naproxen-pseudoephedrine

• nateglinide

• Neoprofen (ibuprofen Lysn)(pf)

• Novolin 70/30

• Novolin N

• Novolin R

• Novolog

• Novolog Flexpen

• Novolog Mix 70-30

• Novolog Mix 70-30 Flexpen

• Novolog Penfill

• NPH insulin human recomb

• Ocella

• olmesartan

• olmesartan-amlodipin-hcthiazid

• olmesartan-hydrochlorothiazide

• oxaprozin

• Pennsaid

• perindopril erbumine

• pioglitazone-glimepiride

• piroxicam

• Ponstel

• Precose

• Prevalite

• Prinivil

• Proglycem

• Provil

• pseudoephedrine-ibuprofen

• Questran

• Questran Light

• quinapril

• quinapril-hydrochlorothiazide

• ramipril

• Reprexain

• Safyral

• Sinus & Cold-d

• Solaraze

• Sprix

• Starlix

• sulindac

• Syeda

• Tarka

• telmisartan

• telmisartan-amlodipine

• telmisartan-hydrochlorothiazid

• Teveten

• Teveten Hct

• tolazamide

• tolbutamide

• tolmetin

• trandolapril

• trandolapril-verapamil

• Tribenzor

• Twynsta

• Uniretic

• Univasc

• valsartan-hydrochlorothiazide

• Vaseretic

• Vasotec

• Vestura (28)

• Vicoprofen

• Vimovo

• Voltaren-xr

• Wal-profen

• Wal-profen Cold-sinus

• Wal-proxen

• Yasmin (28)

• Yaz 28

• Zarah

• Zestoretic

• Zestril

• Zipsor

• Zorvolex

Moderate

• Basal cell carcinoma of skin

• Diabetes mellitus

• Disease of liver

• Folic acid deficient megaloblastic anemia

• Hypercalcemia

• Hypercholesterolemia

• Hyperparathyroidism

• Hyperuricemia

• Squamous cell carcinoma of skin

• Sympathectomy

• Systemic lupus erythematosus

• Type 1 diabetes mellitus

• Type 2 diabetes mellitus

Hydrochlorothiazide

• Severity Level:

  B

• Additional Notes: Not recommended in pre-eclampsia and other pregnancy-induced hypertension.

Triamterene

• Severity Level:

  1

• Additional Notes: Fda category c. quadruples risk of cardiovascular defects and oral cleft.

Contraindicated

None

General	Excretion Potential	Effect on Infant	Notes
			None

Precaution Exists

Hydrochlorothiazide

Limited amounts excreted with no known adverse effects in infant.

Insufficient human data available; excreted in animal studies

General	Excretion Potential	Effect on Infant	Notes
Evaluate use carefully	Excreted	Not known; no or inclusive data	Limited amounts excreted with no known adverse effects in infant.

Triamterene

Limited amounts excreted with no known adverse effects in infant.

Insufficient human data available; excreted in animal studies

General	Excretion Potential	Effect on Infant	Notes
Evaluate use carefully	Unknown	Not known; no or inclusive data	Insufficient human data available; excreted in animal studies

No Known Risk

None

General	Excretion Potential	Effect on Infant	Notes
			None

Contraindicated

None

Precaution Exists

Hydrochlorothiazide

Cardiovascular-Increased sensitivity to effects on blood pressure. Metabolic-More likely to develop hypokalemia, hypomagnesemia, or hyponatremia. Endocrine-May exacerbate SIADH. May worsen glucose control in patients with diabetes. Renal-Not effective with CrCL < 30mL/min.

Renal-Increased risk for hyperkalemia and hyponatremia in patients with severe renal impairment due to potassium sparing effects. May increase risk of kidney injury Stages IV and V CKD. Avoid with CrCl <30 mL/min.

Organ / System	HEP	REN	CARD	ENDO	NEURO / PSYCH	PULM
Increased Risk / Adverse Effects	Y	N	Y	N	N	Y

BEERS: Y     HEDIS: N     STOPP: Y

Triamterene

Cardiovascular-Increased sensitivity to effects on blood pressure. Metabolic-More likely to develop hypokalemia, hypomagnesemia, or hyponatremia. Endocrine-May exacerbate SIADH. May worsen glucose control in patients with diabetes. Renal-Not effective with CrCL < 30mL/min.

Renal-Increased risk for hyperkalemia and hyponatremia in patients with severe renal impairment due to potassium sparing effects. May increase risk of kidney injury Stages IV and V CKD. Avoid with CrCl <30 mL/min.

Organ / System	HEP	REN	CARD	ENDO	NEURO / PSYCH	PULM
Increased Risk / Adverse Effects	Y	N	N	N	N	N

BEERS: Y     HEDIS: N     STOPP: Y

No Known Risk

None

0-9	A-Z
I10	Essential (primary) hypertension
I11	Hypertensive heart disease
I11.0	Hypertensive heart disease with heart failure
I11.9	Hypertensive heart disease without heart failure
I12	Hypertensive chronic kidney disease
I12.0	Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I12.9	Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13	Hypertensive heart and chronic kidney disease
I13.0	Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.1	Hypertensive heart and chronic kidney disease without heart failure
I13.10	Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.11	Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
I13.2	Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
I15.1	Hypertension secondary to other renal disorders
R60	Edema, not elsewhere classified
R60.0	Localized edema
R60.1	Generalized edema
R60.9	Edema, unspecified