{"id":8382,"date":"2021-03-11T10:45:41","date_gmt":"2021-03-11T10:45:41","guid":{"rendered":"https:\/\/zeepedia.com\/?p=8382"},"modified":"2021-04-14T18:00:21","modified_gmt":"2021-04-14T18:00:21","slug":"esidrex","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/esidrex\/","title":{"rendered":"Esidrex &#8211; Hydrochlorothiazide uses, dose and side effects"},"content":{"rendered":"\n<p> 25 mg tablet&nbsp;<br>hydrochlorothiazide<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. WHAT ESIDREX IS AND WHAT IT IS USED FOR<\/h2>\n\n\n\n<p>Esidrex is a&nbsp;diuretic&nbsp;and antihypertensive drug.&nbsp;The decrease in blood pressure is partly due to the&nbsp;diuretic&nbsp;effect but probably also due to the dilation of certain blood vessels (&nbsp;arterioles&nbsp;).<br><\/p>\n\n\n\n<p>Esidrex is used for high&nbsp;blood pressure, fluid retention (&nbsp;edema&nbsp;), and M\u00e9ni\u00e8re&#8217;s disease&nbsp;(an inner ear disease).<br><\/p>\n\n\n\n<p>The hydrochlorothiazide&nbsp;contained in Esidrex may also be approved for the treatment of other conditions not mentioned in this leaflet.&nbsp;Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">BEFORE YOU TAKE ESIDREX<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Esidrex<\/h2>\n\n\n\n<p>if you are allergic (hypersensitive) to the active substance or any of the other ingredients of Esidrex.<\/p>\n\n\n\n<p>&#8211; if you are allergic (hypersensitive) to certain other&nbsp;diuretics&nbsp;(&nbsp;diuretics&nbsp;).<\/p>\n\n\n\n<p>&#8211; if you have severe liver disease.<\/p>\n\n\n\n<p>&#8211; if you have severe kidney disease with low urine production.<\/p>\n\n\n\n<p>&#8211; if you have&nbsp;gout.<br><\/p>\n\n\n\n<p><strong>If any of the above applies to you, do not take Esidrex and talk to your doctor.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Take special care with Esidrex<\/h2>\n\n\n\n<p>&#8211; if you have&nbsp;diabetes&nbsp;(diabetes).<\/p>\n\n\n\n<p>&#8211; if you have atherosclerosis in the heart or brain.<\/p>\n\n\n\n<p>&#8211; if you are pregnant: Pregnant women should not use Esidrex during the last 3 months of pregnancy.&nbsp;(Even earlier in pregnancy, it is good to avoid Esidrex, see Pregnancy and breast-feeding).<\/p>\n\n\n\n<p>&#8211; if you have low potassium levels in your blood (with or without symptoms such as muscle weakness, muscle cramps, abnormal heart rhythm).<\/p>\n\n\n\n<p>&#8211; if you have low levels of sodium in your blood (with or without symptoms such as fatigue, confusion, muscle twitching, seizures).<\/p>\n\n\n\n<p>&#8211; if you have high calcium levels in your blood (with or without symptoms such as nausea, vomiting, constipation, abdominal pain, frequent urination, thirst, muscle weakness, or muscle twitching).<\/p>\n\n\n\n<p>&#8211; if you have high levels of&nbsp;uric acid&nbsp;in your blood.<\/p>\n\n\n\n<p>&#8211; if you experience a decrease in vision or have eye pain.&nbsp;These may be symptoms of increased pressure in the eye that may occur hours or weeks after starting Esidrex.&nbsp;This can lead to visual impairment if left untreated.<\/p>\n\n\n\n<p>&#8211; if you have&nbsp;asthma&nbsp;or allergic symptoms.<\/p>\n\n\n\n<p>&#8211; if you have had skin cancer or if you get an unforeseen skin change during treatment.&nbsp;Treatment with hydrochlorothiazide, especially long-term use with high&nbsp;doses, may increase the risk of certain types of skin and lip cancer (non-melanoma skin cancer).&nbsp;Protect your skin from exposure to sunlight and UV rays while taking Esidrex.<br><\/p>\n\n\n\n<p><strong>If any of the above applies to you, do not take Esidrex and talk to your doctor.<\/strong><br><\/p>\n\n\n\n<p>For long-term treatment with Esidrex, the diet must contain enough&nbsp;potassium&nbsp;(consult a doctor).<br><\/p>\n\n\n\n<p>Esidrex contains&nbsp;lactose&nbsp;(milk sugar). If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking Esidrex.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Taking other medicines<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.<br><\/p>\n\n\n\n<p>The treatment effect may be affected if this medicine is taken at the same time as certain other medicines.&nbsp;This primarily applies to the following drugs:<br><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>digitalis glycosides&nbsp;and sotalol (drugs that affect the heart rhythm).<\/li><li>drugs used to relieve pain or&nbsp;inflammation, especially non-steroidal anti-inflammatory drugs (&nbsp;NSAIDs&nbsp;) (including Cox 2-selective agents).<\/li><li>colestipol, cholestyramine, or other resins (medicines for high blood fats).<\/li><li>lithium, antidepressants, antipsychotics (drugs used in certain mental disorders).<\/li><li>antiepileptics&nbsp;such as carbamazepine (medicines used to&nbsp;treat epilepsy&nbsp;and seizures).<\/li><li>other antihypertensive drugs.<\/li><li>insulin&nbsp;and other medicines for&nbsp;diabetes.<\/li><li>drugs used for ulcers or&nbsp;inflammation&nbsp;of the esophagus (carbenoxolone).<\/li><li>cortisone-like drugs,&nbsp;steroids.<\/li><li>drugs for the treatment of irregular heartbeat.<\/li><li>anticholinergic drugs (drugs used to treat various diseases such as stomach cramps,&nbsp;bladder&nbsp;spasm,&nbsp;asthma, motion sickness, muscle cramps,&nbsp;Parkinson&#8217;s disease,&nbsp;and as an aid to anesthesia).<\/li><li>Some medicines used to treat&nbsp;infection&nbsp;include amphotericin,&nbsp;penicillin&nbsp;G.<\/li><li>alcohol, sleeping pills.<\/li><li>drugs that increase&nbsp;blood pressure&nbsp;(pressor amines such as&nbsp;adrenaline,&nbsp;norepinephrine&nbsp;).<\/li><li>muscle relaxants used during surgery.<br><\/li><\/ul>\n\n\n\n<p><strong>The treating physician, therefore, needs to be aware of such concomitant medication.<\/strong><br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Taking Esidrex with food and drink<\/h2>\n\n\n\n<p>Esidrex can be taken with or without food.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p><strong>Pregnancy<\/strong><br><\/p>\n\n\n\n<p>Contact your doctor if you are pregnant or think you may be pregnant.&nbsp;Your doctor will usually suggest you take another medicine instead of Esidrex as Esidrex is not recommended during pregnancy.&nbsp;This is because Esidrex passes into the fetus and can cause harm to the fetus and the newborn baby if used during the last 6 months of pregnancy.<br><\/p>\n\n\n\n<p><strong>Breast-feeding<\/strong><\/p>\n\n\n\n<p>Tell your doctor if you are breast-feeding or planning to start breast-feeding.&nbsp;Esidrex is not recommended during breast-feeding.<br><\/p>\n\n\n\n<p>Ask your doctor or pharmacist for advice before taking any medicine.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Esidrex has no or negligible effect on the ability to drive and use machines.<br><\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased vigilance.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or&nbsp;side effects.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. HOW TO TAKE ESIDREX<\/h2>\n\n\n\n<p>Always take Esidrex exactly as your doctor has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<br><\/p>\n\n\n\n<p>The usual daily dose for adults is<\/p>\n\n\n\n<p>&#8211; 1 \/ 2-1 tablet (high&nbsp;blood pressure&nbsp;),<\/p>\n\n\n\n<p>&#8211; 1-2 tablets (&nbsp;edema&nbsp;),<\/p>\n\n\n\n<p>&#8211; 2-4 tablets (&nbsp;M\u00e9ni\u00e8res disease&nbsp;).<br><\/p>\n\n\n\n<p>The recommended&nbsp;dose&nbsp;of Esidrex should be taken in the morning (as a single dose) or divided into two&nbsp;doses, morning and evening if your doctor thinks it is best for you.&nbsp;Swallow the tablets with a glass of water.<br><\/p>\n\n\n\n<p>The increased urine excretion begins about 2 hours after ingestion, is greatest after about 4 hours, and lasts about 12 hours.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Esidrex than you should<\/h2>\n\n\n\n<p>If you have received too much medicine, always contact a doctor, hospital, or the Poison Information Center<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Esidrex<\/h2>\n\n\n\n<p>If you forget to take your medicine, take it as soon as you remember.&nbsp;Then take your next&nbsp;dose&nbsp;at the usual time.&nbsp;However, if it is soon time to take your next&nbsp;dose, skip the&nbsp;missed&nbsp;dose.&nbsp;Do not take a double&nbsp;dose&nbsp;to make up for a forgotten tablet.<br><\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. POSSIBLE SIDE EFFECTS<\/h2>\n\n\n\n<p>Like all medicines, Esidrex can cause&nbsp;side effects,&nbsp;although not everybody gets them.<br><\/p>\n\n\n\n<p>During treatment with Esidrex, some patients may experience&nbsp;side effects&nbsp;(&nbsp;side effects&nbsp;).<br><\/p>\n\n\n\n<p>Adverse reactions&nbsp;are classified into common (affects more than 1 in 100 patients), uncommon (affects less than 1 in 100 patients), and rare (affects less than 1 in 1,000 patients), no known frequency (frequency cannot be calculated from available data).<br><\/p>\n\n\n\n<p><strong>Usual<\/strong><\/p>\n\n\n\n<p>Weakness, dizziness, fatigue, headache, potassium deficiency, elevated levels of&nbsp;uric acid&nbsp;in the blood (possibly with gout problems), elevated blood sugar levels, and elevated levels of blood fats (at high&nbsp;doses&nbsp;).<br><\/p>\n\n\n\n<p><strong>Less common<\/strong><\/p>\n\n\n\n<p>Dizziness when getting up quickly, irregular heartbeat,&nbsp;anorexia, nausea, vomiting,&nbsp;colic, diarrhea, constipation, skin rash,&nbsp;hives, increased sensitivity to sunlight, salt balance disorders, and acid-base balance.<br><\/p>\n\n\n\n<p><strong>Rare<\/strong><\/p>\n\n\n\n<p>Strong&nbsp;hypersensitivity reaction, local peeling of the skin, fever,&nbsp;impotence,&nbsp;anemia&nbsp;(&nbsp;anemia&nbsp;), lack of&nbsp;white blood cells&nbsp;(&nbsp;leukopenia,&nbsp;agranulocytosis&nbsp;), a shortage of&nbsp;blood platelets&nbsp;(&nbsp;thrombocytopenia&nbsp;), sensory disturbances, sleep disturbances, depression, blood vessel inflammation (&nbsp;vasculitis&nbsp;), inflammation of the pancreas, the effect on the liver function, respiratory symptoms, effects on kidney function and blurred vision.<br><\/p>\n\n\n\n<p><strong>No known frequency<\/strong><\/p>\n\n\n\n<p>Acute&nbsp;renal failure, renal impairment,&nbsp;anemia&nbsp;due to bone marrow depression, skin rash, fever, muscle twitching, weakness,&nbsp;acute&nbsp;glaucoma, skin, and lip cancer (Non-&nbsp;melanoma&nbsp;skin cancer).<br><\/p>\n\n\n\n<p>If any of the&nbsp;side effects&nbsp;gets serious, or if you notice any&nbsp;side effects&nbsp;not listed in this leaflet, please tell your doctor or pharmacist.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. HOW TO STORE ESIDREX<\/h2>\n\n\n\n<p>Keep out of sight and reach of children.<\/p>\n\n\n\n<p>Close the jar tightly.&nbsp;Moisture sensitive.<\/p>\n\n\n\n<p>Store in the original package.&nbsp;Sensitive to light.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton after \u201cEd.&nbsp;That \u201d.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Do not use any damaged or pre-opened Esidrex packs.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. FURTHER INFORMATION<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>&#8211; The active substance in Esidrex is&nbsp;hydrochlorothiazide.&nbsp;One tablet contains 25 mg of&nbsp;hydrochlorothiazide&nbsp;.<\/p>\n\n\n\n<p>&#8211; The other ingredients are&nbsp;lactose monohydrate, magnesium stearate,&nbsp;colloidal anhydrous silica, talc, and wheat starch.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Esidrex 25 mg tablets are white with a scoreline on one side.<\/p>\n\n\n\n<p>The tablets are supplied in a plastic jar of polyethylene with 100 pcs.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder<\/strong><\/p>\n\n\n\n<p>Juvis\u00e9 Pharmaceuticals Laboratories<\/p>\n\n\n\n<p>149 boulevard Bataille de Stalingrad<\/p>\n\n\n\n<p>69100 Villeurbanne<\/p>\n\n\n\n<p>France<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Cenexi<\/p>\n\n\n\n<p>52 Rue Marcel and Jacques Gaucher<\/p>\n\n\n\n<p>94120 Fontenay-sous-Bois<\/p>\n\n\n\n<p>France<br><\/p>\n\n\n\n<p>For further information on this medicine, please contact the Marketing Authorization Holder.<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p> 25 mg tablet<br \/>\nhydrochlorothiazide<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2205,2200],"tags":[3668,3669,3671,3670,3664,3667,3666,3665,2212,2210],"class_list":["post-8382","post","type-post","status-publish","format-standard","hentry","category-e","category-medicines","tag-esidrex","tag-esidrex-dose","tag-esidrex-side-effects","tag-esidrex-uses","tag-hydrochlorothiazide","tag-hydrochlorothiazide-dose","tag-hydrochlorothiazide-side-effects","tag-hydrochlorothiazide-uses","tag-medicine","tag-tablet"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8382","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=8382"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8382\/revisions"}],"predecessor-version":[{"id":10193,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8382\/revisions\/10193"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=8382"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=8382"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=8382"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}