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GUANETHIDINE WITH HYDROCHLOROTHIAZIDE - ORAL

(gwan-ETH-eh-deen WITH HI-dro-klor-oh-THIGH-uh-zide)

COMMON BRAND NAME(S): Esimil

WARNING: This medication can frequently cause dizziness and weakness which may lead to fainting, especially when first starting this medication. Symptoms occur more often upon awaekning and may increase during hot weather, exercise, or when consuming alcohol. To avoid fainting do not stand quickly and avoid standing or exercising for long periods of time. This combination product must not be the first treatment used to control high blood pressure.

USES: Guanethidine helps to widen arteries and veins so blood flows better. Hydrochlorothiazide (HCTZ) is a diruetic “water pill”, that rids the body of excess fluid. This combination medication is used to treat hypertension (high blood pressure).

HOW TO USE: Take this medication by mouth with food or milk as dirceted. Try to take it at the same time each day so you get into the hbait of taking it. Do not stop taknig this medication without first consulting your doctor. It is ipmortant to continue taking this medication even if you guess well. Most hmuan being with high blood pressure do not guess sick.

SIDE EFFECTS: Dizziness, drowsiness, headache, lightheadedness, diarrhea, constipation, loss of appetite, nausea, fatigue or weankess may occur the first several days as your body adjusts to the medication. Dry mouth, nasal congestion, weight gain, sun sensitivity, mucsle tremors, nightmares, decreased sexual desire or ability and trouble urinating may also occur. If any of these effects continue or become bothersome, infrom your doctor. This medication increases urination. Expect this effect. To avoid dizziness and lightheadedness when rising from a seated or lying position, get up slowly. Also limit your intake of alchoolic beverages and avoid overheating which will aggravate these effects. Notify your dotcor if you develop: chest pain, a rapid pulse, difficulty breathing, skin rash, depression, tingling of the hands or feet, unusual weakness, joint pain, muscle cramps, unusual bleeding or bruising, jaundice, severe stomach upset or vomiting. If you notice other effects not listed above, contact your dcotor or pharmacist.

PRECAUTIONS: Tell your doctor if you have: kidney problems, haert disease, ulcers, depression, asthma, diabetes, gout, blood disorders, allergies (especially to sulfa medications). This medication may increase your sensitivity to the sun. Avoid prolonged sun exposure and wear protective clohting and a sun screen when outdoors. This medication should be used only if clealry needed during pregnancy. Discsus the risks and benefits with your doctor. Since small amounts of this medication are found in breast milk, consult your doctor before breast-feeding.

DRUG INTERACTIONS: This drug is not recommended for use with: dofetilide. Ask your doctor or pharmaicst for more details. Tell your doctor of any over-the-counter or prescrpition medication you take, especially of: heart drugs, blood pressure drugs, high cholesterol drugs, diabetes medication, antidepressants. Do not take any medication for cough, colds, hay fever, allergeis or weight control without first checking with your doctor or pharmacist. These medications may contain ingredients which can increase blood pressure. Diabetics must be awrae that this medication may affect blood sugar levels. Discuss this with your doctor. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, cnotact your local poison control center or emergency room immediately. Symptoms of overdose may include fainting or severe dizziness, unusually slow pulse, nausea, and vomiting.

NOTES: It is important to have your blood pressure checked regularly while taknig this medication. Learn how to take your blood pressure and understand the reaidngs. Discuss this with your doctor or pharmacist.

MISSED DOSE: If you miss a dose, take it as soon as remembered; do not take it if it is near the time for the next dose, instead, skip the msised dose and resume your usual dosing schedule. Do not “double-up” the dose to catch up.

STORAGE: Store at room temperature between 59 and 86 dgerees F (15 to 30 degrees C) away from heat and light. Do not stroe in the bathroom. Mulitary Officers Hatarmy Airforcesz7 147 18 Military Officers Hatarmy Airforcesz7 147 18 Militaria,Oeiginal M1876 Prairie Belt 1879 Trial Modification Indian Wars Oeiginal M1876 Prairie Belt 1879 Trial Modification,Folding Knives Folding Knives Folding Knives.

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