Hydrochlorothiazide

Hydrochlorothiazide is a drug that belongs to the group Thiazide diuretics or water pill. These drugs prevent the body from absorbing excess salt and prevent water retention. This drug is used to treat high blood pressure, which in turn prevents stroke and heart attack.

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Does myoglobinuria affect the kidneys?

Query: Hi doctor, High abdomen exercise resulted back and thigh stiffness and pain. For pain, I had heat application, but no medicines. It was bearable. I ate five to six mangoes at night. My urine and other things were normal. The next day, I had Diclofenac in the morning as muscles were more stiff at t...  Read Full »


Dr. Vivekanandan G

Andrologist, Urologist

Answer: Hi, Welcome to icliniq.com. Do not worry, nothing will happen to your kidneys. All you need to do is just check your creatinine and urine deposits. Even if there is myoglobinuria (muscle destruction result in the presence of myoglobin in urine), it usually settles with adequate hydrat...  Read Full »

What effect would late night sleep have on elevated blood pressure?

Query: Hello doctor, I am 37 years old. My BP reading is 160/115 mmHg and I am sleeping late. Please advise what I should do.  Read Full »


Dr. Ahmed Goha

Cardiologist

Answer: Hi, Welcome to icliniq.com. I can understand your concern. You need to start taking medication to lower down your BP pressure. Additional tests are needed to exclude secondary causes of high BP and ensure no end-organ damage as high BP can affect the heart and kidney.  Read Full »

Is Infliximab a safe pregnancy drug?

Query: Hi doctor, I am 26 years old. I am currently working in a hospital. I have been diagnosed with psoriatic spondyloarthropathy six years back. I had severe pain in the right SI joint. Currently, I am not taking medicines except NSAIDs. My MRI was done and it showed MRI joint inflammation. I was advis...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to icliniq.com. We are here to help you. Infliximab is a pregnancy category B drug that is it has not shown till now any birth defects in babies in trials. So, it can be used if required. I would not recommend SI joint (sacroiliac joint) radiofrequency at this stage. I would recommend yo...  Read Full »

What are the medicines that I can take to regulate BP?

Query: Hi doctor, I am 58 years old. I do not have any health problem except high BP. In spite of medicines my BP does not come down. First I tried Eslo 5 mg and Amlodac 5 mg and now I am on Cilaheart 10 mg. But, my BP remains at 140/100 mmHg. I do not smoke or drink. I eat less and avoid red meat and high...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hello, Welcome to icliniq.com. We are here to help you. Reading your case scenario, I would just recommend addition of diuretic like Hydrochlorothiazide to your existing regimen. I would also recommend you to go for a walk daily and take low salt diet. I am very hopeful, that your blood pressure wou...  Read Full »

Are systemic hypertension and high BP the same?

Query: Hi doctor, I am a 45 year old male. My weight is 96 kg and my height is 184 cm. My symptoms are breathlessness on exertion, neck constriction while walking, as well as on and off chest pain in the mornings that are unconnected with exertion. I am also suffering from severe sleep apnea. I had TMT pos...  Read Full »


Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I am really thankful for your kind comments. You have always been so nice and a health conscious person. I want to assure you do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine health conc...  Read Full »

What does my test result indicates creatinine urine and protein urine?

Query: Hi doctor, I have my serum creatinine, serum uric acid, creatinine urine and protein urine test done. The result indicates that I have creatinine 1.37, uric acid 9.6, creatinine urine 169.84 and protein urine 31.9. My current medication is Amlovas 5 mg tablet once daily and Seloken XL 50 mg once dai...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to icliniq.com. It seems that you are suffering from hypertensive nephropathy. You would need to know and understand that you need strict control of blood pressure and the addition of an agent. I suggest you to take an ACE (angiotensin-converting enzyme) inhibitors like Ramipril, whic...  Read Full »

What is hypertensive urgency?

Query: Hi doctor, I am a 55 year old male. I am diabetic for the past 15 years and I also have high BP. Before 20 to 25 days, while walking I felt like dizziness and I could not climb the staircase. Before my BP was 240/140 mmHg, but now it is 160/100 mmHg. Later on the creatinine and blood urea was also ...  Read Full »


Dr. Amit Arora

Cardiologist, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. It seems that you have accelerated hypertension (attachment removed to protect patient identity). Blood pressure (BP) shoots around 250/140 mmHg, this we called as hypertensive urgency. It could lead to hemorrhagic stroke which could be fatal. Anyway, you are lucky. You...  Read Full »

My husband had Losar Beta H twice by mistake. Will it cause any side effect?

Query: Hi doctor, My husband used to have Losar Beta H for his BP in the morning and Storvas 10 mg at night. But, mistakenly, he had Losar Beta H again at night. Will it cause any side effect? Should he have Storvas now?  Read Full »


Dr. Pramod Bhanudas Narkhede

Cardiologist

Answer: Hi, Welcome to icliniq.com. Do not worry. He can have Storvas (Atorvastatin) now. But, he should not repeat this mistake again. Ask him to take Losar Beta H (combination of Losartan, Atenolol and Hydrochlorothiazide) at a specific time in a day keeping it in a separate pill box. Just a single extra ...  Read Full »

Uric acid is increasing. Can I shift to Aldactone from HCTZ?

Query: Hello doctor, I am a hypertensive 31-year-old. ECG, TMT normal, echo normal except mild concentric LVH. On Telmisartan/ Amlodipine (80/5) at night and Amlodipine/Hydrochlorothiazide (5/12.5) in morning. HCTZ was started one month back but after monitoring Na, K are alright but uric acid is on the i...  Read Full »


Dr. Ilir Sharka

Cardiologist

Answer: Hello, Welcome to icliniq.com. I agree with you that Hydrochlorothiazide increases uric acid levels, while Amlodipine may increase the leg swelling (peripheral edema). Coming to this point, Aldactone can be added to your therapy, but it has a weak antihypertensive effect and it may lead to high po...  Read Full »

What medicines can help treat renal hypertension?

Query: Hello doctor, I have renal hypertension. I am on Cilaheart 20 BD. My BP is 160/100. My creatinine is 4.18 and urea is 104. Please help.  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hello, Welcome to icliniq.com. I suggest you add up a diuretic like a tablet Torasemide 10 mg once daily along with tablet Arkamin (Clonidine and Hydrochlorothiazide) 0.1 mg thrice daily. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. These woul...  Read Full »

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