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This product may affect your potassium levelsBefore using potassium supplements or salt substitutes that contain potassiumconsult your doctor or pharmacist.
Treatment with a thiazide diuretic may impair glucose toleranceThis phenomenon appeared to be more likely to occur during the first weeks of combination treatment and in patients with renal impairmentOther antidiabetic drugs including insulin requirements in diabetic patients may be increaseddecreasedor unchanged.
The diuretic therapy should be discontinued for 2-3 days prior to initiation with lisinopril/hydrochlorothiazideIf this is not possibletreatment should be started with lisinopril alonein a 5 mg dose.
As with other ACE inhibitorslisinopril should be given with caution to patients with mitral valve stenosis and obstruction in the outflow of the left ventricle such as aortic stenosis or hypertrophic buy tetracycline antibiotics cardiomyopathy.
As for any patient receiving diuretic therapyperiodic determination of serum electrolytes should be performed at appropriate intervals.
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