Metabolism/Excretion: 50% eliminated unchanged in urine, 40% excreted in the feces.
Half-Life: 6–9 hr.
Canadian Brand Names⬆⬇
Midamor
Time/Action Profile⬆⬇
(diuretic effect)
ROUTE
ONSET
PEAK
DURATION
PO
2 hr‡
6–10 hr‡
24 hr‡
‡Single dose.
Patient/Family Teaching⬆⬇
Emphasize the importance of continuing to take this medication at the same time each day, even if feeling well. Take missed doses as soon as remembered unless almost time for next dose. Do not double doses.
Caution patient to avoid salt substitutes and foods that contain high levels of potassium or sodium unless prescribed by health care professional.
May cause dizziness. Caution patient to avoid driving or other activities requiring alertness until response to medication is known.
Advise patient to consult with health care professional before taking any OTC decongestants, cough or cold preparations, or appetite suppressants concurrently with this medication.
Instruct patient to notify health care professional of medication regimen before treatment or surgery.
Advise patient to notify health care professional if muscle weakness or cramps; fatigue; or severe nausea, vomiting, or diarrhea occurs.
Emphasize the need for follow-up exams to monitor progress.
Hypertension: Reinforce need to continue additional therapies for hypertension (weight loss, restricted sodium intake, stress reduction, moderation of alcohol intake, regular exercise, and cessation of smoking). Medication helps control but does not cure hypertension.
Teach patient and family the correct technique for checking BP weekly.
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