Edema associated with HF, cirrhosis, and nephrotic syndrome as well as edema due to corticosteroids or hyperaldosteronism (as monotherapy or with other diuretics).
Metabolism/Excretion: 80% metabolized by the liver, some excretion of unchanged drug.
Half-Life: 1.72.5 hr.
Time/Action Profile⬆⬇
(diuretic effect)
ROUTE
ONSET
PEAK
DURATION
24 hr‡
1several days‡
79 hr‡
‡Single dose.
‡Multiple doses.
Patient/Family Teaching⬆⬇
Emphasize the importance of continuing to take this medication, even if feeling well. Instruct patient to take medication at the same time each day. 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 or herbal decongestants, NSAIDs, cough or cold preparations, or appetite suppressants concurrently with this medication; may increased BP.
Advise patients taking triamterene to use sunscreen and protective clothing to prevent photosensitivity reactions.
Instruct patient to notify health care professional of medication regimen prior to treatment or surgery.
Inform patient that triamterene may cause bluish-colored urine.
Advise patient to notify health care professional if muscle weakness or cramps; fatigue; or severe nausea, vomiting, or diarrhea occurs.
Advise females to notify health care professional if pregnancy is planned or suspected or if breastfeeding.
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.