|
Pronunciation |
|
(kwin
ETH a
zone) |

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U.S. Brand
Names |
|
Hydromox® |

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Generic
Available |
|
No |

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Pharmacological Index |
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Diuretic, Thiazide |

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|
Use |
|
Adjunctive therapy in treatment of edema and
hypertension |

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|
Pregnancy Risk
Factor |
|
D |

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Contraindications |
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Anuria; hypersensitivity to sulfonamide-derived drugs |

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|
Adverse
Reactions |
|
1% to 10%: Endocrine & metabolic: Hypokalemia |

|
|
Drug
Interactions |
|
Decreased effect:
Thiazides may decrease the effect of anticoagulants, antigout agents,
sulfonylureas
Bile acid sequestrants, methenamine, and NSAIDs may decrease the effect of
the thiazides
Increased effect: Thiazides may increase the toxicity of allopurinol,
anesthetics, antineoplastics, calcium salts, diazoxide, digitalis, lithium, loop
diuretics, methyldopa, nondepolarizing muscle relaxants, vitamin D; amphotericin
B and anticholinergics may increase the toxicity of thiazides
|

|
|
Mechanism of
Action |
|
Quinethazone is a quinazoline derivative which increases the renal excretion
of sodium and chloride and an accompanying volume of water due to inhibition of
the tubular mechanism of electrolyte reabsorption. |

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|
Pharmacodynamics/Kinetics |
|
Onset of action: 2 hours
Duration: 18-24 hours |

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|
Usual Dosage |
|
Adults: Oral: 50-100 mg once daily; usual maximum: 200
mg/day |

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Dietary
Considerations |
|
May be administered with food or milk |

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|
Mental Health: Effects
on Mental Status |
|
May cause drowsiness |

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|
Mental Health:
Effects on Psychiatric
Treatment |
|
May rarely cause agranulocytosis; use caution with clozapine and
carbamazepine; may decrease lithium clearance resulting in an increase in serum
lithium levels and potential lithium toxicity; monitor serum lithium
levels |

|
|
Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
|
No information available to require special precautions |

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|
Dental Health:
Effects on Dental Treatment |
|
No effects or complications reported |

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|
Patient
Information |
|
May be taken with food or milk; take early in day to avoid nocturia; take the
last dose of multiple doses no later than 6 PM unless instructed otherwise. A
few people who take this medication become more sensitive to sunlight and may
experience skin rash, redness, itching, or severe sunburn, especially if sun
block SPF greater than or equal to 15 is not used on exposed skin
areas. |

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|
Nursing
Implications |
|
Administer early in day to avoid nocturia; administer the last dose of
multiple doses no later than 6 PM unless instructed otherwise. A few people who
take this medication become more sensitive to sunlight and may experience skin
rash, redness, itching, or severe sunburn, especially if sun block SPF 15 or
higher is not used on exposed skin areas. |

|
|
Dosage Forms |
|
Tablet: 50 mg |

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