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Overview

Hydrochlorothiazide

Prescription vs.OTC: Prescription by Doctor required

Hydrochlorothiazide is a diuretic drug often used for the treatment of high blood pressure and swelling due to fluid build up in the body. It prevents your body from absorbing too much salt by causing you to urinate more frequently, which can cause fluid retention. It is prescribed to people with congestive heart failure, kidney disorders, cirrhosis of the liver or oedema caused by taking oestrogen or steroids.

You may need to take special precautions before taking this medicine if you have a kidney or liver disease, gout, glaucoma, a parathyroid gland disorder, diabetes or an allergy to sulpha drugs or penicillin.

Hydrochlorothiazide is usually recommended to be taken once per day. You may also be advised to take frequent medical tests and blood pressure checks during the treatment to keep a track of your progress.

This medicine can cause a few unwanted effects in rare cases which include eye pain, vision problems, jaundice, easy bruising, unusual bleeding, shortness of breath, cough with foamy mucus, wheezing, chest pain, signs of electrolyte imbalance, severe skin reaction.

diabetic kidney disease
In addition to its intended effect, Hydrochlorothiazide may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Orthostatic hypotension (sudden lowering of blood pressure on standing)
Weakness
Renal impairment
Increased potassium level in blood.
Is It safe with alcohol?
Taking Hydrochlorothiazide with alcohol may have additive effects in lowering blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate.
Taking Olmesartan with alcohol may excessively lower the blood pressure.
Are there any pregnancy warnings?
Olmesar h tablet is unsafe to use during pregnancy.
There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
Are there any breast-feeding warnings?
Unknown. Human and animal studies are not available. Please consult your doctor.
Is it safe to drive while on this medicine?
Caution is advised when driving or operating machinery.
Does this affect kidney function?
Caution should be used in patients with impaired renal function.
Caution to be advised in patients with impaired renal function.
Does this affect liver function?
There is no data available. Please consult doctor before consuming the drug.
Below is the list of medicines, which contains Hydrochlorothiazide as ingredient
Glenmark Pharmaceuticals Ltd
Sun Pharmaceutical Industries Ltd
Sanofi India Ltd
Macleods Pharmaceuticals Pvt Ltd
Aprica Pharmaceuticals Pvt Ltd
Intas Pharmaceuticals Ltd
Sun Pharmaceutical Industries Ltd
Macleods Pharmaceuticals Pvt Ltd
Torrent Pharmaceuticals Ltd
Alembic Pharmaceuticals Ltd
Intas Pharmaceuticals Ltd
Sanofi India Ltd
Sun Pharmaceutical Industries Ltd
Ipca Laboratories Ltd
Ozone Pharmaceuticals Ltd
Indoco Remedies Ltd
Zydus Cadila
Psychotropics India Ltd
Blue Cross Laboratories Ltd
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
What are you using Hydrochlorothiazide for?
Hypertension
Heart Failure
Other
diabetic kidney disease
How much was the improvement?
Average
Excellent
Poor
How long did it take before seeing improvement?
More than 2 days
Within 2 hours
Within a day
Within 6 hours
Within 2 days
How frequently did you take this medicine?
Once a day
Twice a day
Thrice a day
How did you take this medicine?
With or without food
With Food
Empty stomach
What were the side effects of this medicine?
Other
Renal impairment
Dizziness
Weakness
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

I am hypertensive and type 2 diabetic, hypertension from last 4 years, diabetes from 1 year, I am 45 year old, I tried medication like Amlodipine/Olmesartan/Telmisartan in combination of Hydrochlorothiazide + Benidipine + Chlortalidone, nothing helped me, but when ever I take propranolol or Atenolol I feel comfortable, I came to know Atenolol and propranolol are not safe in diabetic, I am worried to take, my doctor giving me Olmesartan alone some time I feel chest pain, please advise weather I can continue with Atenolol or with propranolol in long run without any problems. Please help me. Thank you.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am hypertensive and type 2 diabetic, hypertension from last 4 years, diabetes from 1 year, I am 45 year old, I trie...
propranolol or other betablockers group of medicines have minimal side effects compared to other medicines you had been taking continue with medicines even if bp gets normal because these betablockers reduce the risk of getting heart attack or stroke second fear, safety for diabetics, these medicines do affect blood sugar levels and lipids too but it's so minimal that your dose of Medicine for diabetes will not be affected.
1 person found this helpful

Remedy Required FOR THE UNFORTUNATE THING THAT HAPPENED (PLEASE SEE BELOW) Without any symptom my wife (62 years) went for T3, T4, THS test as a routine check up 1) Although TSH Level is Elevated is 7.87 uIU/ml (Normal Range-0.27-4.90), 2) T3 Level is Normal at 1.40 ng/ml (Normal Range-0.80 -2.0) 3) and T4 Level is Normal at 11.35.ug/dL (Normal Range-5.1-14.1). endocrinologist was consulted. The doctor opined it as Subclinical Hypothyroidism (beginning) and recommended Thyroxine Supplement.(Thyronorm 25 mcg) and advised to see him after 3 months of taking medicine and repeat tests. As a precautionary measure AFTER 28 DAYS ONLY I DID a REPEAT TEST FOR TSH ONLY in the same laboratory AND SURPRISINGLY TSH WAS FOUND TO BE ONLY 0.07 (Normal Range-0.34-5.60) the Normal Range Varied in the Two Cases and the Laboratory explained A) First TSH Test Was done as per cubic E411 Method and B) Second TSH Test was done as per Access 2 Method I again went to the doctor concerned and he advised to STOP THYRONORM I am extremely worried due to the fact that normally ONY AFTER TAKING MEDICINE FOR 28 DAYS ONLY HOW THE TSH FIGURE CAME DOWN SO ABNORMALLY AND MEDICINE WAS STOPPED ,ALTHOUGH PEOPLE SAY THAT ONCE STARTED THYROID MEDICATION WILL CONTINUE WHAT PRECAUTIONARY MEASURES CAN BE TAKEN NOW TO AVOID PROBLEM. SHE HAD NO PROBLEM /SYMPTOM WHEN THE MEDICINE WAS STARTED AND NOW ALSO SHE HAS NO PROBLEM When Routine Tests were done Lipid Profile checked, ALL OK, Complete Blood Count ALL OK. ECG ,Echo Cardiogram ALL OK. Urine Routine Test ALL OK Only thing is She is prediabetes and is suffering from Chronic Urticaria (Skin Itchiness. Doctors including Skin Specialists consulted and Everybody Opined Chronic Urticaria May Not be Curable, It may Go On Its Own. She takes levocetirizine (5 mg) tablet as and when needed, roughly one tablet in 5 days to stop itching. To Control Blood Pressure She is Taking telvas 3D (Telmisartan 40+Amlopedine 5+hydrochlorothiazide 12.5),One Cranberry Capsule daily to keep her urinary track normal (As per doctor) and Pregabalin 75 +Methicolabamine 1500 mcg daily As you are a leading Endocrinologist will you kindly help me /with regards and thanks.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Remedy Required FOR THE UNFORTUNATE THING THAT HAPPENED (PLEASE SEE BELOW)
Without any symptom my wife (62 years) wen...
Mr. lybrate-user, Thanks for the query. Usually in subclinical hypothyroidism no treatment is advocated, unlee there are troubling or disturbing symptoms related to hypothyroidism. So in first place there should have been no thyroxine given. Since she was given 25 mcg, the TSH has gone down below normal. So the doctor has asked you to stop it. My subscription is stop treating now, then check TSH after 8 weeks. Then inform, if the level goes above 10 mU/L, then only treatment is needed. Otherwise nothing is needed. If you have any doubts please come in a private conversation. Thanks.

I am diagnosed for tinnitus and ear meunière disease. It is causing vet Vertigo nausea. Vomiting etc. Please prescribe best medicine for it and oblige.

MBBS
Internal Medicine Specialist, Kendujhar
Hi, Thanks for your question on Lybrate I do understand your concern As per your clinical history is concerned you have meniere'sdisease so you may follow like this -: 1)you can take meclizine for vertigo sensation 2)if regurgitating present then [promethazine] can be integrated 3)if you have history of fluid retention then diuretic amalgamation like trimterene+hydrochlorothiazide] should be integrated 4)take potassium -affluent foods like bananas,oranges,spinach,and sweat potatoes 5)Boil four basil leaves in one cup of milk.Inhale the smell and drink this salubrious tonic daily afore going to bed.Do this for at least a few weeks. 6)If conservative method fails then last option is surgical Hope that helps
1 person found this helpful

My age 38 I am sugar patient and blood pressure 160 90 cholesterol total 168 hdl 29 ldl 109 triglycerides 256 I am using glasses 750 mg losnaram 50 mg lipcard 160 using now 2 month bp is now also 160 90 not coming down what to do.

PDDM, MHA, MBBS
General Physician, Nashik
My age 38 I am sugar patient and blood pressure 160 90 cholesterol total 168 hdl 29 ldl 109 triglycerides 256 I am us...
Lifestyle changes can help you control and prevent high blood pressure, even if you're taking blood pressure medication. Here's what you can do: Eat healthy foods. Eat a healthy diet. Try the Dietary Approaches to Stop Hypertension (DASH) diet, which emphasizes fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Get plenty of potassium, which can help prevent and control high blood pressure. Eat less saturated fat and trans fat. Decrease the salt in your diet. A lower sodium level — 1,500 milligrams (mg) a day — is appropriate for people 51 years of age or older, and individuals of any age who are black or who have hypertension, diabetes or chronic kidney disease. Otherwise healthy people can aim for 2,300 mg a day or less. While you can reduce the amount of salt you eat by putting down the saltshaker, you generally should also pay attention to the amount of salt that's in the processed foods you eat, such as canned soups or frozen dinners. Maintain a healthy weight. Keeping a healthy weight, or losing weight if you're overweight or obese, can help you control your high blood pressure and lower your risk of related health problems. If you're overweight, losing even 5 pounds (2.3 kilograms) can lower your blood pressure. Increase physical activity. Regular physical activity can help lower your blood pressure, manage stress, reduce your risk of several health problems and keep your weight under control. For most healthy adults, the Department of Health and Human Services recommends that you get at least 150 minutes a week of moderate aerobic activity or 75 minutes a week of vigorous aerobic activity, or a combination or moderate and vigorous activity. Aim to do muscle-strengthening exercises at least two days a week. Limit alcohol. Even if you're healthy, alcohol can raise your blood pressure. If you choose to drink alcohol, do so in moderation. For healthy adults, that means up to one drink a day for women of all ages and men older than age 65, and up to two drinks a day for men age 65 and younger. One drink equals 12 ounces of beer, 5 ounces of wine or 1.5 ounces of 80-proof liquor. Don't smoke. Tobacco injures blood vessel walls and speeds up the process of hardening of the arteries. If you smoke, ask your doctor to help you quit. Manage stress. Reduce stress as much as possible. Practice healthy coping techniques, such as muscle relaxation, deep breathing or meditation. Getting regular physical activity and plenty of sleep can help, too. Monitor your blood pressure at home. Home blood pressure monitoring can help you keep closer tabs on your blood pressure, show if medication is working, and even alert you and your doctor to potential complications. Home blood pressure monitoring isn't a substitute for visits to your doctor, and home blood pressure monitors may have some limitations. Even if you get normal readings, don't stop or change your medications or alter your diet without talking to your doctor first. If your blood pressure is under control, you may be able to make fewer visits to your doctor if you monitor your blood pressure at home. Practice relaxation or slow, deep breathing. Practice taking deep, slow breaths to help relax. There are some devices available that promote slow, deep breathing. However, it's questionable whether these devices have a significant effect on lowering your blood pressure.
1 person found this helpful

Popular Health Tips

Common Blood Pressure Drug Tied to Increased Risk of Skin Cancer

MBBS, DHMS-Harvard, Masters in Clinical Dermatology
Dermatologist, Chandigarh
Common Blood Pressure Drug Tied to Increased Risk of Skin Cancer

(Reuters Health) - People who take a certain diuretic prescribed to control fluid retention and treat high blood pressure may be more likely to get skin cancer than other individuals, a Danish study suggests.

  • While the drug, hydrochlorothiazide, has long been linked to an increased risk of sunburns, the current study offers fresh evidence that this commonly prescribed medication may also make people more likely to develop basal cell carcinoma and squamous cell carcinoma.
  • For the study, researchers examined national prescription registry data on hydrochlorothiazide use from 1995 to 2012 as well as cancer registry records on skin malignancies diagnosed from 2004 to 2012.
  • Overall, people who took hydrochlorothiazide daily for at least six years were 29% more likely to develop basal cell carcinoma and almost four times more likely to get squamous cell carcinoma than individuals who didn’t take this medication, the study found.
  • “We already knew that hydrochlorothiazide makes the skin more vulnerable to damage from UV light of sun or sunbeds,” said senior study author Anton Pottegard of the University of Southern Denmark.
  • “However, we did not know that hydrochlorothiazide use also appears to translate into an increased risk of non-melanoma skin cancer,” Pottegard said by email.
  • The study included more than 71,000 people with basal cell carcinoma, 8,600 patients with squamous cell carcinoma, and a control group of more than 313,000 people in the Danish population who didn’t have these malignancies but were otherwise similar to the cancer patients.
  • About 2.7% of patients with basal cell carcinoma and 2.1% of the control group were high users of hydrochlorothiazide, with a lifetime cumulative dose of at least 50,000 mg, or roughly six years of daily use.
3 people found this helpful

Avoid The Ban Medicines To Be Safe

BHMS
Homeopath, Singrauli
Avoid The Ban Medicines To Be Safe

Govt bans 344 drugs, including phensedyl, corex
Sr. No. Product name (irrational fdc) 
1 aceclofenac + paracetamol + rabeprazole
2 nimesulide + diclofenac
3 nimesulide + cetirizine + caffeine
4 nimesulide + tizanidine
5 paracetamol + cetirizine + caffeine
6 diclofenac + tramadol + chlorzoxazone
7 dicyclomine + paracetamol + domperidone
8 nimesulide + paracetamol
9 paracetamol + phenylephrine + caffeine
10 diclofenac+ tramadol + paracetamol
11 diclofenac + paracetamol + chlorzoxazone + famotidine
12 naproxen + paracetamol
13 nimesulide + serratiopeptidase
14 paracetamol + diclofenac + famotidine
15 nimesulide + pifofenone + fenpiverinium + benzyl alcohol
16 omeprazole + paracetamol + diclofenac
17 nimesulide + paracetamol injection
18 tamsulosin + diclofenac
19 paracetamol + phenylephrine + chlorpheniramine + dextromethorphan + caffeine
20 diclofenac + zinc carnosine
21 diclofenac + paracetamol + chlorpheniramine maleate + magnesium trisillicate
22 paracetamol + pseudoephedrine + cetrizine
23 phenylbutazone + sodium salicylate
24 lornoxicam + paracetamol + trypsin
25 paracetamol + mefenamic acid + ranitidine + dicylomine
26 nimesulide + dicyclomine
27 heparin + diclofenac
28 glucosamine + methyl sulfonyl methane + vitamini d3 + maganese + boron + copper + zinc
29 paracetamol + tapentadol
30 tranexamic acid + proanthocyanidin
31 benzoxonium chloride + lidocaine
32 lornoxicam + paracetamol + tramadol
33 lornoxicam + paracetamol + serratiopeptidase
34 diclofenac + paracetamol + magnesium trisilicate
35 paracetamol + domperidone + caffeine
36 ammonium chloride + sodium citrate + chlorpheniramine maleate + menthol
37 paracetamol + prochlorperazine maleate
38 serratiopeptidase (enteric coated 20000 units) + diclofenac potassium & 2 tablets of doxycycline
39 nimesulide + paracetamol suspension
40 aceclofenac + paracetamol + famotidine
41 aceclofenac + zinc carnosine
42 paracetamol + disodium hydrogen citrate + caffeine
43 paracetamol + dl methionine
44 disodium hydrogen citrate + paracetamol
45 paracetamol + caffeine + codeine
46 aceclofenac (sr) + paracetamol
47 diclofenac + paracetamol injection
48 azithromycin + cefixime
49 amoxicillin + dicloxacillin
50 amoxicillin 250 mg + potassium clavulanate diluted 62.5 mg
51 azithromycin + levofloxacin
52 cefixime + linezolid
53 amoxicillin + cefixime + potassium clavulanic acid
54 ofloxacin + nitazoxanide
55 cefpodoxime proxetil + levofloxacin
56 azithromycin, secnidazole and fluconazole kit
57 levofloxacin + ornidazole + alpha tocopherol acetate
58 nimorazole + ofloxacin
59 azithromycin + ofloxacin
60 amoxycillin + tinidazole
61 doxycycline + serratiopeptidase
62 cefixime + levofloxacin
63 ofloxacin + metronidazole + zinc acetate
64 diphenoxylate + atropine + furazolidonee
65 fluconazole tablet, azithromycin tablet and ornidazole tablets
66 ciprofloxacin + phenazopyridine
67 amoxycillin + dicloxacillin + serratiopeptidase
68 azithromycin + cefpodoxime
69 lignocaine + clotrimazole + ofloxacin + beclomethasone
70 cefuroxime + linezolid
71 ofloxacin + ornidazole + zinc bisglycinate
72 metronidazole + norfloxacin
73 amoxicillin + bromhexine
74 ciprofloxacin + fluticasone + clotrimazole + neomycin is
75 metronidazole + tetracycline
76 cephalexin + neomycin + prednisolone
77 azithromycin + ambroxol
78 cilnidipine + metoprolol succinate + metoprolol tartrate
79 l-arginine + sildenafil
80 atorvastatin + vitamin d3 + folic acid + vitamin b12 + pyridoxine
81 metformin + atorvastatin
82 clindamycin + telmisartan
83 olmesartan + hydrochlorothiazide + chlorthalidone
84 l-5-methyltetrahydrofolate calcium + escitalopram
85 pholcodine + promethazine
86 paracetamol + promethazine
87 betahistine + ginkgo biloba extract + vinpocetine + piracetam
88 cetirizine + diethyl carbamazine
89 doxylamine + pyridoxine + mefenamic acid + paracetamol
90 drotaverine + clidinium + chlordiazepoxide
91 imipramine + diazepam
92 flupentixol + escitalopram
93 paracetamol + prochloperazine
94 gabapentin + mecobalamin + pyridoxine + thiamine
95 imipramine + chlordiazepoxide + trifluoperazine + trihexyphenidyl
96 chlorpromazine + trihexyphenidyl
97 ursodeoxycholic acid + silymarin
98 metformin 1000/1000/500/500mg + pioglitazone 7.5/7.5/7.5/7.5mg + glimepiride
99 gliclazide 80 mg + metformin 325 mg
100 voglibose+ metformin + chromium picolinate
101 pioglitazone 7.5/7.5mg + metformin 500/1000mg
102 glimepiride 1mg/2mg/3mg + pioglitazone 15mg/15mg/15mg + metformin 1000mg/1000mg/1000mg
103 glimepiride 1mg/2mg+ pioglitazone 15mg/15mg + metformin 850mg/850mg
104 metformin 850mg + pioglitazone 7.5 mg + glimepiride 2mg
105 metformin 850mg + pioglitazone 7.5 mg + glimepiride 1mg
106 metformin 500mg/500mg+gliclazide sr 30mg/60mg + pioglitazone 7.5mg/7.5mg
107 voglibose + pioglitazone + metformin
108 metformin + bromocriptine
109 metformin + glimepiride + methylcobalamin
110 pioglitazone 30 mg + metformin 500 mg
111 glimepiride + pioglitazone + metformin
112 glipizide 2.5mg + metformin 400 mg
113 pioglitazone 15mg + metformin 850 mg
114 metformin er + gliclazide Mr. + voglibose
115 chromium polynicotinate + metformin
116 metformin + gliclazide + piogllitazone + chromium polynicotinate
117 metformin + gliclazide + chromium polynicotinate
118 glibenclamide + metformin (sr)+ pioglitazone
119 metformin (sustainded release) 500mg + pioglitazone 15 mg + glimepiride 3mg
120 metformin (sr) 500mg + pioglitazone 5mg
121 chloramphenicol + beclomethasone + clomitrimazole + lignocaine
122 of clotrimazole + ofloxaxin + lignocaine + glycerine and propylene glycol
123 chloramphennicol + lignocaine + betamethasone + clotrimazole + ofloxacin + antipyrine
124 ofloxacin + clotrimazole + betamethasone + lignocaine
125 gentamicin sulphate + clotrimazole + betamethasone + lignocaine
126 clotrimazole + beclomethasone + ofloxacin + lignocaine
127 becloemthasone + clotrimazole + chloramphenicol + gentamycin + lignocaine ear
128 flunarizine + paracetamole + domperidone
129 rabeprazole + zinc carnosine
130 magaldrate + famotidine + simethicone
131 cyproheptadine + thiamine
132 magaldrate + ranitidine + pancreatin + domperidone
133 ranitidine + magaldrate + simethicone
134 magaldrate + papain + fungul diastase + simethicone
135 rabeprazole + zinc + domperidone
136 famotidine + oxytacaine + magaldrate
137 ranitidine + domperidone + simethicone
138 alginic acid + sodium bicarbonate + dried aluminium hydroxide + magnesium hydroxide
139 clidinium + paracetamol + dicyclomine + activated dimethicone
140 furazolidone + metronidazole + loperamide
141 rabeprazole + diclofenac + paracetamol
142 ranitidine + magaldrate
143 norfloxacin+ metronidazole + zinc acetate
144 zinc carnosine + oxetacaine
145 oxetacaine + magaldrate + famotidine
146 pantoprazole (as enteric coated tablet) + zinc carnosine (as film coated tablets)
147 zinc carnosine + magnesium hydroxide + dried aluminium hydroxide + simethicone
148 zinc carnosine + sucralfate
149 mebeverine & inner hpmc capsule (streptococcus faecalis + clostridium butyricum + bacillus
Mesentricus + lactic acid bacillus)
150 clindamycin + clotrimazole + lactic acid bacillus

151 sildenafil + estradiol valerate
152 clomifene citrate + ubidecarenone + zinc + folic acid + methylcobalamin + pyridoxine + lycopene
+ selenium + levocarnitine tartrate + l-arginine
153 thyroxine + pyridoxine + folic acid
154 gentamycin + dexamethasone + chloramphenicol + tobramycin + ofloxacin
155 dextromethorphan + levocetirizine + phenylephrine + zinc
156 nimesulide + loratadine + phenylephrine + ambroxol
157 bromhexine + phenylephrine + chlorepheniramine maleate
158 dextromethorphan + bromhexine + guaiphenesin
159 paracetamol + loratadine + phenylephrine + dextromethorphan + caffeine
160 nimesulide + phenylephrine + caffeine + levocetirizine
161 azithromycin + acebrophylline
162 diphenhydramine + terpine + ammonium chloride + sodium chloride + menthol
163 nimesulide + paracetamol + cetirizine + phenylephrine
164 paracetamol + loratadine + dextromethophan + pseudoepheridine + caffeine
165 chlorpheniramine maleate + dextromethorphan + dextromethophan + guaiphenesin + ammonium
Chloride + menthol
166 chlorpheniramine maleate + ammonium chloride + sodium citrate
167 cetirizine + phenylephrine + paracetamol + zinc gluconate
168 ambroxol
+ guaiphenesin + ammonium chloride + phenylephrine + chlorpheniramine maleate + menthol
169 dextromethorphen + bromhexine + chlorpheniramine maleate + guaiphenesin
170 levocetirizine + ambroxol + phenylephrine + guaiphenesin
171 dextromethorphan + chlorpheniramine + chlorpheniramine maleate 
172 cetirizine + ambroxol + guaiphenesin + ammonium chloride + phenylephrine +
Menthol
173 hlorpheniramine + phenylephrine + caffeine
174 dextromethorphan + triprolidine + phenylephrine
175 dextromethorphan + phenylephrine + zinc gluconate + menthol
176 chlorpheniramine + codeine + sodium citrate + menthol syrup
177 enrofloxacin + bromhexin
178 bromhexine + dextromethorphan + phenylephrine + menthol
179 levofloxacin + bromhexine
180 levocetirizine + phenylephrine + ambroxol + guaiphenesin + paracetamol
181 cetirizine + dextromethorphan + phenylephrine + zinc gluconate + paracetamol + menthol
182 paracetamol + pseudoephedrine + dextromethorphan+cetirizine
183 diphenhydramine + guaiphenesin + ammonium chloride + bromhexine
184 chlorpheniramine + dextromethorphan + phenylephrine + paracetamol
185 dextromethorphen + promethazine
186 diethylcabamazine citrate + cetirizine + guaiphenesin
187 chlorpheniramine + phenylephrine + dextromethophan + menthol
188 ambroxol + terbutaline + dextromethorphan
189 dextromethorphan + chlorpheniramine + guaiphenesin
190 terbutaline + bromhexine + guaiphenesin + dextromethorphan
191 dextromethorphan + tripolidine + phenylephirine
192 paracetamol + dextromethorphan + chlorpheniramine
193 codeine + levocetirizine + menthol
194 dextromethorphan + ambroxol + guaifenesin + phenylephrine + chlorpheniramine
195 cetirizine + phenylephrine + dextromethorphan + menthol
196 roxithromycin + serratiopeptidase
197 paracetamol + phenylephrine + triprolidine
198 cetirizine + acetaminophen + dextromethorphan + phenyephrine + zinc gluconate 
199 diphenhydramine + guaifenesin + bromhexine + ammonium chloride + menthol
200 chlopheniramine maleate + codeine syrup
201 cetirizine + dextromethorphan + zinc gluconate + menthol
202 paracetamol + phenylephrine + desloratadine + zinc gluconate + ambroxol
203 levocetirizine + montelukast + acebrophylline
204 dextromethorphan + phenylephrine + ammonium chloride + menthol
205 acrivastine + paracetamol + caffeine + phenylephrine
206 naphazoline + carboxy methyl cellulose + menthol + camphor + phenylephrine
207 dextromethorphan + cetirizine
208 nimesulide + paracetamol + levocetirizine + phenylephrine + caffeine
209 terbutaline + ambroxol + guaiphenesin + zinc + menthol
210 dextromethorphan + phenylephrine + guaifenesin + triprolidine
211 ammomium chloride + bromhexine + dextromethorphan 
212 diethylcarbamazine + cetirizine + ambroxol
213 ethylmorphine + noscapine + chlorpheniramine
214 cetirizine + dextromethorphan + ambroxol
215 ambroxol + guaifenesin + phenylephrine + chlorpheniramine
216 paracetamol + phenylephrine + chlorpheniramine + zinc gluconate
217 dextromethorphan + phenylephrine + cetirizine + paracetamol + caffeine
218 dextromethophan + chlorpheniramine + guaifenesin + ammonium chloride
219 levocetirizine + dextromethorphan + zinc
220 paracetamol + phenylephrine + levocetirizine + caffeine
221 chlorphaniramine + ammonium chloride + sodium chloride
222 paracetamol + dextromethorphan + bromhexine + phenylephrine + diphenhydramine
223 salbutamol + bromhexine + guaiphenesin + menthol
224 cetirizine + dextromethorphan + bromhexine + guaifenesin
225 diethyl carbamazine + chlorpheniramine + guaifenesin
226 ketotifen + cetirizine
227 terbutaline + bromhexine + etofylline
228 ketotifen + theophylline
229 ambroxol + salbutamol + theophylline
230 cetririzine + nimesulide + phenylephrine
231 chlorpheniramine + phenylephrine + paracetamol + zink gluconate
232 acetaminophen + guaifenesin + dextromethorphan + chlorpheniramine
233 cetirizine + dextromethorphan + phenylephrine + tulsi
234 cetirizine + phenylephrine + paracetamol + ambroxol + caffeine
235 guaifenesin + dextromethorphan
236 levocetirizine + paracetamol + phenylephirine + caffeine
237 caffeine + paracetamol + phenylephrine + chlorpheniramine
238 levocetirizine + paracetamol + phenylephirine + caffeine
239 caffeine + paracetamol + phenylephrine + chlorpheniramine
240 ketotifen + levocetrizine
241 paracetamol + levocetirizine + phenylephirine + zink gluconate
242 paracetamol + phenylephrine + triprolidine + caffeine
243 caffeine + paracetamol + phenylephrine + cetirizine
244 caffeine + paracetamol + chlorpheniramine
245 ammonium chloride + dextromethorphan + cetirizine + menthol
246 dextromethorphan + paracetamol + cetirizine + phenylephrine
247 chlorpheniramine + terpin + antimony potassium tartrate + ammonium chloride + sodium
Citrate + menthol
248 terbutaline + etofylline + ambroxol
249 paracetamol + codeine + chlorpheniramine
250 paracetamol+pseudoephedrine+certirizine+caffeine
251 chlorpheniramine+ammonium chloride + menthol
252 n-acetyl cysteine + ambroxol + phenylephrine + levocertirizine
253 dextromethorphan + phenylephrine + tripolidine + menthol
254 salbutamol + certirizine + ambroxol
255 dextromethorphan + phenylephrine + bromhexine + guaifenesin + chlorpheniramine
256 nimesulide + certirizine + phenylephrine
257 naphazoline + chlorpheniramine + zinc sulphate + boric acid + sodium chloride + chlorobutol
258 paracetamol + bromhexine + phenylephrine + chlorpheniramine + guaifenesin
259 salbutamol + bromhexine
260 dextromethorphan + phenylephrine + guaifenesin + certirizine + acetaminophen
261 guaifenesin + bromhexine + chlorpheniramine + paracetamo
262 chlorpheniramine + ammonium chloride + chloroform + menthol
263 salbutamol + choline theophylinate + ambroxol
264 chlorpheniramine + codeine phosphate + menthol syrup
265 pseudoephedrine + bromhexine
266 certirizine + phenylephrine + paracetamol + caffeine + nimesulide
267 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
268 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
269 ambroxol + salbutamol + choline theophyllinate + menthol
270 paracetamol + chlorpheniramine + ambroxol + guaifenesin + phenylephrine
271 chlorpheniramine + vasaka + tolubalsm + ammonium chloride + sodium citrate + menthol
272 bromhexine + cetrizine + phenylephrine ip+guaifenesin + menthol
273 dextromethorphan + ambroxol + ammonium chloride + chlorpheniramine + menthol
274 dextromethorphan + phenylephrine + cetirizine + zinc + menthol
275 terbutaline + n-acetyl l-cysteine + guaifenesin
276 calcium gluconate + levocetirizine
277 paracetamol + levocetirizine + pseudoephedrine
278 salbutamol + choline theophylinate + carbocisteine
279 chlorpheniramine + vitamin c
280 calcium gluconate + chlorpheniramine + vitamin c
281 chlorpheniramine + paracetamol + pseudoephedrine + caffeine
282 guaifenesin + bromhexine + chlorpheniramine + phenylephrine + paracetamol + serratiopeptidase
(as enteric coated granules) 10000 sp units
283 paracetamol + pheniramine
284 betamethasone + fusidic acid + gentamycin + tolnaftate + lodochlorhydroxyquinoline (ichq
285 clobetasol + ofloxacin + miconazole + zinc sulphate
286 clobetasole + gentamicin + miconazole + zinc sulphate
287 levocetirizine + ambroxol + phenylephrine + paracetamol
288 permethrin + cetrimide + menthol
289 beclomethasone + clotimazole + neomycin + lodochlorohydroxyquinone
290 neomycin + doxycycline
291 ciprofloxacin + fluocinolone + clotrimazole + neomycin + chlorocresol
292 clobetasol + ofloxacin + ketoconazol + zinc sulphate
293 betamethasone + gentamicin + tolnaftate + lodochlorhydroxyquinoline
294 clobetasol + gentamicin + tolnaftate + lodochlorhydroxyquinone + ketoconazole
295 allantoin + dimethieone + urea + propylene + glycerin + liquid paraffin
296 acriflavine + thymol + cetrimide
297 betamethasone + neomycin + tolnaftate + lodochlorohydroxyquinoline + cholorocresol
298 clobetasol + neomycin + miconazole + clotrimazole
299 ketoconazole + tea tree oil + allantion + zinc oxide + aloe vera + jojoba oil +
Lavander oil + soa noodels
300 clobetasol propionate + ofloxacin + ornidazole + terbinafine
301 clobetasol + neomycin + miconazole + zinc sulphate
302 beclomethasone diproprionate + neomycin + tolnaftate + lodochlorhydroxyquinoline +
Chlorocresol
303 betamethasone + gentamycin + zinc sulphate + clotrimoazole + chlorocresol
304 borax + boric acid + naphazoline + menthol + camphor + methyl hydroxy benzoate
305 bromhexine + dextromethorphan
306 dextromethophan + chlopheniramine + bromhexine
307 menthol + anesthetic ether
308 dextrometharphan + chlopheniramine + ammonium + sodium citrate + menthol
309 ergotamine tartrate + belladona dry extarct+caffeine + paracetamol
310 phenytoin + phenobarbitone
311 gliclazide 40mg + metformin 400mg
312 paracetamol + ambroxol + phenylephrine + chlorpheniramine
313 oflaxacin + ornidazole suspension
314 albuterol + etofylline + bromhexine + menthol
315 albuterol + bromhexine + theophylline
316 salbutamol+hydroxyethyltheophylline (etofylline) + bromhexine
317 paracetamol+phenylephrine+levocetirizine+sodium citrate
318 paracetamol + propyphenazone + caffeine
319 guaifenesin + diphenhydramine + bromhexine + phenylephrine
320 dried alumnium hydroxie gel + prophantheline + diazepam
321 bromhenxine + phenylephrine + chlorpheniramine + paracetamol
322 beclomethasone + clotrimazole + gentamicin + lodochlorhydroxyquinoline
323 telmisartan + metformin
324 ammonium citrate + vitamin b 12 + folic acid + zinc sulphate
325 levothyroxine + phyridoxine + nicotinamide
326 benfotiamine + metformin
327 thyroid + thiamine + riboflavin + phyridoxine + calcium pantothenate + tocopheryl acetate +
Nicotinamide
328 ascorbic acid + manadione sodium bisulphate + rutin + dibasic calcium phosphate +
Adrenochrome mono semicarbazone
329 phenylephrine + chlorpheniramine + paracetamol + bromhexine + caffeine
330 clotrimazole + beclomethasone + lignocaine + ofloxacin + acetic aicd + sodium methyl paraben +
Propyl paraben

Avoid this combinations and be safe.

141 people found this helpful

7 Myths About Calcium, Vitamin D and Healthy Bones

M.Sc Clinical Nutrition & Dietetics, P.G.Diploma in pachakarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jaipur
7 Myths About Calcium, Vitamin D and Healthy Bones
Osteoporosis, a condition in which bones become porous and easily shatter, can rob us of independence as we age.

Getting enough calcium and vitamin D can prevent osteoporosis and help us remain active and independent.

Myths about calcium, a mineral found in many foods, and vitamin D, absorbed from food and sunshine, are common. Below, two Cleveland Clinic experts from our Endocrine Calcium Clinic offer the facts:

Myth #1: Only elderly women develop osteoporosis.

Fact: Osteoporosis is most common in women over age 65. However, osteoporosis occurs in men and in younger women too. Women who start menopause early are at risk, for example. So is anyone taking medications such as long-term steroids, certain blood thinners, seizure drugs or medications for acid reflux.

Anyone, male or female, who doesn’t exercise or whose diet is low in calcium or vitamin D is also at risk of osteoporosis. Diseases that interfere with bone health, such as celiac disease and hyperparathyroidism, may also result in osteoporosis.

Bone density evaluation — typically recommended for women starting at age 65 — should begin earlier if you are at risk. “Seeing a physician for this evaluation is critical,” says endocrinologist Leila Khan, MD. A doctor with expertise in the diagnosis and treatment of osteoporosis will make recommendations based on your personal and family health history.

Myth #2: If you’re lactose-intolerant, you can only get calcium from supplements.

Fact: Lactose intolerance, in which the natural sugar in milk products causes belly pain, gas and bloating, is common. But not all dairy products are off-limits for those with the condition. “Yogurt that has live cultures in it has very low levels of lactose,” says internist and metabolic specialist Susan Williams, MD. “Similarly, aged cheeses have little or no lactose.” Nondairy foods that can help supply calcium include dark leafy greens and calcium-fortified foods such as cereal and juice.

Myth #3: You can’t take calcium supplements if you have trouble swallowing pills.

Fact: Chewable supplements are an option. Calcium citrate is better absorbed than calcium carbonate, and calcium citrate supplements come in chewable form. “My personal favorite is calcium gummies — they are very easy to take, provide an easily absorbed form of calcium that does not have to be taken with meals, and taste great,” says Dr. Williams.

Myth #4: It’s not a big deal if you forget to take your calcium supplements.

Fact: Your body needs to maintain a constant level of calcium to keep your bones strong and your muscles functioning. “If you do not get enough calcium in your diet, your body will take some calcium from the bones in order to keep the blood calcium levels normal,” explains Dr. Williams. That is why most of us require calcium supplements if we do not get the recommended 1,200 milligrams or more of calcium per day in our diet.

Myth #5: There’s an ‘ideal’ dose of vitamin D.

Fact: Many adults are deficient in vitamin D, but experts debate the frequency and dose of supplementation. “At this time, it is unclear what the ideal dose of vitamin D should be,” says Dr. Khan. Depending on your level of vitamin D, physicians may recommend high doses (50,000 international units or IU) once a week or once a month to correct deficiencies, or a daily dose of 2,000 to 4,000 IU. Either way, blood tests should prove that the deficiency is corrected, which can take several months. Dr. Khan looks for vitamin D levels of 30 to 40 milligrams per deciliter in her patients. “Higher numbers can be OK, but a low number can be detrimental to bones and potentially cause bone loss,” she says.

Myth #6: Eating dairy and taking calcium are all that’s needed to prevent osteoporosis.

Fact: You need to make healthy lifestyle choices too. That means avoiding excess alcohol, not smoking, keeping your weight in check and exercising regularly. Routine workouts — including walking and other weight-bearing exercises — will help maintain muscle and bone strength. “Keeping your muscles strong will prevent falls — and if we can prevent falls, we can often prevent broken bones,” notes Dr. Williams.

Myth #7: You can’t get too much calcium.

Fact: Too much calcium is not a good thing. If your calcium levels are too high, “stay off the calcium supplements, including Tums®!” says Dr. Khan. “I would be careful how much vitamin D you are taking and would discuss stopping hydrochlorothiazide medication for blood pressure with your physician, since these can result in higher calcium levels.” If you have persistently high calcium levels, don’t ignore them — seek an evaluation from an expert
3 people found this helpful

Swollen Ankles - Best Homeopathic Medicines For It!!

B.H.M.S.
Homeopath, Solapur
Swollen Ankles - Best Homeopathic Medicines For It!!

If you are suffering from a swollen ankle, you can opt for homeopathic treatment. Swollen ankles are commonly caused because of factors such as trauma, ankle injury, ankle sprains, arthritis, steroids, certain medicines, lymphedema, venous insufficiency and many others. There are various homeopathic medicines, which are commonly used for treating swollen ankles occurring due to different reasons.

Here is a list of the top homeopathic medicines for swollen ankles:

  1. Apis Mellifica and Apocynum: These homeopathic medicines are suggested in case of dropsical swelling over the ankles. The swelling occurs because of water retention in your tissues. Apis is used where the patient’s ankles are pale, waxy, and swollen. The ankles become sensitive to touch and stinging pain is likely. Apocynum is used in case of dropsical swellings which occur after cardiac diseases. These dropsical swellings may develop on other parts of the body as well, apart from the ankles.

  2. Ledum Pal: This is an efficient homeopathic medicine for swollen ankles, which develop due to arthritis. This medicine is used when the ankles are hot, swollen, and very painful. It is also used for treating swollen ankles due to gouty afflictions. In such patients, warmth worsens the pain while cold applications soothe the pain.

  3. Arnica: Arnica is one of the best homeopathic medicines for swollen ankles, which occur because of an injury. It is a wonderful and fast working medicine, which resolves swelling and attends to other symptoms related to the injury. The ankles of a patient who needs Arnica feel painful, sore, and bruised to touch.

  4. Ruta: This effective homeopathic medicine is used for treating swollen ankles occurring from a sprain, which is an overstretching of the ligaments. This medicine is ideal for sprained ankles along with weakness and pain in the ankle joint.

  5. Hamamelis: This homeopathic medicine is considered to be very effective for the management of swollen ankles, caused due to varicose veins. It works best when used for the treatment of swollen ankles associated with venous insufficiency. The common symptoms which indicate that a patient requires this medicine include swollen, inflamed ankles, which occur because of congested and engorged veins. Cutting pain and soreness in the ankles are also likely. Swelling in the leg is another probable symptom.

Homeopathy is an effective natural remedy for swollen ankles, without having any side effect on the body. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

3421 people found this helpful

Sarcoidosis - Can You Be Suffering From It?

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
Sarcoidosis - Can You Be Suffering From It?

Sarcoidosis is an inflammatory condition that has been affecting many people of late. In sarcoidosis, tiny granulomas or inflammatory nodules appear in the various organs of the body. The lungs, eyes, skin, and lymph nodes are commonly affected by the condition. Sarcoidosis can also occur in the brain, heart, liver, spleen. The exact trigger for sarcoidosis is not very clearly understood. However, some studies suggest that sarcoidosis may be an outcome of the body reaction (immunological) towards certain allergens, chemicals, viruses or bacteria (foreign bodies).

It should be noted that

  • Incidences of sarcoidosis are common among people in the age group of 20 – 40 years.
  • People with a family history are more likely to be affected by sarcoidosis.
  • Women are more susceptible to sarcoidosis than their male counterparts. The condition is common among the African-Americans.

Signs and symptoms:
The severity and appearance of symptoms depend on the organs affected by the condition. Symptoms of sarcoidosis may appear suddenly or develop gradually (there may also be a relapse). In few exceptions, the affected person may not exhibit any visible symptoms. The symptoms may vary from person to person.

In general, the symptoms include

  • Fever
  • There is weight loss
  • Extreme tiredness and exhaustion
  • There may be swelling of the lymph nodes

Further, the symptoms may include

  • Rashes, sores, and lesions that may appear on the nose, ears or cheeks, certain areas in the skin undergoes discoloration (Sarcoidosis affecting the skin).
  • Breathlessness and chest pain, dry cough that continues for long and wheezing (In the case of the heart being affected).
  • Palpitations and dyspnea, chest pain, edema, syncope or fainting and arrhythmias or irregular beating of the heart (Sarcoidosis affecting the heart).
  • The eyes may appear red. The vision appears blurred. There is a pain in the eyes and light sensitivity (Sarcoidosis affecting the eyes).

Diagnosis and treatment:

  • Physical examination and blood tests
  • Eye tests can aid in the better diagnosis
  • Kidney and liver function tests
  • Imaging tests like CT scan, PET, X-rays, MRI
  • Biopsy

There are instances where sarcoidosis disappears on its own. However, if the condition persists, it is better to seek medical assistance.

Treatment for sarcoidosis include

  • Immunosuppressant drugs: As the name suggests, the immunosuppressant drugs work by suppressing the immune response. Azathioprine and Methotrexate provide great relief from inflammation.
  • Anti-inflammatory drugs such as Corticosteroids are very effective against sarcoidosis.
  • Plaquenil (Hydroxychloroquine) is often used to treat skin sarcoidosis.
  • For patients with Rheumatoid Arthritis related inflammation, doctors recommend Tumor necrosis factor-alpha (TNF-alpha) inhibitors.
  • In the case of organ failure or damage, surgery may be the only option available.

In severe cases, or if left unattended for long, sarcoidosis can result in

  • Cardiac problems, which may prove to be fatal.
  • It can interfere with the normal functioning of the kidney.
  • The lungs may be severely affected and scarred.
  • There may eye inflammation leading to blindness.
  • In some cases, sarcoidosis may affect the nervous system leading to paralysis (though rare).

In case you have a concern or query you can always consult an expert & get answers to your questions!

2095 people found this helpful

Table of Content

About Hydrochlorothiazide
When is Hydrochlorothiazide prescribed?
What are the side effects of Hydrochlorothiazide?
Key highlights of Hydrochlorothiazide
Medicines containing Hydrochlorothiazide
What are the interactions for Hydrochlorothiazide?