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| Hydrochlorothiazide Adverse effects from hydrochlorothiazide What is hydrochlorothiazide Hydrochlorothiazide triamterene Effects of hydrochlorothiazide Hydrochlorothiazide side effects Hydrochlorothiazide dosage Hydrochlorothiazide use Triamterene and hydrochlorothiazide and side effects Bleeding and hemorrhoids and hydrochlorothiazide Hydrochlorothiazide dosage menieres Lisonpril hydrochlorothiazide side effects Side effects from hydrochlorothiazide Spc felodipine hydrochlorothiazide | Hydrochlorothiazide Ziac , Does hydrochlorothiazide cause hyperglycemia Bisoprolol and Hydrochlorothiazide Return to Home Page Printer Friendly Version USP DI Vol. II - BETA-ADRENERGIC BLOCKING AGENTS AND THIAZIDE DIURETICS (Systemic) BETA-ADRENERGIC BLOCKING AGENTS AND THIAZIDE DIURETICS (Systemic) Some commonly used brand names are: In the U.S.— Corzide 40/5 4 Corzide 80/5 4 Inderide 6 Inderide LA 6 Lopressor HCT 3 Tenoretic 50 1 Tenoretic 100 1 Timolide 10-25 7 Ziac 2 In Canada— Corzide 4 Inderide 6 Tenoretic 1 Timolide 7 Viskazide 5 Note: For quick reference, the following beta-adrenergic blocking agents and thiazide diuretics are numbered Does hydrochlorothiazide cause hyperglycemia to match the corresponding brand names. This information applies to Does hydrochlorothiazide cause hyperglycemia the following medicines: 1. Atenolol and Chlorthalidone (a-TEN-oh-lole and klor-THAL-i-doan)‡ 2. Bisoprolol and Hydrochlorothiazide (bis-OH-proe-lol and hye-droe-klor-oh-THYE-a-zide)† 3. Metoprolol and Hydrochlorothiazide (me-TOE-proe-lole and hye-droe-klor-oh-THYE-a-zide)† 4. Nadolol and Bendroflumethiazide (NAY-doe-lole and ben-droe-floo-meth-EYE-a-zide) 5. Pindolol and Hydrochlorothiazide (PIN-doe-lole and hye-droe-klor-oh-THYE-a-zide)* 6. Propranolol and Hydrochlorothiazide (proe-PRAN-oh-lole Does hydrochlorothiazide cause hyperglycemia and hye-droe-klor-oh-THYE-a-zide)‡ 7. Timolol and Hydrochlorothiazide (TIM-oh-lole and hye-droe-klor-oh-THYE-a-zide) * Not commercially available in the U.S. † Not commercially available in Canada ‡ Generic name product Does hydrochlorothiazide cause hyperglycemia may be available in the U.S. Category Antihypertensive—Atenolol and Chlorthalidone; Bisprolol and Hydrochlorothiazide; Metoprolol and Hydrochlorothiazide; Nadolol and Bendroflumethiazide; Pindolol and Hydrochlorothiazide; Propranolol and Hydrochlorothiazide; Does hydrochlorothiazide cause hyperglycemia Timolol and Hydrochlorothiazide Description Beta-adrenergic blocking agent (more commonly, beta-blockers) and thiazide Does hydrochlorothiazide cause hyperglycemia diuretic combinations belong to the group of medicines known as antihypertensives (high blood pressure medicine). Does hydrochlorothiazide cause hyperglycemia Both ingredients of the combination control Does hydrochlorothiazide cause hyperglycemia high Does hydrochlorothiazide cause hyperglycemia blood pressure, but Does hydrochlorothiazide cause hyperglycemia they work in different ways. Beta-blockers (atenolol, bisoprolol, metoprolol, nadolol, pindolol, propranolol, and timolol) reduce the work load on the Does hydrochlorothiazide cause hyperglycemia heart as well as having other effects. Thiazide diuretics Does hydrochlorothiazide cause hyperglycemia (bendroflumethiazide, chlorthalidone, and hydrochlorothiazide) reduce the amount of fluid pressure in the body by increasing the flow of urine. High blood pressure adds to the work load of the heart and arteries. If it continues for a long time, Does hydrochlorothiazide cause hyperglycemia the Does hydrochlorothiazide cause hyperglycemia heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled. Beta-blocker and thiazide diuretic combinations are available only with your doctor's prescription, Does hydrochlorothiazide cause hyperglycemia in the Does hydrochlorothiazide cause hyperglycemia following dosage forms: Oral Atenolol and chlorthalidone Tablets (U.S. and Canada) Bisoprolol and hydrochlorothiazide Tablets (U.S.) Metoprolol Does hydrochlorothiazide cause hyperglycemia and hydrochlorothiazide Tablets (U.S.) Nadolol and bendroflumethiazide Tablets (U.S. and Canada) Pindolol and Does hydrochlorothiazide cause hyperglycemia hydrochlorothiazide Tablets (Canada) Propranolol and hydrochlorothiazide Extended-release capsules (U.S.) Tablets (U.S. and Canada) Timolol and hydrochlorothiazide Tablets (U.S. and Canada) Before Using This Medicine In deciding to use a medicine, the risks of taking the medicine must be weighed against the good Does hydrochlorothiazide cause hyperglycemia it will do. This is a decision you and your doctor will Does hydrochlorothiazide cause hyperglycemia make. For the beta-blocker and thiazide diuretic combinations, the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to beta-blockers, sulfonamides (sulfa drugs), bumetanide, furosemide, acetazolamide, dichlorphenamide, methazolamide, or any of the thiazide diuretics. Also tell your health care professional if you are allergic to any other substances, such as Does hydrochlorothiazide cause hyperglycemia foods, preservatives, or dyes. Pregnancy—Use of some beta-blockers during pregnancy has been associated with low blood sugar, breathing problems, a slower heart rate, and low blood pressure in the newborn Does hydrochlorothiazide cause hyperglycemia infant. Other reports have not shown unwanted effects in the newborn infant. Animal studies have shown some Does hydrochlorothiazide cause hyperglycemia beta-blockers to cause problems in pregnancy when used Does hydrochlorothiazide cause hyperglycemia in doses many times the usual human dose.Studies with thiazide diuretics have not been done in pregnant women. Does hydrochlorothiazide cause hyperglycemia However, use of thiazide diuretics during pregnancy may cause side effects such as jaundice, blood problems, and low potassium in the newborn infant. Animal studies have not shown thiazide Does hydrochlorothiazide cause hyperglycemia diuretic medicines to cause birth defects even when used in doses several times the usual human dose. Before taking a beta-blocker and thiazide diuretic combination, make sure your doctor knows if you are pregnant or if you may become pregnant. Breast-feeding—Atenolol, metoprolol, nadolol, propranolol, pindolol, timolol, and thiazide diuretics pass into breast milk. It is not known whether bisoprolol passes into breast milk. Thiazide diuretics may decrease the flow of breast milk. Children—Although there is no specific information comparing use of this combination medicine in children with use in other age groups, this medicine is not expected to cause Does hydrochlorothiazide cause hyperglycemia different side effects or problems in children than it does in adults. However, extra caution may be necessary in infants with Does hydrochlorothiazide cause hyperglycemia jaundice, because these medicines can make the condition worse. Older adults—Some side effects, especially dizziness or lightheadedness and signs and symptoms of too much potassium loss, may be more likely to occur in the elderly, who are usually Does hydrochlorothiazide cause hyperglycemia more sensitive to the effects of this medicine. Also, beta-blockers may reduce tolerance to cold temperatures in elderly patients. Other medicines—Although certain medicines should not be used together at all, in other Does hydrochlorothiazide cause hyperglycemia cases 2 different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions Does hydrochlorothiazide cause hyperglycemia may be necessary. When you are taking beta-blocker and thiazide diuretic combinations, it is especially important that your health care professional know if you are taking any of the following: Allergy shots or Allergy skin tests—The beta-blocker contained in this medicine may increase the risk of a serious allergic reaction to these medicines Aminophylline (e.g., Somophyllin) or Caffeine (e.g., NoDoz) Does hydrochlorothiazide cause hyperglycemia or Dyphylline (e.g., Lufylline) or Oxtriphylline (e.g., Choledyl) or Theophylline (e.g., Somophyllin-T)—The effects of Does hydrochlorothiazide cause hyperglycemia these medicines and beta-blockers may be blocked; in addition, theophylline levels in the body may be increased, especially in patients who smoke Antidiabetics, oral (diabetes medicine you take by mouth) or Insulin—There is an increased risk of hyperglycemia (high blood sugar); the beta-blocker contained in this medicine may also cover up certain symptoms of hypoglycemia (low blood sugar), such as increases in pulse rate and blood pressure, and may make the hypoglycemia last Does hydrochlorothiazide cause hyperglycemia longer Calcium channel blockers (amlodipine [e.g., Norvasc], bepridil [e.g., Bepadin], diltiazem [e.g., Cardizem], felodipine [e.g., Plendil], flunarizine [e.g., Sibelium], isradipine [e.g., DynaCirc], nicardipine [e.g., Cardene], nifedipine [e.g., Procardia], nimodipine [e.g., Nimotop], verapamil [e.g., Calan]) or Clonidine (e.g., Catapres) or Guanabenz Does hydrochlorothiazide cause hyperglycemia (e.g., Wytensin)—Effects on blood pressure may be increased. In addition, unwanted effects may Does hydrochlorothiazide cause hyperglycemia occur if clonidine, guanabenz, or a beta-blocker are stopped suddenly after Does hydrochlorothiazide cause hyperglycemia use together. Unwanted effects on the heart Does hydrochlorothiazide cause hyperglycemia may occur when beta-blocker and thiazide diuretic combinations are used with calcium channel blockers Cocaine—Cocaine may block the effects of beta-blockers; in addition, there is an increased risk of high blood pressure, fast heartbeat, and possibly heart problems if you use cocaine while taking a beta-blocker and thiazide diuretic combination Digitalis glycosides (heart medicine)—Use with beta-blocker and thiazide diuretic combinations may cause high blood levels of digoxin, which may increase the Does hydrochlorothiazide cause hyperglycemia chance of side effects Lithium—The thiazide diuretic contained in this combination may cause high blood levels of lithium, which may increase the chance of side effects Monoamine oxidase (MAO) inhibitors (furazolidone [e.g., Furoxone], isocarboxazid [e.g., Marplan], phenelzine [e.g., Nardil], procarbazine [e.g., Matulane], selegiline [e.g., Eldepryl], tranylcypromine [e.g., Parnate])—Taking a beta-blocker and thiazide diuretic combination while you are taking or within 2 weeks of taking monoamine oxidase (MAO) Does hydrochlorothiazide cause hyperglycemia inhibitors may cause severe high blood pressure Other medical problems—The presence of other medical problems may affect the use of the beta-blockers and thiazide diuretics. Make sure you tell your doctor if you have any other medical problems, especially: Allergy, history of (asthma, eczema, hay fever, hives), or Bronchitis or Emphysema—This combination medicine may make allergic reactions to Does hydrochlorothiazide cause hyperglycemia other Does hydrochlorothiazide cause hyperglycemia substances more severe or make the reaction last longer; Does hydrochlorothiazide cause hyperglycemia in addition, the beta-blocker contained in this combination can increase trouble in breathing Bradycardia (unusually slow heartbeat) or Heart Does hydrochlorothiazide cause hyperglycemia or blood vessel disease—This combination medicine may make these heart problems Does hydrochlorothiazide cause hyperglycemia worse; also, if treatment is stopped suddenly, unwanted effects may occur Diabetes mellitus (sugar diabetes)—The beta-blocker contained in this medicine may cause hyperglycemia (high blood sugar) and circulation problems; in addition, if your diabetes medicine causes your Does hydrochlorothiazide cause hyperglycemia blood sugar to be Does hydrochlorothiazide cause hyperglycemia too low, beta-blockers may cover up some Does hydrochlorothiazide cause hyperglycemia of the symptoms (fast heartbeat), although they will not Does hydrochlorothiazide cause hyperglycemia cover up other symptoms such as dizziness or sweating; the thiazide diuretic contained in this medicine may increase the amount of sugar in the blood Gout (history of) or Lupus erythematosus (history of) or Pancreatitis (inflammation of the pancreas)—The thiazide diuretic contained in this medicine may make these conditions worse Kidney disease or Liver disease—Effects of this medicine may be increased because of slower removal from the body Mental depression (or history of) or Myasthenia gravis or Pheochromocytoma or Psoriasis or Raynaud's syndrome—The beta-blocker contained in this medicine may make these conditions Does hydrochlorothiazide cause hyperglycemia worse Overactive thyroid—Stopping this medicine suddenly may increase symptoms of overactive thyroid; the beta-blocker contained in this Does hydrochlorothiazide cause hyperglycemia medicine may cover Does hydrochlorothiazide cause hyperglycemia up fast heartbeat, which is a sign of overactive thyroid Proper Use of This Medicine In addition to the use of the medicine your doctor has prescribed, treatment for your high blood pressure may include weight control and care in the Does hydrochlorothiazide cause hyperglycemia types of foods you eat, especially foods high in sodium. Your doctor will tell you Does hydrochlorothiazide cause hyperglycemia which of these are most important for you. You should check with your doctor before changing your diet. Many patients who have high blood pressure will not notice any signs of the problem. In fact, many may feel normal. It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well. Remember that this medicine will not cure your high blood pressure but it does help control it. Therefore, you must continue to take it as directed if you expect to lower your blood pressure and keep it down. You may have to take high blood pressure medicine for the rest of your life . If high blood pressure is not treated, it can cause serious problems such as heart failure, blood vessel disease, stroke, or kidney disease. For patients taking the extended-release tablet form of this medicine: Swallow the tablet whole. Do not crush, break, or chew before swallowing. To help you remember to take your medicine, try to get into the habit of taking it at Does hydrochlorothiazide cause hyperglycemia the same time each day. Ask your doctor about checking your pulse rate before and after taking beta-blocking agents. Then, Does hydrochlorothiazide cause hyperglycemia while you are taking this medicine, check your pulse regularly. If it is much slower than your usual rate (or less than 50 beats per minute), check with your doctor. A pulse rate that is too slow may cause circulation problems. The thiazide diuretic (e.g., bendroflumethiazide, chlorthalidone, or hydrochlorothiazide) contained in this combination medicine may cause you to have an unusual feeling of tiredness when you begin to take Does hydrochlorothiazide cause hyperglycemia it. You may also notice an increase in the amount of urine or in your frequency of urination. After you take the medicine for a while, these effects should lessen. To keep the increase in urine from affecting your sleep: If Does hydrochlorothiazide cause hyperglycemia you are to take a single dose a day, take it in the morning after breakfast. If you are to take more than one dose a day, take the last dose no later than 6 p.m., unless otherwise directed by your doctor. However, it is best Does hydrochlorothiazide cause hyperglycemia to plan your dose or doses according to a schedule that will least affect your personal activities and sleep. Ask your health care professional to help you plan the best time to take this medicine. Do not miss Does hydrochlorothiazide cause hyperglycemia any doses . This is especially important when you are taking only one dose per day. Some conditions may become worse when Does hydrochlorothiazide cause hyperglycemia this medicine is not taken regularly. Dosing—The dose of beta-blocker and thiazide diuretic combinations will be different for different Does hydrochlorothiazide cause hyperglycemia patients. Follow your doctor's orders or the directions on the label . Does hydrochlorothiazide cause hyperglycemia The following information includes only the average doses of beta-blocker Does hydrochlorothiazide cause hyperglycemia and thiazide diuretic combinations. If your dose is different, do not change it unless your doctor tells you to do so.The number of capsules or tablets that you take depends on the strength of the medicine. For atenolol and chlorthalidone Does hydrochlorothiazide cause hyperglycemia combination For oral dosage form (tablets): For high blood pressure: Adults—1 or 2 tablets once a day. Children—Dose must be determined by your doctor. For bisoprolol and hydrochlorothiazide combination For oral dosage form (tablets): For high blood pressure: Adults—1 or 2 tablets once a day. Children—Dose must be determined by your doctor. For metoprolol and hydrochlorothiazide Does hydrochlorothiazide cause hyperglycemia combination For oral dosage form Does hydrochlorothiazide cause hyperglycemia (tablets): For high blood pressure: Adults—1 or 2 tablets a day. Children—Dose must be determined by your doctor. For nadolol and bendroflumethiazide combination For oral dosage form (tablets): For high blood pressure: Adults—1 tablet once a day. Children—Dose Does hydrochlorothiazide cause hyperglycemia must be determined by your doctor. For pindolol and hydrochlorothiazide combination For oral dosage form (tablets): For high blood pressure: Adults—1 or 2 tablets once a day. Children—Dose must be determined by your doctor. For propranolol and hydrochlorothiazide combination For regular (short-acting) oral dosage form (tablets): For high Does hydrochlorothiazide cause hyperglycemia blood pressure: Adults—1 or 2 Does hydrochlorothiazide cause hyperglycemia tablets two times a day. Children—Dose must be determined by your doctor. For long-acting oral dosage form (capsules): For high blood pressure: Adults—1 capsule a day. Children—Dose must be determined by your doctor. For timolol and hydrochlorothiazide combination For oral dosage form (tablets): For high blood pressure: Adults—1 tablet two times a Does hydrochlorothiazide cause hyperglycemia day or 2 tablets once a day. Children—Dose must be determined by Does hydrochlorothiazide cause hyperglycemia your doctor. Missed dose—If Does hydrochlorothiazide cause hyperglycemia you miss a dose of this medicine, take it as soon as possible. However, if it is within 4 hours of your next dose (8 hours if you are using atenolol and chlorthalidone, bisoprolol and hydrochlorothiazide, nadolol and bendroflumethiazide, or extended-release propranolol and hydrochlorothiazide), skip the missed dose and go back to your regular dosing schedule. Do not double doses. Storage—To store this medicine: Keep out of the reach of children. Store away from heat and direct light. Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to Does hydrochlorothiazide cause hyperglycemia break down. Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children. Precautions While Using This Medicine It is important that your doctor check your progress at regular visits. This is to make sure the medicine is properly controlling your blood pressure and to allow the dosage Does hydrochlorothiazide cause hyperglycemia to be changed if needed. Do not stop taking this medicine without first checking with your doctor . Your doctor may want you to reduce gradually the amount you are taking before stopping completely. Some conditions may become worse when the medicine is stopped suddenly, and Does hydrochlorothiazide cause hyperglycemia the risk of heart attack is increased in some patients. Make sure that you have enough medicine on hand to last through weekends, holidays, or vacations. You may want to carry an extra written prescription in Does hydrochlorothiazide cause hyperglycemia your billfold or purse in case of an emergency. You can then have it filled if you run out of medicine while you are away from home. Your doctor may want you to carry medical identification stating that you are taking this medicine. Do not take other medicines unless they have been discussed with Does hydrochlorothiazide cause hyperglycemia your doctor . Does hydrochlorothiazide cause hyperglycemia This especially includes over-the-counter (nonprescription) medicines for appetite control, asthma, colds, cough, hay fever, or sinus problems since they may increase your blood pressure. Before having any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are taking this medicine . For diabetic patients : This medicine may increase your blood sugar levels . Also, this medicine may cover up signs of hypoglycemia (low blood sugar) , such as change in pulse Does hydrochlorothiazide cause hyperglycemia rate. While you are taking this medicine, be especially careful in testing for sugar in your urine. If you have any questions about this, check with your doctor. The thiazide diuretic contained in this medicine may cause a loss of potassium from your body . To help prevent this, your doctor may want you to: eat or drink foods that have a high potassium content (for example, orange or other citrus fruit juices), or take a potassium supplement, or take another medicine to help prevent the loss of the potassium in the first Does hydrochlorothiazide cause hyperglycemia place. It is very important to follow these directions. Also, it is important not to change your diet on your own. This is more important if you are already on a Does hydrochlorothiazide cause hyperglycemia special diet (as for diabetes), or if you are taking a potassium supplement or a medicine to reduce potassium loss. Extra potassium may not be necessary and, Does hydrochlorothiazide cause hyperglycemia in some cases, too much potassium could be harmful. Check with your doctor if you become sick and have severe or continuing vomiting or diarrhea. These problems may cause you to lose additional water and potassium. This medicine may cause some people to become dizzy, drowsy, lightheaded, or less alert than they are normally. Make sure you know how you react to this medicine before Does hydrochlorothiazide cause hyperglycemia you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert . If the problem continues or gets Does hydrochlorothiazide cause hyperglycemia worse, check with your doctor. The beta-blocker (atenolol, bisoprolol, metoprolol, nadolol, pindolol, propranolol, or timolol) contained in this medicine may make you more sensitive to cold temperatures, especially if you have blood circulation problems. Beta-blockers tend to decrease blood circulation in the skin, fingers, and toes. Dress Does hydrochlorothiazide cause hyperglycemia warmly during cold weather and be careful during prolonged exposure to Does hydrochlorothiazide cause hyperglycemia cold, such as in winter sports. This medicine may cause your skin to be more sensitive to sunlight than it Does hydrochlorothiazide cause hyperglycemia is normally. Exposure to sunlight, even for brief periods of time, may cause a skin rash, itching, redness or other discoloration of the skin, or a severe sunburn. When you begin taking this medicine: Stay out of direct sunlight, especially between the hours of 10:00 a.m. and 3:00 p.m., if possible. Wear protective Does hydrochlorothiazide cause hyperglycemia clothing, including a hat. Also, Does hydrochlorothiazide cause hyperglycemia wear sunglasses. Apply a sun block product that has a skin protection factor (SPF) of at least 15. Some patients may require a product with a higher SPF number, especially if they have Does hydrochlorothiazide cause hyperglycemia a fair complexion. If you have any questions about this, check with your health care professional. Apply a sun block lipstick that has an SPF of at least 15 to protect your lips. Do not use a sunlamp or tanning bed or booth. If you have Does hydrochlorothiazide cause hyperglycemia a severe reaction from the sun, check with your doctor . Before you have any medical tests, tell the doctor in charge that you are taking Does hydrochlorothiazide cause hyperglycemia this medicine. The results of some tests may be affected by this medicine. For patients with allergies to foods, medicines, or insect stings: There is a chance that this medicine will make allergic reactions worse and harder to treat. If you have a severe allergic reaction while you are being treated with this medicine, check with a doctor right away so that it can be treated. Side Effects of This Medicine Along with its needed effects, a Does hydrochlorothiazide cause hyperglycemia medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor as soon as possible if any of the following side effects occur: Less common Breathing difficulty and/or wheezing; cold hands and feet; mental depression; slow heartbeat (especially less than 50 beats per minute); swelling of ankles, feet, and/or lower legs Rare Black, tarry stools; blood in urine or stools; chest pain; dark urine; fever, chills, cough, or sore throat; hallucinations Does hydrochlorothiazide cause hyperglycemia (seeing, hearing, or feeling things that are not there); joint pain; lower back or side pain; pinpoint red spots on skin; red, scaling, or crusted skin; skin rash or hives; stomach pain (severe) with nausea and vomiting; unusual bleeding Does hydrochlorothiazide cause hyperglycemia or bruising; Does hydrochlorothiazide cause hyperglycemia or yellow eyes or skin Signs and symptoms of too much potassium or sodium loss Confusion; convulsions (seizures); dryness of mouth; increased thirst; irregular heartbeats; irritability, mood or mental changes; muscle Does hydrochlorothiazide cause hyperglycemia cramps or pain; nausea or vomiting, unusual tiredness or weakness; weak pulse Signs and symptoms of overdose Does hydrochlorothiazide cause hyperglycemia (in the order in which they may occur) Slow heartbeat; dizziness (severe) or fainting; difficulty in breathing; bluish-colored fingernails or palms of hands; convulsions (seizures)Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome: More Does hydrochlorothiazide cause hyperglycemia common Decreased sexual ability; dizziness or lightheadedness; drowsiness (mild); trouble in sleeping Less common Anxiety or nervousness; constipation; diarrhea; increased Does hydrochlorothiazide cause hyperglycemia sensitivity of skin to sunlight (skin rash, itching, redness or other discoloration of skin, or severe sunburn); loss of appetite; numbness or tingling of fingers and toes; stomach discomfort or upset; stuffy nose Rare Changes in taste; dry, sore eyes; itching of skin; nightmares and vivid dreamsAlthough not all of the above side effects have been reported for Does hydrochlorothiazide cause hyperglycemia all of these medicines, they have been reported for at least one of the Does hydrochlorothiazide cause hyperglycemia beta-blockers or thiazide diuretics. Since all of the beta-blockers are very similar Does hydrochlorothiazide cause hyperglycemia and the thiazide diuretics are also very similar, any of the above side effects may occur with any of these medicines. However, they may be more common with some combinations than with others. After you have been taking this medicine for a while, it may cause unpleasant or even harmful effects if you stop taking it too suddenly. After you stop taking this medicine or while you are gradually reducing Does hydrochlorothiazide cause hyperglycemia the Does hydrochlorothiazide cause hyperglycemia amount you are taking, check with your doctor right away if any of the following occur: Chest pain; fast or irregular heartbeat; general feeling of Does hydrochlorothiazide cause hyperglycemia discomfort, illness, or weakness; headache; shortness of breath (sudden); sweating; tremblingOther side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor. Revised: Does hydrochlorothiazide cause hyperglycemia 08/23/94 Copyright © 2000 Micromedex, Inc. All rights reserved. Licensed to Medical Strategies, Inc./Healthtouch®. USP DI® and Advice for the Does hydrochlorothiazide cause hyperglycemia Patient® are registered trademarks of United States Pharmacopeial Convention (USP) used under license to Micromedex, Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial Does hydrochlorothiazide cause hyperglycemia purposes. The information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Additionally, the manufacture and distribution of herbal substances are not regulated in the United States, and no quality standards currently exist. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you. Please read the end Does hydrochlorothiazide cause hyperglycemia user acknowledgement. http://www.healthtouch.com All pages Copyright© 1995-2005 by Cardinal ScriptNet Inderide , Propranolol and Hydrochlorothiazide Return to Home Page Printer Friendly Version USP DI Vol. II - BETA-ADRENERGIC BLOCKING AGENTS AND THIAZIDE DIURETICS (Systemic) BETA-ADRENERGIC BLOCKING AGENTS AND THIAZIDE DIURETICS (Systemic) Some commonly used brand names are: In the U.S.— Corzide 40/5 4 Corzide Does hydrochlorothiazide cause hyperglycemia 80/5 4 Inderide 6 Inderide LA 6 Lopressor HCT 3 Tenoretic 50 1 Tenoretic 100 1 Timolide 10-25 Does hydrochlorothiazide cause hyperglycemia 7 Ziac 2 In Canada— Corzide 4 Inderide 6 Tenoretic 1 Timolide 7 Viskazide 5 Note: For quick reference, the following beta-adrenergic blocking agents and thiazide diuretics are numbered to match the corresponding brand names. This information applies to the following medicines: 1. Atenolol and Chlorthalidone (a-TEN-oh-lole Does hydrochlorothiazide cause hyperglycemia and klor-THAL-i-doan)‡ 2. Bisoprolol and Hydrochlorothiazide (bis-OH-proe-lol and hye-droe-klor-oh-THYE-a-zide)† 3. Metoprolol and Hydrochlorothiazide (me-TOE-proe-lole and hye-droe-klor-oh-THYE-a-zide)† 4. Nadolol Does hydrochlorothiazide cause hyperglycemia and Bendroflumethiazide (NAY-doe-lole and ben-droe-floo-meth-EYE-a-zide) 5. Pindolol and Hydrochlorothiazide (PIN-doe-lole and hye-droe-klor-oh-THYE-a-zide)* 6. Propranolol and Hydrochlorothiazide (proe-PRAN-oh-lole and Does hydrochlorothiazide cause hyperglycemia hye-droe-klor-oh-THYE-a-zide)‡ 7. Timolol and Hydrochlorothiazide (TIM-oh-lole and hye-droe-klor-oh-THYE-a-zide) * Not commercially available in the U.S. † Not commercially available in Canada ‡ Generic name product may be available in the U.S. Category Antihypertensive—Atenolol and Chlorthalidone; Bisprolol and Hydrochlorothiazide; Metoprolol and Hydrochlorothiazide; Nadolol and Bendroflumethiazide; Pindolol Does hydrochlorothiazide cause hyperglycemia and Hydrochlorothiazide; Propranolol and Hydrochlorothiazide; Timolol and Hydrochlorothiazide Description Beta-adrenergic blocking agent (more commonly, beta-blockers) and thiazide diuretic combinations belong to the group of medicines known as antihypertensives (high blood pressure medicine). Both ingredients of the combination control high blood pressure, but they work in different ways. Beta-blockers (atenolol, bisoprolol, metoprolol, nadolol, pindolol, propranolol, and timolol) reduce the work load on the heart as well as having other effects. Thiazide diuretics (bendroflumethiazide, chlorthalidone, and hydrochlorothiazide) reduce Does hydrochlorothiazide cause hyperglycemia the amount of Does hydrochlorothiazide cause hyperglycemia fluid pressure in the body by increasing the flow of urine. High blood pressure adds to the work load of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the Does hydrochlorothiazide cause hyperglycemia brain, heart, and kidneys, resulting in a stroke, heart Does hydrochlorothiazide cause hyperglycemia failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if Does hydrochlorothiazide cause hyperglycemia blood Does hydrochlorothiazide cause hyperglycemia pressure is controlled. Beta-blocker and thiazide diuretic combinations are available only with your Does hydrochlorothiazide cause hyperglycemia doctor's prescription, Does hydrochlorothiazide cause hyperglycemia in the following dosage forms: Oral Atenolol and chlorthalidone Tablets (U.S. and Canada) Bisoprolol and hydrochlorothiazide Tablets (U.S.) Metoprolol and hydrochlorothiazide Tablets (U.S.) Nadolol and bendroflumethiazide Tablets (U.S. and Canada) Pindolol and hydrochlorothiazide Tablets (Canada) Propranolol and hydrochlorothiazide Extended-release capsules (U.S.) Tablets (U.S. and Canada) Timolol and hydrochlorothiazide Tablets (U.S. and Canada) Before Using This Medicine In Does hydrochlorothiazide cause hyperglycemia deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For the beta-blocker and thiazide diuretic combinations, the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to beta-blockers, sulfonamides (sulfa drugs), bumetanide, furosemide, acetazolamide, dichlorphenamide, methazolamide, or any of the thiazide diuretics. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Pregnancy—Use of some beta-blockers during pregnancy has been associated with low blood sugar, breathing problems, a slower heart rate, and low Does hydrochlorothiazide cause hyperglycemia blood pressure in the Does hydrochlorothiazide cause hyperglycemia newborn infant. Other reports have not shown unwanted effects in the newborn infant. Animal studies have shown some beta-blockers to cause problems in pregnancy when used in doses many times the usual human dose.Studies with thiazide diuretics have not been done in pregnant women. However, use of thiazide diuretics during pregnancy may cause side Does hydrochlorothiazide cause hyperglycemia effects such as jaundice, blood problems, and low potassium in the newborn infant. Animal studies have not shown Does hydrochlorothiazide cause hyperglycemia thiazide diuretic medicines to cause birth defects even when used in doses several times the usual human dose. Before taking a beta-blocker and thiazide diuretic combination, make sure your doctor knows Does hydrochlorothiazide cause hyperglycemia if you are pregnant or if you may become pregnant. Breast-feeding—Atenolol, metoprolol, nadolol, propranolol, pindolol, timolol, and thiazide diuretics pass into breast milk. It is not known whether bisoprolol passes into breast milk. Thiazide diuretics may decrease the flow of breast milk. Children—Although there is no specific information comparing use of this combination medicine in children with use in other age groups, this medicine is not expected to cause different side effects or problems in children than it does in adults. However, extra caution may be necessary in infants with jaundice, because these medicines can make the condition worse. Older adults—Some side effects, especially dizziness or lightheadedness and signs and symptoms of too much potassium loss, may be more likely to occur in the elderly, who are usually more sensitive to the effects of this medicine. Also, beta-blockers may reduce tolerance to cold temperatures in elderly Does hydrochlorothiazide cause hyperglycemia patients. Other medicines—Although certain medicines should not be used together at all, in other cases 2 Does hydrochlorothiazide cause hyperglycemia different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking beta-blocker and thiazide diuretic combinations, it is especially important that your health care professional know if Does hydrochlorothiazide cause hyperglycemia you are taking any of the following: Allergy shots or Allergy skin tests—The beta-blocker contained in this medicine may increase the risk of a serious allergic reaction to these medicines Aminophylline (e.g., Somophyllin) or Caffeine (e.g., NoDoz) or Dyphylline (e.g., Lufylline) or Oxtriphylline (e.g., Choledyl) or Theophylline (e.g., Somophyllin-T)—The effects of these medicines and beta-blockers may be blocked; Does hydrochlorothiazide cause hyperglycemia in addition, theophylline Does hydrochlorothiazide cause hyperglycemia levels in the body may be increased, especially in patients Does hydrochlorothiazide cause hyperglycemia who smoke Antidiabetics, oral (diabetes medicine Does hydrochlorothiazide cause hyperglycemia you take by mouth) or Insulin—There is an increased risk of hyperglycemia (high blood sugar); the beta-blocker contained in this medicine Does hydrochlorothiazide cause hyperglycemia may also cover up certain symptoms of hypoglycemia (low blood sugar), such as increases in Does hydrochlorothiazide cause hyperglycemia pulse rate and blood pressure, and may make the hypoglycemia last longer Calcium channel blockers (amlodipine [e.g., Norvasc], bepridil [e.g., Bepadin], diltiazem [e.g., Cardizem], felodipine [e.g., Plendil], flunarizine [e.g., Sibelium], isradipine [e.g., DynaCirc], nicardipine [e.g., Cardene], nifedipine [e.g., Procardia], nimodipine [e.g., Nimotop], verapamil [e.g., Calan]) or Clonidine (e.g., Catapres) or Guanabenz (e.g., Wytensin)—Effects on blood pressure may be increased. In addition, unwanted effects may occur if clonidine, guanabenz, or a beta-blocker are stopped suddenly after use together. Unwanted effects on the heart may occur when beta-blocker and thiazide diuretic combinations are Does hydrochlorothiazide cause hyperglycemia used with calcium channel blockers Cocaine—Cocaine Does hydrochlorothiazide cause hyperglycemia may block the effects of beta-blockers; in addition, there is an increased risk of high blood pressure, fast heartbeat, and Does hydrochlorothiazide cause hyperglycemia possibly heart problems if you use cocaine while taking a beta-blocker and thiazide diuretic combination Digitalis glycosides (heart medicine)—Use with beta-blocker and thiazide diuretic combinations may cause high blood levels of digoxin, which may increase the chance of side effects Lithium—The thiazide diuretic contained in this combination may cause high blood levels of lithium, which may increase the chance of side effects Monoamine oxidase (MAO) inhibitors (furazolidone [e.g., Furoxone], isocarboxazid [e.g., Marplan], phenelzine [e.g., Nardil], procarbazine [e.g., Matulane], selegiline [e.g., Eldepryl], tranylcypromine [e.g., Parnate])—Taking a beta-blocker and thiazide diuretic combination while you are taking or within 2 weeks of taking Does hydrochlorothiazide cause hyperglycemia monoamine oxidase (MAO) inhibitors Does hydrochlorothiazide cause hyperglycemia may cause severe high blood Does hydrochlorothiazide cause hyperglycemia pressure Other medical problems—The presence of other medical problems may affect the use of the beta-blockers and thiazide diuretics. Make sure you tell your doctor if you have any other medical problems, especially: Allergy, history of (asthma, eczema, hay fever, hives), or Bronchitis or Emphysema—This combination medicine may make allergic reactions to other substances more severe or make the reaction last longer; in addition, the beta-blocker contained in this combination can increase trouble in breathing Bradycardia (unusually slow heartbeat) or Heart Does hydrochlorothiazide cause hyperglycemia or blood vessel disease—This combination medicine may make these heart problems Does hydrochlorothiazide cause hyperglycemia worse; also, if treatment is Does hydrochlorothiazide cause hyperglycemia stopped suddenly, unwanted effects may occur Diabetes mellitus (sugar diabetes)—The beta-blocker contained in this medicine may cause hyperglycemia (high blood sugar) and circulation problems; in addition, if your diabetes medicine causes your blood sugar to be too low, beta-blockers may cover up some of the symptoms (fast heartbeat), although they will not cover up other symptoms such as dizziness or sweating; the thiazide diuretic contained in this medicine may increase the amount of sugar in the blood Gout (history of) Does hydrochlorothiazide cause hyperglycemia or Lupus erythematosus (history of) or Pancreatitis (inflammation of the pancreas)—The thiazide diuretic contained in this medicine may make these conditions worse Kidney disease or Liver disease—Effects Does hydrochlorothiazide cause hyperglycemia of this medicine may be increased because of slower removal from the body Mental depression (or history of) or Myasthenia gravis or Pheochromocytoma or Psoriasis or Raynaud's syndrome—The beta-blocker contained in this Does hydrochlorothiazide cause hyperglycemia medicine may make these conditions worse Overactive thyroid—Stopping this medicine suddenly may increase symptoms of overactive thyroid; the beta-blocker contained in this medicine may cover up fast heartbeat, which is a sign of overactive thyroid Proper Use of This Medicine In addition to the use of the medicine your doctor has prescribed, treatment for your high blood pressure may include weight control and care in the types of foods you eat, especially foods high in sodium. Your doctor will tell you which of these are most important for you. You should check with your doctor before changing your diet. Many patients who have high blood pressure will not notice any signs of the problem. In fact, many may feel normal. It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well. Remember that this medicine will not cure your high blood pressure but it does help control it. Therefore, you must continue to take it as directed if you expect to lower your blood Does hydrochlorothiazide cause hyperglycemia pressure and keep it down. You may have Does hydrochlorothiazide cause hyperglycemia to take high blood pressure Does hydrochlorothiazide cause hyperglycemia medicine for the rest of your life . Does hydrochlorothiazide cause hyperglycemia If high blood pressure is not treated, it can cause serious problems such as heart failure, blood vessel disease, stroke, or kidney disease. For patients taking the extended-release tablet form of this medicine: Swallow the tablet whole. Do not crush, break, or chew before swallowing. To Does hydrochlorothiazide cause hyperglycemia help you remember to take your medicine, try to get Does hydrochlorothiazide cause hyperglycemia into the habit of taking it at the Does hydrochlorothiazide cause hyperglycemia same time each day. Ask your doctor about checking your Does hydrochlorothiazide cause hyperglycemia pulse rate before and Does hydrochlorothiazide cause hyperglycemia after taking beta-blocking agents. Then, while you are taking this medicine, check your pulse regularly. If it is much slower than your usual rate (or Does hydrochlorothiazide cause hyperglycemia less than 50 beats per minute), check with your doctor. A pulse rate that is too slow may cause circulation problems. The thiazide diuretic (e.g., bendroflumethiazide, chlorthalidone, or hydrochlorothiazide) contained in this combination medicine may cause you to have an unusual feeling of tiredness when you begin to take it. You may also notice an increase in the amount of urine or in your frequency of urination. After you take the medicine for a while, these effects should lessen. To keep the increase in urine from affecting your sleep: If you are to take a single dose a day, take it in the Does hydrochlorothiazide cause hyperglycemia morning after breakfast. If you are to take more than one dose a day, take the last dose no later than 6 p.m., unless otherwise directed by your doctor. However, it is best to plan your dose or doses according to a schedule that will least affect your personal activities and sleep. Ask your health care professional to help you plan the best time to take this medicine. Do not miss any doses . This is especially important when you are taking only one dose per day. Some conditions may become worse when this medicine is not taken regularly. Dosing—The dose of beta-blocker and thiazide diuretic combinations will be different for different patients. Follow your doctor's orders or the directions on the label . The following information includes only the average doses of beta-blocker and thiazide diuretic combinations. If your dose is different, do not change it unless your doctor tells you to do so.The number of capsules or tablets that you take depends on the strength of the medicine. For atenolol and chlorthalidone combination For oral dosage form (tablets): For high blood pressure: Adults—1 or 2 tablets once a day. Children—Dose must be determined by your doctor. For bisoprolol and hydrochlorothiazide combination For oral dosage form (tablets): For high blood pressure: Adults—1 or 2 tablets once a day. Children—Dose must be determined by your doctor. For metoprolol and hydrochlorothiazide combination For oral dosage form (tablets): For high blood Does hydrochlorothiazide cause hyperglycemia pressure: Adults—1 or 2 tablets a day. Children—Dose must be determined by your doctor. For nadolol Does hydrochlorothiazide cause hyperglycemia and bendroflumethiazide combination For oral dosage form (tablets): For high blood pressure: Adults—1 tablet once a day. Children—Dose must be determined by your doctor. For pindolol and hydrochlorothiazide combination For oral dosage form (tablets): For high blood pressure: Adults—1 or 2 tablets once a day. Children—Dose must be Does hydrochlorothiazide cause hyperglycemia determined by your doctor. For propranolol and hydrochlorothiazide combination For Does hydrochlorothiazide cause hyperglycemia regular (short-acting) oral dosage form (tablets): For high blood pressure: Adults—1 or 2 tablets two times a day. Children—Dose must be determined by your doctor. For long-acting oral dosage form (capsules): For high blood pressure: Adults—1 capsule a day. Children—Dose must be determined by your doctor. For timolol and hydrochlorothiazide combination For oral dosage form (tablets): For high blood pressure: Adults—1 tablet two times a day or 2 tablets once a day. Children—Dose must be determined by your doctor. Missed Does hydrochlorothiazide cause hyperglycemia dose—If you miss a dose of this medicine, take it as soon as possible. However, if it is within 4 hours Does hydrochlorothiazide cause hyperglycemia of your next dose (8 hours if you are using atenolol and chlorthalidone, bisoprolol and hydrochlorothiazide, nadolol and bendroflumethiazide, or extended-release propranolol and hydrochlorothiazide), skip the missed dose and go back to your regular dosing schedule. Do not double doses. Storage—To store this medicine: Keep out of the reach of children. Store away from heat and direct light. Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down. Do not Does hydrochlorothiazide cause hyperglycemia keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children. Precautions While Using This Medicine It is important that Does hydrochlorothiazide cause hyperglycemia your doctor check your progress Does hydrochlorothiazide cause hyperglycemia at regular visits. This is to make sure the Does hydrochlorothiazide cause hyperglycemia medicine is properly controlling your blood pressure and to allow the dosage to be changed if needed. Do not stop taking Does hydrochlorothiazide cause hyperglycemia this medicine without first checking with your doctor . Your doctor may want you to reduce gradually the amount you are taking before stopping Does hydrochlorothiazide cause hyperglycemia completely. Some conditions may become worse when the medicine is stopped suddenly, and the risk of heart attack is increased in some patients. Make sure that you have enough medicine on hand to last through weekends, holidays, or vacations. You may want to carry an extra written Does hydrochlorothiazide cause hyperglycemia prescription in your billfold or purse in case of an emergency. You can then have it filled if you run out of medicine while you are away from home. Your doctor may want you to carry medical identification stating that you are taking this medicine. Do not take other medicines unless they have been discussed with your doctor . This especially includes over-the-counter (nonprescription) medicines for appetite control, asthma, colds, cough, hay fever, or sinus problems since they may increase your blood pressure. Before having any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are taking this medicine . For diabetic patients : This medicine may Does hydrochlorothiazide cause hyperglycemia increase your blood sugar levels . Also, this medicine may cover up signs of hypoglycemia (low blood sugar) , such as change in pulse rate. While you are taking this medicine, be especially careful in testing for sugar in Does hydrochlorothiazide cause hyperglycemia your urine. If you have any questions about this, check with your doctor. The thiazide diuretic contained in this medicine may cause a loss of potassium from your body . To help prevent this, your doctor may want you to: eat or drink foods that have a high potassium content (for example, orange or Does hydrochlorothiazide cause hyperglycemia other citrus fruit juices), or take a potassium supplement, or take another medicine to help prevent the loss of the potassium in the first place. It is very Does hydrochlorothiazide cause hyperglycemia important to follow these directions. Also, it is important not to change your diet on your own. This is more important if you are already on a special diet (as for diabetes), or if you are taking a potassium supplement or a medicine to reduce potassium loss. Extra potassium may not be necessary and, in some cases, too much potassium could be harmful. Check with your doctor if you become sick and have severe or continuing vomiting or diarrhea. These problems may cause you to lose additional water and potassium. This medicine may cause some people to become dizzy, drowsy, lightheaded, or less alert than Does hydrochlorothiazide cause hyperglycemia they are normally. Make sure you know how you Does hydrochlorothiazide cause hyperglycemia react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert . If the Does hydrochlorothiazide cause hyperglycemia problem continues Does hydrochlorothiazide cause hyperglycemia or gets worse, check with your doctor. The beta-blocker (atenolol, bisoprolol, Does hydrochlorothiazide cause hyperglycemia metoprolol, nadolol, pindolol, propranolol, or timolol) contained in this medicine Does hydrochlorothiazide cause hyperglycemia may make you more sensitive to cold temperatures, Does hydrochlorothiazide cause hyperglycemia especially if you have blood circulation problems. Beta-blockers tend to decrease blood circulation in the skin, fingers, and toes. Dress warmly during cold weather and be careful during prolonged exposure to cold, such as in winter sports. This medicine may cause your skin to be more sensitive to sunlight than it is normally. Exposure to sunlight, even for brief periods of time, may cause a skin rash, itching, redness or other discoloration of the skin, or a severe sunburn. When you begin taking this medicine: Stay out of direct sunlight, especially between the hours of 10:00 a.m. and 3:00 p.m., if possible. Wear protective clothing, including a hat. Also, wear sunglasses. Apply a sun block product that has a skin protection factor (SPF) of at least 15. Some patients may require a product with a higher SPF number, especially if they have a fair complexion. If you have any questions about this, check with your health care professional. Apply a sun block lipstick that has an SPF of at least 15 to protect your lips. Do not use a sunlamp or tanning bed or booth. If you have a severe reaction from the sun, check with your doctor . Before you have any medical tests, tell the doctor in charge that you are taking this medicine. The results of some tests may be affected by this medicine. For patients with allergies to foods, medicines, or insect stings: There is a chance that this medicine will make allergic reactions worse and harder to treat. If you have a severe allergic reaction while you are being treated with this Does hydrochlorothiazide cause hyperglycemia medicine, check with a doctor right away so that it can be treated. Side Effects of This Does hydrochlorothiazide cause hyperglycemia Medicine Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, Does hydrochlorothiazide cause hyperglycemia if they Does hydrochlorothiazide cause hyperglycemia do occur they may need medical attention. Check with your doctor as soon as possible if any of the following side effects occur: Less common Breathing difficulty and/or wheezing; cold hands and feet; mental depression; slow heartbeat (especially less than 50 beats per minute); swelling of ankles, feet, and/or lower legs Rare Black, tarry stools; blood in urine or stools; chest pain; dark urine; fever, chills, cough, or sore throat; hallucinations Does hydrochlorothiazide cause hyperglycemia (seeing, hearing, Does hydrochlorothiazide cause hyperglycemia or feeling things that are not there); joint pain; lower back or side pain; pinpoint red spots on skin; red, scaling, or crusted skin; skin rash or Does hydrochlorothiazide cause hyperglycemia hives; stomach pain (severe) with nausea and vomiting; unusual bleeding or bruising; or yellow eyes or skin Signs and symptoms of too much potassium or sodium loss Confusion; convulsions (seizures); dryness of mouth; increased thirst; irregular heartbeats; irritability, mood or mental changes; muscle cramps or Does hydrochlorothiazide cause hyperglycemia pain; nausea or vomiting, unusual tiredness or weakness; weak pulse Signs and symptoms of overdose (in the order in which they may occur) Slow heartbeat; dizziness (severe) or fainting; difficulty in breathing; bluish-colored fingernails or palms Does hydrochlorothiazide cause hyperglycemia of hands; convulsions (seizures)Other side Does hydrochlorothiazide cause hyperglycemia effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your Does hydrochlorothiazide cause hyperglycemia doctor if any of the following side effects continue or are bothersome: More common Decreased sexual ability; dizziness or lightheadedness; drowsiness (mild); trouble in sleeping Less common Anxiety or nervousness; constipation; diarrhea; increased sensitivity of skin to sunlight (skin rash, itching, redness Does hydrochlorothiazide cause hyperglycemia or other discoloration of skin, or severe sunburn); loss of Does hydrochlorothiazide cause hyperglycemia appetite; numbness or tingling of fingers and toes; stomach discomfort or upset; stuffy nose Rare Changes in Does hydrochlorothiazide cause hyperglycemia taste; dry, sore Does hydrochlorothiazide cause hyperglycemia eyes; itching of skin; nightmares and vivid dreamsAlthough not all of the above side effects have been reported for all of these medicines, they have been reported for at least one of the beta-blockers or thiazide diuretics. Since all of the beta-blockers are very similar and the thiazide diuretics are also very similar, any of the above side effects Does hydrochlorothiazide cause hyperglycemia may occur with any of these medicines. However, they may be more common with Does hydrochlorothiazide cause hyperglycemia some combinations than with others. After you have been taking this medicine for a while, it may cause unpleasant or even harmful effects if you stop Does hydrochlorothiazide cause hyperglycemia taking it too suddenly. After you stop taking this medicine or while you are gradually reducing the amount you are taking, check with your doctor right away if any of the following occur: Chest pain; fast Does hydrochlorothiazide cause hyperglycemia or irregular heartbeat; general feeling of discomfort, illness, or weakness; headache; shortness of breath (sudden); sweating; tremblingOther Does hydrochlorothiazide cause hyperglycemia side effects not listed above may also occur in some Does hydrochlorothiazide cause hyperglycemia patients. If you notice any other effects, check with your doctor. Revised: Does hydrochlorothiazide cause hyperglycemia 08/23/94 Copyright © 2000 Micromedex, Inc. All rights reserved. Licensed to Does hydrochlorothiazide cause hyperglycemia Medical Strategies, Inc./Healthtouch®. USP DI® and Advice for the Patient® are registered trademarks of United States Pharmacopeial Convention (USP) used under license to Micromedex, Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. The information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Additionally, the manufacture and distribution of herbal substances are not regulated in the United Does hydrochlorothiazide cause hyperglycemia States, and no quality standards currently exist. Talk to your doctor, nurse or pharmacist before following any medical Does hydrochlorothiazide cause hyperglycemia regimen to Does hydrochlorothiazide cause hyperglycemia see if it is safe and effective for you. Please read the end user acknowledgement. http://www.healthtouch.com All pages Copyright© 1995-2005 by Cardinal ScriptNet Bisoprolol and Hydrochlorothiazide - Beta adrenergic Blocking Agents and ThiazideDiuretics Systemic ℞ U S P H A R M Does hydrochlorothiazide cause hyperglycemia D Home Consumer Student School pharmacist Links USMC Sony Webtools Drug Info Directory ODP News Search Top » Does hydrochlorothiazide cause hyperglycemia Drug Information » Bisoprolol and Hydrochlorothiazide Does hydrochlorothiazide cause hyperglycemia - Beta adrenergic Blocking Does hydrochlorothiazide cause hyperglycemia Agents and ThiazideDiuretics Systemic printer friendly Drug Information A-m An-Az B Ca-Cn Co-Cz D E F G H I J K L M - Ml Mm - Mz Na -Nl Nm - Nz O P Q R Sa - Sm Sn - Sz Ta - Does hydrochlorothiazide cause hyperglycemia Tm Tn - Tz U V W X Y Z VALID XHTML 1.1 July 25, 2005 SuMTuWThFSa 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Bisoprolol and Hydrochlorothiazide - Does hydrochlorothiazide cause hyperglycemia Beta adrenergic Blocking Agents and ThiazideDiuretics Systemic A An B C Cn D E F G H I J K L M Mm O P Q r S Sn T Tn U V W X Y Z Beta-adrenergic Blocking Agents and Thiazide Diuretics (Systemic) Does hydrochlorothiazide cause hyperglycemia Bisoprolol and Hydrochlorothiazide Classification Antihypertensive--Atenolol and Chlorthalidone Bisprolol and Hydrochlorothiazide Metoprolol and Hydrochlorothiazide Nadolol and Bendroflumethiazide Pindolol and Hydrochlorothiazide Propranolol and Hydrochlorothiazide Timolol Does hydrochlorothiazide cause hyperglycemia and Hydrochlorothiazide Bisoprolol and Hydrochlorothiazide Information Beta-adrenergic blocking agent (more commonly, beta-blockers) and thiazide diuretic combinations belong to the group of medicines known as antihypertensives (high blood pressure medicine). Both ingredients of the combination control high blood pressure, but they work in different ways. Beta-blockers (atenolol, bisoprolol, metoprolol, nadolol, pindolol, propranolol, and timolol) reduce the work load on the heart as well as having other effects. Thiazide diuretics (bendroflumethiazide, chlorthalidone, and hydrochlorothiazide) reduce the amount of fluid pressure in the body by increasing the flow of urine.High blood pressure adds to the work load of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a Does hydrochlorothiazide cause hyperglycemia stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled.Beta-blocker and thiazide diuretic combinations are available only with your doctors prescription, in the following dosage forms: Oral Atenolol and chlorthalidone Tablets (U.S. and Canada) Bisoprolol and hydrochlorothiazide Tablets (U.S.) Metoprolol and hydrochlorothiazide Tablets (U.S.) Nadolol and bendroflumethiazide Tablets (U.S. and Canada) Pindolol and hydrochlorothiazide Tablets (Canada) Propranolol and hydrochlorothiazide Extended-release capsules (U.S.) Tablets (U.S. and Canada) Timolol and hydrochlorothiazide Tablets (U.S. and Canada) Precaution Does hydrochlorothiazide cause hyperglycemia before using Bisoprolol and Hydrochlorothiazide In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and Does hydrochlorothiazide cause hyperglycemia your doctor will make. For the beta-blocker and thiazide diuretic combinations, the following should be considered: Allergies: Tell your doctor if you have ever had any unusual or allergic reaction to beta-blockers, sulfonamides (sulfa drugs), bumetanide, furosemide, acetazolamide, dichlorphenamide, methazolamide, or any of the thiazide diuretics. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Pregnancy: Use of some beta-blockers during pregnancy has been associated with low blood sugar, breathing problems, a slower heart rate, and low blood pressure in the newborn infant. Other reports have not shown unwanted effects in the newborn infant. Does hydrochlorothiazide cause hyperglycemia Animal studies have shown some beta-blockers to cause Does hydrochlorothiazide cause hyperglycemia problems in pregnancy when used in doses many times the usual human dose.Studies with thiazide diuretics have not been done in pregnant women. However, use of thiazide diuretics during pregnancy may cause side effects such as jaundice, blood problems, and low potassium in the newborn infant. Animal studies have not shown thiazide diuretic medicines to cause birth defects even when used in doses several times the usual human dose.Before taking a beta-blocker and thiazide diuretic combination, make sure your doctor knows if you are pregnant or if you may become pregnant. Lactation: Atenolol, metoprolol, nadolol, propranolol, pindolol, timolol, and thiazide diuretics pass into breast milk. It is not known whether bisoprolol passes into Does hydrochlorothiazide cause hyperglycemia breast milk. Thiazide diuretics may decrease the flow of breast milk. Children: Although there is no specific information comparing use of this combination medicine in children with use in other age groups, Bisoprolol and Hydrochlorothiazide is not expected to cause different side effects Does hydrochlorothiazide cause hyperglycemia or problems in children than it does in Does hydrochlorothiazide cause hyperglycemia adults. However, extra caution may be necessary in infants with jaundice, because these medicines can make the condition worse. Elders: Some side effects, especially dizziness or lightheadedness and signs and symptoms of too much potassium loss, may be Does hydrochlorothiazide cause hyperglycemia more likely to occur in the elderly, who are usually more sensitive to the effects of Bisoprolol and Hydrochlorothiazide. Also, beta-blockers may reduce tolerance to cold temperatures in elderly patients. Concurrent medications: Does hydrochlorothiazide cause hyperglycemia Although certain medicines should not be Does hydrochlorothiazide cause hyperglycemia used together at all, in other cases 2 different medicines Does hydrochlorothiazide cause hyperglycemia may be used together even if an interaction might Does hydrochlorothiazide cause hyperglycemia occur. In Does hydrochlorothiazide cause hyperglycemia these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking beta-blocker and thiazide diuretic combinations, it is especially important that your health care professional know if you are taking any of the following: Allergy shots or Allergy skin Does hydrochlorothiazide cause hyperglycemia testsThe beta-blocker contained in Bisoprolol and Hydrochlorothiazide may increase the risk of a serious allergic reaction to these medicines Aminophylline (e.g., Somophyllin) or Caffeine (e.g., NoDoz) or Dyphylline (e.g., Lufylline) or Oxtriphylline (e.g., Choledyl) or Theophylline (e.g., Somophyllin-T)The effects of these medicines and beta-blockers may be blocked in addition, theophylline levels in the body may be increased, especially Does hydrochlorothiazide cause hyperglycemia in patients who smoke Antidiabetics, oral (diabetes medicine you take by mouth) or InsulinThere is an increased risk of hyperglycemia (high Does hydrochlorothiazide cause hyperglycemia blood sugar) the beta-blocker contained in Bisoprolol and Hydrochlorothiazide may also cover up certain symptoms of hypoglycemia (low blood sugar), Does hydrochlorothiazide cause hyperglycemia such as increases in pulse rate and blood pressure, and may make the hypoglycemia last longer Calcium channel blockers (amlodipine e.g., Norvasc, bepridil e.g., Bepadin, diltiazem e.g., Cardizem, felodipine e.g., Plendil, flunarizine e.g., Sibelium, isradipine e.g., DynaCirc, nicardipine e.g., Cardene, Does hydrochlorothiazide cause hyperglycemia nifedipine e.g., Procardia, nimodipine e.g., Nimotop, verapamil e.g., Calan) or Clonidine (e.g., Catapres) or Guanabenz (e.g., Wytensin)Effects on blood pressure may be increased. In addition, unwanted effects may occur if clonidine, guanabenz, or a beta-blocker are stopped suddenly after use together. Unwanted effects on the heart may occur when beta-blocker and thiazide diuretic combinations are used with calcium channel blockers CocaineCocaine may block the effects of beta-blockers in addition, there is an increased risk of high blood pressure, fast heartbeat, and possibly heart problems if you use cocaine while taking a beta-blocker and thiazide diuretic combination Digitalis glycosides (heart medicine)Use with beta-blocker and thiazide diuretic combinations may cause high blood levels of digoxin, which may increase the chance of side effects LithiumThe thiazide diuretic contained in Does hydrochlorothiazide cause hyperglycemia this combination may cause high blood levels of lithium, which may increase the chance of side effects Monoamine oxidase (MAO) inhibitors (furazolidone e.g., Furoxone, isocarboxazid e.g., Marplan, phenelzine e.g., Nardil, procarbazine e.g., Matulane, selegiline e.g., Eldepryl, tranylcypromine e.g., Does hydrochlorothiazide cause hyperglycemia Parnate)Taking a Does hydrochlorothiazide cause hyperglycemia beta-blocker and thiazide diuretic combination while you are taking or within 2 weeks of taking monoamine oxidase (MAO) inhibitors may cause severe high blood pressure Other medical problems: The presence of other medical problems may affect the Does hydrochlorothiazide cause hyperglycemia use of the beta-blockers and thiazide diuretics. Make sure you tell your doctor if you have any other medical Does hydrochlorothiazide cause hyperglycemia problems, especially: Allergy, history of (asthma, eczema, hay fever, hives), or Bronchitis or EmphysemaThis combination medicine may make allergic reactions to other substances more severe or make the reaction last longer in addition, the beta-blocker contained in this combination can increase trouble in breathing Bradycardia (unusually Does hydrochlorothiazide cause hyperglycemia slow heartbeat) Does hydrochlorothiazide cause hyperglycemia or Heart or blood vessel diseaseThis combination medicine may make these heart problems worse also, Does hydrochlorothiazide cause hyperglycemia if treatment is stopped suddenly, unwanted effects may occur Diabetes mellitus (sugar diabetes)The beta-blocker contained in Bisoprolol and Hydrochlorothiazide may cause hyperglycemia (high blood sugar) and circulation problems in addition, if your diabetes medicine causes your blood sugar to be too low, beta-blockers may cover up some of the symptoms (fast heartbeat), although they will not cover up other Does hydrochlorothiazide cause hyperglycemia symptoms such as dizziness or sweating the thiazide diuretic contained in Bisoprolol and Hydrochlorothiazide may increase the Does hydrochlorothiazide cause hyperglycemia amount of sugar in the blood Gout (history of) or Lupus erythematosus (history of) or Pancreatitis (inflammation of the pancreas)The thiazide diuretic contained in Bisoprolol and Hydrochlorothiazide may make these conditions worse Kidney disease or Liver diseaseEffects of Bisoprolol and Hydrochlorothiazide may be increased because of slower removal from the Does hydrochlorothiazide cause hyperglycemia body Mental depression (or history of) or Myasthenia gravis or Pheochromocytoma or Psoriasis or Raynauds syndromeThe beta-blocker contained in Bisoprolol and Hydrochlorothiazide may make these conditions worse Overactive thyroidStopping Bisoprolol and Hydrochlorothiazide suddenly may increase symptoms of overactive thyroid the beta-blocker contained in Bisoprolol and Hydrochlorothiazide may cover up fast heartbeat, which is a sign of overactive thyroid Proper Use of Bisoprolol and Hydrochlorothiazide In addition to the use of the medicine your doctor has prescribed, treatment for your high blood pressure may include weight control and care in the types of foods you eat, especially foods high in sodium. Your doctor will tell you which of Does hydrochlorothiazide cause hyperglycemia these are most important for you. You should check with your doctor before changing Does hydrochlorothiazide cause hyperglycemia your diet.Many patients who have high blood pressure will not notice any signs of the problem. In fact, many may feel normal. It is very important that you take Does hydrochlorothiazide cause hyperglycemia your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well.Remember that Bisoprolol and Hydrochlorothiazide will not cure your high blood pressure but it does help control it. Therefore, you must continue to take it as directed if you expect to lower your blood pressure and keep it down. You may have to take high blood pressure medicine for the rest of your life . If high Does hydrochlorothiazide cause hyperglycemia blood pressure is not treated, it can cause serious problems such as heart failure, blood vessel disease, stroke, or kidney disease.For patients taking the extended-release Does hydrochlorothiazide cause hyperglycemia tablet Does hydrochlorothiazide cause hyperglycemia form of Bisoprolol and Hydrochlorothiazide: Swallow the tablet whole. Do not crush, break, or chew before swallowing. To help you remember to Does hydrochlorothiazide cause hyperglycemia take your medicine, try to get into the habit of taking it at the same time each day.Ask your doctor about Does hydrochlorothiazide cause hyperglycemia checking your pulse rate before and after taking beta-blocking agents. Then, Does hydrochlorothiazide cause hyperglycemia while you are taking Bisoprolol and Hydrochlorothiazide, check your pulse regularly. If it is much slower than your usual rate (or less than 50 beats per minute), Does hydrochlorothiazide cause hyperglycemia check with your doctor. A pulse rate Does hydrochlorothiazide cause hyperglycemia that is too slow may cause circulation problems.The thiazide diuretic (e.g., bendroflumethiazide, chlorthalidone, or hydrochlorothiazide) contained in this combination medicine may cause you to have an unusual feeling of tiredness when you begin to take it. You may also notice an increase in the amount of urine or in your frequency of urination. After you take the medicine for a while, these effects should lessen. To keep the increase in urine from affecting your sleep: If you are to take a single dose a day, take it in the Does hydrochlorothiazide cause hyperglycemia morning after breakfast. If you are to take more than one dose a day, take the last dose no later than 6 p.m., unless otherwise directed by your doctor. However, it is best to plan your dose or doses according to a schedule that Does hydrochlorothiazide cause hyperglycemia will least affect your personal activities and sleep. Ask your health Does hydrochlorothiazide cause hyperglycemia care professional to help you plan the best time to take Bisoprolol and Hydrochlorothiazide.Do not miss any doses. This is especially important when you are taking only one dose per day. Some conditions may become worse Does hydrochlorothiazide cause hyperglycemia when Bisoprolol and Hydrochlorothiazide is Does hydrochlorothiazide cause hyperglycemia not taken regularly.How To Take Bisoprolol and Hydrochlorothiazide: The dose of beta-blocker and thiazide diuretic combinations will be different for different patients. Follow your doctors orders or the directions on the label. The following information includes only the average doses of beta-blocker and thiazide diuretic combinations. If your dose is different, do not change it unless your doctor Does hydrochlorothiazide cause hyperglycemia tells you to Does hydrochlorothiazide cause hyperglycemia do so.The number of Does hydrochlorothiazide cause hyperglycemia capsules or tablets that you take depends on the strength of the medicine. For atenolol and chlorthalidone combination For oral dosage form (tablets): For high blood pressure: Adults1 or Does hydrochlorothiazide cause hyperglycemia 2 tablets once a day. ChildrenDose must be determined by your doctor. For bisoprolol and hydrochlorothiazide combination For oral dosage form (tablets): For high blood pressure: Adults1 or 2 tablets once a day. ChildrenDose must be determined by your doctor. For metoprolol and hydrochlorothiazide combination For oral dosage form (tablets): For high blood pressure: Adults1 or 2 tablets a Does hydrochlorothiazide cause hyperglycemia day. ChildrenDose must be determined by your doctor. For nadolol and bendroflumethiazide combination For oral dosage form (tablets): For high blood pressure: Adults1 tablet once a day. ChildrenDose must be determined by your doctor. For pindolol and hydrochlorothiazide combination For oral dosage form (tablets): For high blood pressure: Adults1 or 2 tablets once a day. ChildrenDose must be determined by your doctor. For propranolol and hydrochlorothiazide combination For regular (short-acting) oral dosage form (tablets): For high blood pressure: Adults1 or 2 tablets two times a day. ChildrenDose must be determined by your doctor. For long-acting oral dosage form (capsules): For high blood pressure: Adults1 capsule a day. ChildrenDose must be determined by your doctor. For timolol and hydrochlorothiazide combination For oral dosage form (tablets): For high blood pressure: Adults1 tablet two times a day or 2 tablets once a day. ChildrenDose must be determined by your doctor. Missed dose of Bisoprolol and Hydrochlorothiazide: If you miss a dose of Bisoprolol and Hydrochlorothiazide, take it as soon as possible. However, if it is within 4 hours of your next dose (8 hours if you are using atenolol and chlorthalidone, Does hydrochlorothiazide cause hyperglycemia bisoprolol and hydrochlorothiazide, nadolol and bendroflumethiazide, or extended-release propranolol and hydrochlorothiazide), skip the missed dose and Does hydrochlorothiazide cause hyperglycemia go back to Does hydrochlorothiazide cause hyperglycemia your regular dosing schedule. Do not double doses.Storage of Bisoprolol and Hydrochlorothiazide: To store Bisoprolol and Hydrochlorothiazide: Keep out of the reach of children. Store away from heat and direct light. Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down. Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children. Precaution while using Bisoprolol and Hydrochlorothiazide It is important that your doctor check Does hydrochlorothiazide cause hyperglycemia your progress at regular visits. This is to make Does hydrochlorothiazide cause hyperglycemia sure the medicine is properly controlling your blood pressure and to allow the dosage to be changed if needed.Do not stop taking Bisoprolol and Hydrochlorothiazide without first checking with your doctor. Your doctor may want you to reduce gradually the amount you are taking before Does hydrochlorothiazide cause hyperglycemia stopping completely. Some conditions may become worse when the medicine is stopped suddenly, and the risk of heart attack is increased in some patients.Make sure that you have enough medicine on hand to last through weekends, holidays, or vacations. You may want to carry an extra written prescription in your billfold or purse in case of an Does hydrochlorothiazide cause hyperglycemia emergency. You can then have it filled if you run out of medicine while you are away from home.Your doctor may want you to carry medical identification stating that you are taking Bisoprolol and Hydrochlorothiazide.Do not take other medicines unless they Does hydrochlorothiazide cause hyperglycemia have been discussed with your doctor. This especially includes over-the-counter (nonprescription) medicines for appetite control, asthma, colds, cough, hay fever, or sinus problems since they may increase your blood pressure.Before having any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are taking Bisoprolol and Hydrochlorothiazide.For diabetic patients: Bisoprolol and Hydrochlorothiazide may increase your blood sugar levels . Also, Bisoprolol and Hydrochlorothiazide may cover up Does hydrochlorothiazide cause hyperglycemia signs of hypoglycemia (low blood sugar), such as change in pulse rate. While you are taking Bisoprolol and Hydrochlorothiazide, Does hydrochlorothiazide cause hyperglycemia be especially careful in testing for sugar in your urine. If you have any questions about this, check with your doctor. The thiazide diuretic contained in Bisoprolol and Hydrochlorothiazide may cause a Does hydrochlorothiazide cause hyperglycemia loss of potassium from your body. To help prevent this, your doctor may want you to: eat or drink foods that have a high potassium content (for Does hydrochlorothiazide cause hyperglycemia example, orange or other citrus fruit juices), or take a potassium supplement, or take another Does hydrochlorothiazide cause hyperglycemia medicine to help prevent the loss of the potassium in the first place. It is very important to follow these directions. Also, it is important not to change your diet Does hydrochlorothiazide cause hyperglycemia on your own. This is more important if you are already on a special diet (as for diabetes), or if you are taking a potassium supplement or a medicine to reduce potassium loss. Extra potassium may Does hydrochlorothiazide cause hyperglycemia not be necessary and, in some cases, too much potassium could be harmful. Check with your doctor if you become sick and have severe or continuing vomiting or diarrhea. These problems may cause you to Does hydrochlorothiazide cause hyperglycemia lose additional water and potassium.Bisoprolol and Hydrochlorothiazide may cause some people to Does hydrochlorothiazide cause hyperglycemia become dizzy, drowsy, lightheaded, or less alert than they are normally. Make sure you know how you react to Bisoprolol and Hydrochlorothiazide before you Does hydrochlorothiazide cause hyperglycemia drive, use machines, Does hydrochlorothiazide cause hyperglycemia or do anything else that could be dangerous if you are dizzy or are not alert. If the problem continues or gets worse, check with your doctor.The beta-blocker (atenolol, bisoprolol, metoprolol, nadolol, pindolol, propranolol, or timolol) contained in Bisoprolol and Hydrochlorothiazide may make you more sensitive to cold temperatures, especially if you have blood circulation problems. Beta-blockers tend to decrease blood circulation in the skin, fingers, and toes. Dress warmly during cold weather and be careful during prolonged exposure to cold, such as in winter sports.Bisoprolol and Hydrochlorothiazide may cause your skin to be more sensitive to sunlight than it is normally. Exposure to sunlight, Does hydrochlorothiazide cause hyperglycemia even for brief periods of time, may cause a skin rash, itching, redness or other discoloration of the skin, or a severe sunburn. When you begin taking Bisoprolol and Hydrochlorothiazide: Stay out of direct sunlight, especially between the hours of 10:00 a.m. and 3:00 p.m., if possible. Wear protective clothing, including a hat. Also, wear sunglasses. Apply a sun block product that has Does hydrochlorothiazide cause hyperglycemia a skin protection factor (SPF) of at least 15. Some patients may require a product with a higher SPF number, especially if they have Does hydrochlorothiazide cause hyperglycemia a fair Does hydrochlorothiazide cause hyperglycemia complexion. If you have any questions about this, check with your health care professional. Apply a sun block Does hydrochlorothiazide cause hyperglycemia lipstick that has an SPF of at least 15 to protect your lips. Do not use a sunlamp or tanning bed or booth. If you Does hydrochlorothiazide cause hyperglycemia have a severe reaction from the sun, check with your doctor.Before you have any medical tests, tell the doctor in charge that you are taking Bisoprolol and Hydrochlorothiazide. The results of some tests may be affected by Bisoprolol Does hydrochlorothiazide cause hyperglycemia and Hydrochlorothiazide. For patients with allergies to foods, medicines, or insect stings: There is a chance that Bisoprolol and Hydrochlorothiazide will make allergic reactions worse and harder to treat. If you have a severe Does hydrochlorothiazide cause hyperglycemia allergic reaction while you are being treated with Bisoprolol and Hydrochlorothiazide, check with a doctor right away so that it can be treated. Possible Side Effects of Bisoprolol and Hydrochlorothiazide Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur Does hydrochlorothiazide cause hyperglycemia they may need medical attention. Check with your doctor as soon as possible Does hydrochlorothiazide cause hyperglycemia if any of Does hydrochlorothiazide cause hyperglycemia the following side effects occur: Less common Breathing difficulty and/or wheezing cold hands and feet mental Does hydrochlorothiazide cause hyperglycemia depression slow heartbeat (especially less than 50 beats Does hydrochlorothiazide cause hyperglycemia per minute) swelling of ankles, feet, and/or lower legs Rare Black, tarry stools blood in urine or stools chest pain dark urine fever, chills, cough, or sore throat hallucinations (seeing, hearing, or feeling things that are not there) joint pain lower back or side pain pinpoint red spots on skin red, scaling, or crusted skin skin rash or hives stomach pain (severe) with nausea and vomiting unusual bleeding or bruising or yellow eyes or skin Signs and symptoms Does hydrochlorothiazide cause hyperglycemia of too much potassium or sodium loss Confusion convulsions (seizures) dryness of Does hydrochlorothiazide cause hyperglycemia mouth increased thirst irregular heartbeats irritability, mood or mental changes muscle cramps or pain nausea or vomiting, unusual tiredness or weakness weak pulse Signs and symptoms of overdose (in the order in which they Does hydrochlorothiazide cause hyperglycemia may occur) Slow heartbeat dizziness (severe) or fainting difficulty in breathing bluish-colored fingernails or palms of hands convulsions (seizures) Other side effects may occur that usually do not need medical attention. These Does hydrochlorothiazide cause hyperglycemia side effects may go away during treatment Does hydrochlorothiazide cause hyperglycemia as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome: More common Decreased sexual ability dizziness or lightheadedness drowsiness (mild) trouble in sleeping Less common Anxiety or nervousness constipation diarrhea increased sensitivity of skin to sunlight (skin rash, itching, redness or other discoloration of skin, or severe sunburn) loss of Does hydrochlorothiazide cause hyperglycemia appetite numbness or tingling of fingers and toes stomach discomfort or upset stuffy nose Rare Changes in taste dry, sore eyes itching of skin nightmares and vivid dreams Although not all of the above side effects Does hydrochlorothiazide cause hyperglycemia have been reported for all of these medicines, they have been reported for at Does hydrochlorothiazide cause hyperglycemia least one of the beta-blockers or thiazide diuretics. Since all of the beta-blockers are very similar and the thiazide diuretics are also very similar, any of the above side Does hydrochlorothiazide cause hyperglycemia effects may occur with any of these medicines. However, they may be more common with some combinations than with others. After you have been taking Bisoprolol and Hydrochlorothiazide for a while, it may cause unpleasant or even harmful effects if you stop taking it too suddenly. After you stop taking Bisoprolol and Hydrochlorothiazide or while you are gradually reducing the amount you are taking, check with your doctor right away if any of the following occur: Chest pain fast or irregular heartbeat general feeling of discomfort, illness, or weakness headache shortness of breath (sudden) sweating trembling Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor. ; ; Disclaimer Privacy Advertise Sitemap Contact Us 307 user(s) online 1 Does hydrochlorothiazide cause hyperglycemia here 430most online6,842Visitor(s) Today 1,986,876 Visits Since 11/01/2002 Last Modified: February 10, 2005 BETA-ADRENERGIC BLOCKING AGENTS AND THIAZIDE DIURETICS (Systemic) Careers | Contact Us | En Español | Employee Sign-in Advanced Search Home Care Conditions & Treatments Be Healthy About Allina For Providers You are here: Conditions & Treatments > Medicines A-Z (advanced) Print Send to a Friend Monograph Title Brand Names Category Description Before Using This Medicine Proper Use of This Medicine Precautions While Using This Medicine Side Effects of Does hydrochlorothiazide cause hyperglycemia This Medicine BETA-ADRENERGIC BLOCKING AGENTS AND Does hydrochlorothiazide cause hyperglycemia THIAZIDE DIURETICS (Systemic) Some commonly used brand names are: In the U.S.— Corzide 40/5 4 Corzide 80/5 4 Inderide 6 Inderide LA 6 Lopressor HCT 3 Tenoretic 50 1 Tenoretic 100 1 Timolide 10-25 7 Ziac 2 In Canada— Corzide 4 Inderide 6 Tenoretic 1 Timolide 7 Viskazide 5 Note: For quick reference, the following beta-adrenergic blocking agents and thiazide diuretics are numbered to match the corresponding brand names. This information applies to the following medicines: 1. Atenolol and Chlorthalidone (a-TEN-oh-lole and klor-THAL-i-doan)‡ 2. Bisoprolol and Hydrochlorothiazide (bis-OH-proe-lol and hye-droe-klor-oh-THYE-a-zide)† 3. Metoprolol and Hydrochlorothiazide (me-TOE-proe-lole and hye-droe-klor-oh-THYE-a-zide)† 4. Nadolol and Bendroflumethiazide (NAY-doe-lole and ben-droe-floo-meth-EYE-a-zide) 5. Pindolol and Hydrochlorothiazide (PIN-doe-lole and hye-droe-klor-oh-THYE-a-zide)* 6. Propranolol and Hydrochlorothiazide (proe-PRAN-oh-lole and hye-droe-klor-oh-THYE-a-zide)‡ 7. Timolol and Hydrochlorothiazide (TIM-oh-lole and hye-droe-klor-oh-THYE-a-zide) * Not commercially available in the U.S. † Not commercially available in Canada ‡ Generic name product may be Does hydrochlorothiazide cause hyperglycemia available in the Does hydrochlorothiazide cause hyperglycemia U.S. Category Antihypertensive—Atenolol and Chlorthalidone; Bisprolol and Hydrochlorothiazide; Metoprolol and Hydrochlorothiazide; Nadolol and Bendroflumethiazide; Pindolol and Hydrochlorothiazide; Propranolol and Hydrochlorothiazide; Timolol and Hydrochlorothiazide Description Beta-adrenergic blocking agent (more commonly, beta-blockers) and thiazide diuretic combinations belong to the group of medicines known as antihypertensives (high blood pressure medicine). Both ingredients of the combination control high blood pressure, but they work in different ways. Beta-blockers (atenolol, bisoprolol, metoprolol, nadolol, pindolol, propranolol, and timolol) reduce Does hydrochlorothiazide cause hyperglycemia the work load on the Does hydrochlorothiazide cause hyperglycemia heart as Does hydrochlorothiazide cause hyperglycemia well as having other effects. Thiazide diuretics (bendroflumethiazide, chlorthalidone, and hydrochlorothiazide) reduce the amount of fluid pressure in the body by increasing the Does hydrochlorothiazide cause hyperglycemia flow of Does hydrochlorothiazide cause hyperglycemia urine. High blood pressure Does hydrochlorothiazide cause hyperglycemia adds to the work load of the heart and arteries. If it continues for a long time, the heart and Does hydrochlorothiazide cause hyperglycemia arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled. Beta-blocker and thiazide diuretic combinations are available only with your doctor's prescription, in the following dosage forms: Oral Atenolol and chlorthalidone Tablets (U.S. and Canada) Bisoprolol and hydrochlorothiazide Tablets (U.S.) Metoprolol and hydrochlorothiazide Tablets (U.S.) Nadolol and bendroflumethiazide Tablets (U.S. and Canada) Pindolol and hydrochlorothiazide Tablets (Canada) Propranolol and hydrochlorothiazide Extended-release capsules (U.S.) Tablets (U.S. and Canada) Timolol and hydrochlorothiazide Tablets (U.S. and Canada) Before Using This Medicine In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For the beta-blocker and thiazide diuretic combinations, Does hydrochlorothiazide cause hyperglycemia the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to beta-blockers, sulfonamides (sulfa drugs), bumetanide, furosemide, acetazolamide, dichlorphenamide, methazolamide, or any of the thiazide diuretics. Also tell your health care professional if Does hydrochlorothiazide cause hyperglycemia you are allergic to Does hydrochlorothiazide cause hyperglycemia any other substances, such as foods, preservatives, or dyes. Pregnancy—Use of some beta-blockers during pregnancy has been associated with low blood sugar, breathing problems, a slower heart rate, and low blood pressure in the newborn Does hydrochlorothiazide cause hyperglycemia infant. Other reports have not shown unwanted effects in the newborn infant. Animal studies have shown Does hydrochlorothiazide cause hyperglycemia some beta-blockers to cause problems in pregnancy when used in doses many times the usual human dose.Studies with thiazide diuretics have not been done in pregnant women. However, use of thiazide diuretics during pregnancy may cause side effects such as jaundice, blood problems, and low potassium in the newborn infant. Animal studies have not shown thiazide diuretic medicines to cause birth defects even when used in doses several times the usual human dose. Before taking a beta-blocker and thiazide diuretic combination, make sure your doctor Does hydrochlorothiazide cause hyperglycemia knows if you are pregnant Does hydrochlorothiazide cause hyperglycemia or if you may become pregnant. Breast-feeding—Atenolol, metoprolol, nadolol, propranolol, pindolol, timolol, and thiazide diuretics pass into breast milk. It is not known whether bisoprolol passes into breast milk. Thiazide diuretics may decrease the flow of breast milk. Children—Although there is no specific information comparing use of this combination medicine in children with use in other age groups, this medicine is not Does hydrochlorothiazide cause hyperglycemia expected to cause different side effects or problems in children than it does in adults. However, extra caution may be necessary in infants with jaundice, because these medicines can make the condition worse. Older adults—Some side effects, especially dizziness or lightheadedness and signs and symptoms of too much potassium loss, may be more likely to occur in the elderly, who are usually more sensitive to the effects of this medicine. Also, beta-blockers may reduce tolerance to cold temperatures Does hydrochlorothiazide cause hyperglycemia in elderly patients. Other medicines—Although certain Does hydrochlorothiazide cause hyperglycemia medicines Does hydrochlorothiazide cause hyperglycemia should not be used together at all, in other cases 2 different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking beta-blocker and thiazide diuretic combinations, it is especially important that your health care professional know if you are taking any of the following: Allergy shots or Allergy skin tests—The beta-blocker contained in this medicine may increase the risk of a serious allergic reaction to these medicines Aminophylline (e.g., Somophyllin) or Caffeine (e.g., NoDoz) or Dyphylline (e.g., Lufylline) or Oxtriphylline (e.g., Choledyl) or Theophylline (e.g., Somophyllin-T)—The effects of these medicines and beta-blockers may be blocked; in addition, theophylline levels in the body may be increased, especially in patients who smoke Antidiabetics, oral (diabetes medicine you take by mouth) or Insulin—There is an increased risk of hyperglycemia (high blood sugar); the beta-blocker contained in this medicine may also cover up certain symptoms of hypoglycemia (low blood sugar), such as increases in pulse rate and blood pressure, and may make the hypoglycemia Does hydrochlorothiazide cause hyperglycemia last longer Calcium channel blockers (amlodipine [e.g., Norvasc], bepridil [e.g., Bepadin], diltiazem [e.g., Cardizem], felodipine [e.g., Plendil], flunarizine [e.g., Sibelium], isradipine [e.g., DynaCirc], nicardipine [e.g., Cardene], nifedipine Does hydrochlorothiazide cause hyperglycemia [e.g., Procardia], nimodipine [e.g., Nimotop], verapamil [e.g., Calan]) or Clonidine (e.g., Catapres) or Guanabenz (e.g., Wytensin)—Effects on blood pressure may be increased. In addition, unwanted effects Does hydrochlorothiazide cause hyperglycemia may occur if clonidine, guanabenz, or a beta-blocker are stopped suddenly after use together. Unwanted effects on the heart may occur when beta-blocker and thiazide diuretic combinations are used with calcium channel blockers Cocaine—Cocaine may block the effects of beta-blockers; in addition, there is an increased risk of high blood pressure, fast heartbeat, and possibly heart problems if you use cocaine while taking a beta-blocker and thiazide diuretic combination Digitalis glycosides (heart medicine)—Use with beta-blocker and thiazide diuretic combinations may cause high blood levels of digoxin, which may increase the chance of side effects Lithium—The thiazide diuretic contained in this combination may cause high blood Does hydrochlorothiazide cause hyperglycemia levels of lithium, which may increase the chance of side effects Monoamine oxidase (MAO) inhibitors (furazolidone [e.g., Furoxone], isocarboxazid [e.g., Marplan], phenelzine [e.g., Nardil], procarbazine [e.g., Matulane], selegiline [e.g., Does hydrochlorothiazide cause hyperglycemia Eldepryl], tranylcypromine [e.g., Parnate])—Taking a beta-blocker and thiazide diuretic combination while you are taking or within 2 weeks of taking monoamine oxidase (MAO) inhibitors may cause severe high blood pressure Other medical problems—The presence of other medical problems may affect the use of the beta-blockers and thiazide diuretics. Make sure you tell your doctor if you have any other medical problems, especially: Allergy, history of (asthma, eczema, hay fever, hives), or Bronchitis or Emphysema—This combination Does hydrochlorothiazide cause hyperglycemia medicine may make allergic reactions to other substances more severe or make the reaction last longer; in addition, the Does hydrochlorothiazide cause hyperglycemia beta-blocker contained in this combination can increase trouble in breathing Bradycardia (unusually slow heartbeat) or Heart or blood vessel disease—This combination medicine may make these heart problems worse; also, if treatment is stopped suddenly, unwanted effects may occur Diabetes mellitus Does hydrochlorothiazide cause hyperglycemia (sugar diabetes)—The beta-blocker contained in this medicine may cause hyperglycemia (high blood sugar) and circulation problems; in addition, if your diabetes medicine causes your blood sugar to be too low, beta-blockers may cover up some of the symptoms (fast heartbeat), although they will not cover up other symptoms such as dizziness or sweating; the thiazide diuretic contained in this medicine may increase the amount of sugar in the blood Gout (history of) or Lupus erythematosus (history of) or Pancreatitis (inflammation of the pancreas)—The thiazide diuretic contained in this medicine may make these conditions worse Kidney disease or Liver disease—Effects of this medicine may be increased because of slower removal from the body Mental depression (or history of) or Myasthenia gravis or Pheochromocytoma or Psoriasis or Raynaud's syndrome—The beta-blocker contained in this medicine may make these conditions worse Overactive thyroid—Stopping this medicine suddenly may increase symptoms of overactive thyroid; the beta-blocker contained in this medicine may cover up fast heartbeat, which is a sign of overactive thyroid Proper Use of This Medicine In addition to the use of the medicine your doctor has prescribed, treatment for your high blood pressure may include weight control and care in the types of foods you eat, especially foods high in sodium. Your doctor will tell you which of these are most important for you. You should check with your doctor before changing your diet. Many patients who have high blood pressure will not notice any signs of the problem. In fact, many may feel normal. It is very important that you take your medicine exactly as Does hydrochlorothiazide cause hyperglycemia directed and that you keep your appointments with your doctor even if you feel well. Remember that this medicine will Does hydrochlorothiazide cause hyperglycemia not cure your high blood pressure but it does help control it. Therefore, you must continue to take it as directed if you expect to lower your blood pressure and keep it down. You may have to take Does hydrochlorothiazide cause hyperglycemia high blood pressure Does hydrochlorothiazide cause hyperglycemia medicine for the rest of your life . If high blood pressure is not treated, it can cause serious problems such as heart failure, Does hydrochlorothiazide cause hyperglycemia blood vessel disease, stroke, or kidney disease. For patients taking the extended-release tablet form of this medicine: Swallow the tablet whole. Do not crush, break, or chew before swallowing. To help you remember to take your medicine, try to get into the habit of taking it at the same time each day. Ask your doctor about checking your pulse rate before and after taking beta-blocking agents. Then, while you are taking this medicine, check your pulse regularly. If it is much slower than your usual rate (or less than 50 beats per minute), check with your doctor. A pulse rate that is too slow may cause circulation problems. The thiazide diuretic (e.g., Does hydrochlorothiazide cause hyperglycemia bendroflumethiazide, chlorthalidone, or hydrochlorothiazide) contained in Does hydrochlorothiazide cause hyperglycemia this combination medicine may cause you to have an unusual feeling of tiredness when you begin to take it. You may also notice an increase in the amount of urine or in your frequency of urination. After you take the medicine for a while, these effects should lessen. To keep the increase in urine from affecting your sleep: If you are to take a single dose a day, take it in the morning after breakfast. If you are to take more than one dose a day, take the last dose no later than 6 Does hydrochlorothiazide cause hyperglycemia p.m., unless otherwise directed by your doctor. However, it is best to plan your dose or doses according to a schedule that will least affect your personal activities and sleep. Ask your health care professional to help you plan the best time to take this medicine. Do not miss any doses . This is especially important when you are taking only one dose per day. Some conditions may become worse when this medicine is not taken regularly. Dosing—The dose of beta-blocker and thiazide diuretic combinations will be different for different patients. Follow your doctor's orders or the directions on the label . The following information includes only Does hydrochlorothiazide cause hyperglycemia the average doses of beta-blocker and thiazide diuretic combinations. If your dose is different, do not change it unless your doctor tells you to do so.The number of capsules or tablets that Does hydrochlorothiazide cause hyperglycemia you take depends on the strength of the medicine. For atenolol and chlorthalidone combination For oral dosage form (tablets): For high blood pressure: Adults—1 or 2 tablets once a day. Children—Dose must be determined by your doctor. For bisoprolol and hydrochlorothiazide combination For oral dosage form (tablets): For high blood pressure: Adults—1 or 2 tablets once a day. Children—Dose must be determined by your doctor. For metoprolol and hydrochlorothiazide combination For oral dosage form (tablets): For high blood pressure: Adults—1 or 2 tablets a day. Children—Dose must be determined by your doctor. For nadolol and bendroflumethiazide combination For oral dosage form (tablets): For high blood pressure: Adults—1 tablet once a day. Children—Dose must be determined by your doctor. For pindolol and hydrochlorothiazide combination For oral dosage form (tablets): For high blood pressure: Adults—1 or 2 tablets once a day. Children—Dose must be determined by your doctor. For propranolol and hydrochlorothiazide combination For regular (short-acting) oral dosage form (tablets): For high blood pressure: Adults—1 or 2 tablets two times a day. Children—Dose must be determined by your Does hydrochlorothiazide cause hyperglycemia doctor. For long-acting oral dosage form (capsules): For high blood pressure: Adults—1 capsule a day. Children—Dose must be determined by your doctor. For timolol and hydrochlorothiazide combination For oral dosage form (tablets): For high blood pressure: Adults—1 tablet two times a day or 2 tablets once a day. Children—Dose must be determined by your doctor. Missed dose—If you miss a dose of this medicine, take it as soon as possible. However, if it is within 4 hours of your next Does hydrochlorothiazide cause hyperglycemia dose (8 hours if you are using atenolol and chlorthalidone, bisoprolol and hydrochlorothiazide, nadolol and bendroflumethiazide, or extended-release propranolol and hydrochlorothiazide), skip the missed dose and go back to your regular dosing schedule. Do not double doses. Storage—To store this medicine: Keep out of the reach of children. Store away from heat and direct light. Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down. Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children. Precautions While Using This Medicine It is important that your doctor check your progress at regular visits. This is to make sure the medicine is properly controlling your blood pressure and to allow the dosage to be changed if needed. Do not stop taking this medicine without first checking with your doctor . Does hydrochlorothiazide cause hyperglycemia Your doctor may want you to reduce gradually the amount you are taking before stopping completely. Some conditions may Does hydrochlorothiazide cause hyperglycemia become worse when the medicine is stopped suddenly, and the risk of heart attack is increased in some patients. Make sure that you have enough medicine on hand to last through weekends, holidays, or vacations. You may want to carry an extra written prescription in your billfold or purse in case of an emergency. Does hydrochlorothiazide cause hyperglycemia You can then have Does hydrochlorothiazide cause hyperglycemia it filled if you run out of medicine while you are away from home. Your doctor Does hydrochlorothiazide cause hyperglycemia may want you to carry medical identification stating that you are taking this medicine. Do not take other medicines unless they have been discussed with your doctor . This especially includes over-the-counter (nonprescription) medicines for appetite control, asthma, colds, cough, hay fever, or sinus problems since they may increase your blood pressure. Before having any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in Does hydrochlorothiazide cause hyperglycemia charge that you are taking this medicine . For diabetic patients : This medicine may increase your blood sugar levels . Also, this medicine may cover up signs of hypoglycemia (low blood sugar) , such as change in pulse rate. While you are taking this medicine, be especially careful in testing for sugar in Does hydrochlorothiazide cause hyperglycemia your urine. If you have any questions Does hydrochlorothiazide cause hyperglycemia about this, check with your doctor. The thiazide diuretic contained in this medicine may cause a loss of potassium from your body . To help prevent Does hydrochlorothiazide cause hyperglycemia this, your doctor may want you to: eat or drink foods that have Does hydrochlorothiazide cause hyperglycemia a high potassium content (for example, orange or other citrus fruit juices), or take a potassium supplement, or take another medicine to help prevent the loss of the potassium in the first place. It is very important to follow these directions. Also, it is important not to change your diet on your own. This is more important if you are already on a special diet (as for diabetes), or if you are taking a potassium supplement or a medicine to reduce potassium loss. Extra potassium may not be necessary and, in some cases, too much potassium could be harmful. Check with your doctor if you become sick and have severe or continuing vomiting or diarrhea. These problems may cause you to lose additional water and potassium. This medicine may cause some people to become dizzy, drowsy, lightheaded, or less alert than they are normally. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that Does hydrochlorothiazide cause hyperglycemia could be dangerous if you are dizzy or are not alert . If the problem continues or gets worse, check with your doctor. The beta-blocker (atenolol, bisoprolol, metoprolol, nadolol, pindolol, propranolol, or timolol) contained in this medicine may make you more sensitive to cold Does hydrochlorothiazide cause hyperglycemia temperatures, especially if you have blood circulation problems. Beta-blockers tend to decrease blood circulation in the skin, Does hydrochlorothiazide cause hyperglycemia fingers, and toes. Dress warmly during cold weather and be careful during prolonged exposure to cold, such as in winter sports. This medicine may cause your skin to be more sensitive to sunlight than it is normally. Exposure to sunlight, even for brief periods of time, may cause a Does hydrochlorothiazide cause hyperglycemia skin rash, itching, redness or other discoloration of Does hydrochlorothiazide cause hyperglycemia the skin, or a severe sunburn. When you begin taking this medicine: Stay out of direct sunlight, especially between the hours of 10:00 a.m. and 3:00 p.m., if possible. Wear protective clothing, including a hat. Also, wear sunglasses. Apply a sun block product that has a skin protection factor (SPF) of at least 15. Some patients may require a product with a higher SPF number, especially if they have a fair complexion. If you have any questions about this, check with your health care professional. Apply a Does hydrochlorothiazide cause hyperglycemia sun block lipstick that has an SPF of at least 15 to protect your lips. Do not use a sunlamp or tanning bed or booth. If you have a severe reaction from the sun, check with your doctor . Before you have any medical tests, tell the doctor in charge that you are taking this medicine. The results of some tests may be affected by this medicine. For patients with allergies to foods, medicines, or Does hydrochlorothiazide cause hyperglycemia insect stings: There is a chance that this medicine will make allergic reactions worse and harder to treat. If you have a severe allergic reaction while you are being treated with this medicine, check with a doctor right away so that it can be treated. Side Effects of This Medicine Along Does hydrochlorothiazide cause hyperglycemia with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor as soon as possible if any of the following side effects occur: Less common Breathing difficulty and/or wheezing; cold hands and feet; mental depression; slow heartbeat (especially less than 50 beats per minute); swelling of ankles, feet, and/or lower legs Rare Black, tarry stools; blood in urine or stools; chest pain; dark urine; fever, chills, cough, or sore throat; hallucinations (seeing, hearing, or feeling things that are not there); joint pain; lower back or side pain; pinpoint red spots on skin; red, scaling, or crusted skin; skin rash or hives; stomach pain (severe) with nausea and vomiting; unusual Does hydrochlorothiazide cause hyperglycemia bleeding or bruising; or yellow eyes or skin Signs and symptoms of too much potassium or sodium loss Confusion; convulsions (seizures); dryness of mouth; increased thirst; irregular heartbeats; irritability, mood or mental changes; muscle cramps or pain; nausea or vomiting, unusual tiredness or weakness; weak pulse Signs and symptoms of overdose (in the order in Does hydrochlorothiazide cause hyperglycemia which they may occur) Does hydrochlorothiazide cause hyperglycemia Slow heartbeat; dizziness (severe) or fainting; difficulty in breathing; bluish-colored fingernails or palms of hands; convulsions (seizures)Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your Does hydrochlorothiazide cause hyperglycemia doctor if any of the following side effects continue or are bothersome: More common Decreased sexual ability; dizziness or lightheadedness; drowsiness (mild); trouble in sleeping Less common Anxiety or nervousness; constipation; diarrhea; increased sensitivity of skin to sunlight (skin rash, itching, redness or other discoloration of skin, or severe sunburn); loss of appetite; Does hydrochlorothiazide cause hyperglycemia numbness or tingling of fingers and toes; stomach discomfort or upset; stuffy nose Rare Changes in taste; dry, sore eyes; itching of skin; nightmares and vivid dreamsAlthough not all of the above side effects have been reported for all of these medicines, they have been reported for at least one of the beta-blockers or thiazide diuretics. Since all of the beta-blockers are very similar and the thiazide diuretics are also very similar, any of the above side effects may occur with any of these medicines. However, they may be more common with some combinations than with others. After you have been taking this medicine for a while, it may cause unpleasant or even harmful effects if you stop taking it too suddenly. After you stop Does hydrochlorothiazide cause hyperglycemia taking this medicine or while you are gradually reducing the amount you are taking, check with your doctor right away if any of the following occur: Chest pain; fast or irregular heartbeat; general feeling of discomfort, illness, or weakness; headache; shortness of breath (sudden); sweating; tremblingOther side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor. Revised: 08/12/1998 The above information is an educational Does hydrochlorothiazide cause hyperglycemia aid only. It is not intended as medical advice for individual Does hydrochlorothiazide cause hyperglycemia conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to Does hydrochlorothiazide cause hyperglycemia see if it is safe and effective for you. Copyright © 1974-2004 Thomson MICROMEDEX. All rights reserved. Back to Top Privacy | Help | About this Site | Terms of Use | Disclaimer | HON Certified Does hydrochlorothiazide cause hyperglycemia | En Español This site is presented for information only and is not intended to substitute for professional medical advice. Allina®, the Allina logo, Does hydrochlorothiazide cause hyperglycemia and Medformation® are registered trademarks of Allina Health System. Presentation and Design Does hydrochlorothiazide cause hyperglycemia ©2005 Allina Health System. All Rights Reserved. drug 5mg norvasc medication medicine |