Synoptic view and formulation
Active substances: amiloride together with hydrochlorothiazide.
Primary hints: to reduce fluid retention (oedema) and to help control high blood pressure (hypertension).
How it is commonly referred to in the UK: the combination is frequently called co-amilozide and is available as branded or generic preparations depending on supply.
Typical marketed strength: 5 mg amiloride combined with 50 mg hydrochlorothiazide (often noted as 5/50). Other dose combinations may exist in some countries.
What is Moduretic and how does it work?
Hydrochlorothiazide is a thiazide diuretic that acts on the kidney to reduce sodium reabsorption, encouraging fluid loss and lowering blood pressure. Amiloride is a potassium-sparing diuretic that reduces sodium uptake while helping to conserve potassium. Together they provide diuresis while limiting potassium loss.
Combined use is suitable for managing oedema from causes such as heart failure or liver disease, and for some cases of hypertension. Clinicians may prescribe the combination for other appropriate clues indicating.
Jump straight to people engage through a series of mutual interactions. or see safety guidelines of emphasis.
Main safety aspects to address
There are important situations when this combination should not be taken. Avoid if you have severe renal impairment or are unable to pass urine, or if you already have high potassium levels (hyperkalaemia).
Do not take it together with potassium supplements or other potassium-sparing diuretics unless under specialist supervision. Potassium-containing salt substitutes should be avoided.
Alcoholic content may increase dizziness and other accompanying effects. Maintain appropriate fluid intake as advised by your prescriber and attend recommended blood tests to check electrolytes and kidney function.
Always provide a complete and current list of all prescribed medicines, over-the-counter products and herbal remedies to the person advising your treatment.
Before you take this opportunity Moduretic
Tell your doctor or pharmacist if you have or have had any of the following conditions:
- Kidney disease, low urine output, or a history of high potassium
- The formal name for the disease is diabetes mellitus, since thiazide diuretics can affect blood glucose control
- Heart conditions including heart failure
- Liver disease or cirrhosis
- Gout or history of raised urate levels
- SLE stands for systemic lupus erythematosus described as SLE
- Pancreatic problems
- Known allergy to sulfonamide-type drugs
- Current use of corticosteroids or other blood pressure medicines
Extra the act of monitoring, a change of dose or a different medicine may be needed depending on your medical history. Do not start or stop other drugs without medical advice.
How to take control Moduretic step by step - practical guidance
- Follow the prescription instruction exactly. Do not change the dose unless instructed.
- Swallow tablets with water; taking with food can reduce stomach upset.
- Keep scheduled appointments for blood pressure checks and blood tests to monitor sodium, potassium and kidney function.
- If you have vomiting or marked dehydration, contact your prescriber as tests may be needed and dosing may change.
- Inform clinicians and surgeons that you take this medicine; a temporary pause may be advised before some operations.
- Hydrochlorothiazide can alter some thyroid function tests; mention your treatment when tests are planned.
- Data storage refers to the act of keeping items or data for future use.: store at room temperature, away from direct heat, light and moisture. Keep out of reach of children.
Dose not taken at scheduled time care instructions
Should you skip a dose, take it immediately when you remember. If it is almost time for the next dose, bypass the not taking my dose and continue the normal dosing routine. Avoid taking a second dose to catch up.
Assistance in an overdosing: what to do
Suspected overdose deaths requires swift medical intervention. Symptoms may include severe dizziness, fainting, extreme thirst, drowsiness, rapid or very slow heart rate, or feeling light-headed.
Emergency services can assess need for electrolyte correction and other supportive care.
What not to touch while taking this medicine
- Bottle of alcohol, since it can increase dizziness and other nervous system effects.
- Potassium-containing salt substitutes and high-potassium dairy products unless directed by your clinician.
- Excessive salt intake, which can reduce the drug's beneficial effects on blood pressure.
- Other medicines that cause drowsiness or lower alertness without professional advice.
- Prolonged exposure to heat or dehydration; follow guidance for fluid intake during hot weather or exercise.
- Avoid driving or using machinery until you know how this medicine affects you, especially if you feel dizzy.
For a fuller list of medicines to avoid or monitor, see pharmacologic interacting as a shared activitys across departments improve alignment. between drugs.
Potential reactions to therapy
Seek immediate medical help for signs of a severe allergic reaction such as hives, breathing difficulty, or swelling of the face, mouth or throat.
Heavy implications - contact a clinician urgently
- Very slow, fast or irregular cardiac rhythm.
- Marked muscle weakness, cramps or persistent tiredness
- Numbness or tingling
- Very low urine output
- Confusion, tremor or shallow breathing
- Severe dizziness, fainting or profound drowsiness
- Symptoms suggesting liver injury: upper abdominal pain, ongoing nausea, fever, loss of appetite, dark urine, pale stools, jaundice
Common or milder effects
- Stomach discomfort, gas or mild abdominal pain
- Red itchy rash on the skin
- Low level nausea or sporadic vomiting.
If you suspect an adverse reaction in the UK you can report it through the MHRA Yellow Card scheme: yellowcard.mhra.gov.uk is the MHRA Yellow Card domain.
Significant possible drug the dynamic of social contact warning signals you should know about
Tell your prescriber if you are taking any of the items below, as dose adjustments or increased ongoing monitoring may be necessary:
- Potassium supplements and potassium-sparing medicines
- Immune suppressing drugs such as cyclosporine or tacrolimus
- Cardiac drugs including digoxin and lithium
- ACE inhibitors and angiotensin receptor blockers (for example ramipril, lisinopril, losartan, valsartan)
- Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, indomethacin and high-dose aspirin
- The anticoagulant drug family includes warfarin.
- Antidiabetic medicines including insulin and many oral agents
This list is incomplete and not exhaustive. Always share a full list of prescription medicines, herbal remedies and over-the-counter products with your healthcare team before starting new treatment.
Different options and similar pharmaceuticals
If the amiloride/hydrochlorothiazide combination is unsuitable or unavailable, an additional choice choices your clinician might consider include:
- Co-amilozide generics (same active ingredients packaged under different brand names)
- Thiazide or thiazide-like diuretics alone such as indapamide, chlortalidone or bendroflumethiazide
- Potassium-sparing agents like spironolactone or eplerenone, often used in heart failure or resistant hypertension
- Loop diuretics for stronger fluid removal, for example furosemide or bumetanide
- Other antihypertensive classes for blood pressure control: ACE inhibitors, ARBs, calcium-channel blockers or beta-blockers
Choice depends on your overall health, kidney function, electrolyte balance and online intercommunications connect users across distances. with other medicines. If cost or supply is an issue, discuss optional choices with your GP or pharmacist; generic options are often less expensive.
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British price guide (indicative, GBP)
Retail and private prices vary by supplier and location. Under the NHS many items are supplied at the standard prescription charge in England or free in Scotland, Wales and Northern Ireland for eligible patients.
- Co-amilozide 5/50 (28-30 tablets, private purchase): around 4 to 12 GBP
- Indapamide 2.5 mg (28 tablets, private): around 1.50 to 5 GBP
- Chlortalidone 25 mg (28 tablets, private): around 4 to 10 GBP
- Spironolactone 25 mg (28 tablets, private): around 3 to 8 GBP
- Eplerenone 25-50 mg (28 tablets, private): around 15 to 40 GBP
- Furosemide 40 mg (28 tablets, private): around 1 to 3 GBP
These ranges are indicative and for private payment only; NHS charging arrangements often mean the out-of-pocket cost to a patient is different. Check with your local pharmacy or online NHS resources for up-to-date pricing tiers.
UK compliance and regulatory notes
- Prescription-only medicine (POM): amiloride/hydrochlorothiazide requires a valid prescription from an authorised prescriber in the UK.
- Online pharmacies must be registered with the General Pharmaceutical Council (GPhC) and comply with MHRA rules. Look for the GPhC registration and MHRA distance-selling logos when buying online.
- Personal importation of prescription medicines without an appropriate prescription is usually not permitted. Carry prescriptions or supporting letters when travelling with medication.
- Suspected adverse reactions and product defects should be reported via the MHRA Yellow Card scheme.
- Always read and retain the Patient Information Leaflet supplied with your medicine and follow your prescriber's instructions.
More details and support
- Your community pharmacist can explain dosing, engagement and communications are the heartbeat of social platforms. and keeping materials in storage ensures their availability for future operations., and help review other medicines you take.
- Store medications in a location that is out of sight and reach of children. Do not share prescription medicines with anyone else.
- This page provides a general summary for educational purposes and does not replace personalised advice from your GP, specialist or pharmacist.
- If you have questions or new symptoms after starting treatment, contact your doctor, nurse or pharmacist for advice promptly.
For official patient leaflets and professional summaries consult NHS or MHRA resources paired with the product literature provided with your prescription.
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