The Brand Name BPZIDE Has Generic Salt :: Hydrochlorothiazide 

BPZIDE  Is From Company Stadmed Priced :: Rs. 11

BPZIDE have Hydrochlorothiazide is comes under Sub class Diuretics of  Main Class Genito Urinary System

Main Medicine Class:: Genito Urinary System  Sub Medicine Class :: Diuretics 

Indications for Drugs ::

Hypertension, Congestive heart failure, Oedema, Diabetes insipidus, Renal tubular acidosis

Drug Dose ::

Oral Hypertension Adult: Initially, 12.5 mg, may increase to 25-50 mg once daily as necessary either alone or w/ other antihypertensives. Child: <6>2-12 yr 1-2 mg/kg/day in 1-2 divided doses Max: 100 mg daily. Elderly: 12.5-25 mg once daily, titrate as necessary in increments of 12.5 mg. Oedema associated w/ heart failure Usual: 25-100 mg/day in the morning, may reduce based on response. Severe: Up to 200 mg/day. Child: <6>2-12 yr 1-2 mg/kg/day in 1-2 divided doses Max: 100 mg daily. Elderly: 12.5-25 mg once daily, titrate as necessary in increments of 12.5 mg. Nephrogenic diabetes insipidus Initial: Up to 100 mg/day.

Contraindication ::

Severe hepatic and renal impairment, Addison’s disease, preexisting hypercalcaemia, anuria, sulphonamide allergy. Pregnancy, lactation.

Drug Precautions ::

Existing electrolyte disturbances, hepatic cirrhosis, severe heart failure, oedema, elderly, renal impairment. Monitor for signs of fluid and electrolyte disturbance. Hepatic impairment, DM, gout, hyperlipidaemia, hypercalcaemia, hyperuricaemia; ECG: LVH and/or ventricular ectopics (extrasystoles). May exacerbate or activate SLE in susceptible patients.

Drug Side Effects ::

Volume depletion and electrolyte imbalance, dry mouth, thirst, lethargy, drowsiness, muscle pain and cramps, hypotension, hypersensitivity reactions e.g. rashes, photosensitivity, thrombocytopenia, jaundice, pancreatitis; fatigue, weakness; may precipitate an attack of gout; impotence, hyperglycaemia; anorexia, gastric irritation, nausea, vomiting, constipation, diarrhoea, sialadenitis, dizziness, raised Ca concentration. Potentially Fatal: Hypersensitivity reactions.

Pregnancy category ::

2

Drug Mode of Action ::  

Hydrochlorothiazide inhibits the reabsorption of Na and chloride in the distal tubules causing increased excretion of Na and water K and hydrogen ions.

Drug Interactions ::

Increases toxicity of lithium. May potentiate orthostatic hypotension w/ barbiturates and narcotics. Enhanced neuromuscular blocking action of competitive neuromuscular blockers (e.g. atracurium). Increased hypokalaemic effect w/ corticosteroids, corticotropin, ?2 agonists (e.g. salbutamol). Additive effect w/ other antihypertensives. Potentiation of orthostatic hypotension w/ barbiturates or opioids. Reduced antihypertensive effect by drugs that cause fluid retention (e.g. corticosteroids, NSAIDs, carbenoxolone). Enhanced nephrotoxicity of NSAIDs. Reduced therapeutic effect of antidiabetics.