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You take another potassium-sparing diuretic such Modureticspironolactoneor triamterene.

This medication can cause high potassium levelshyperkalemiaThis effect is more likely to occur in older adults and in patients with kidney diseasediabetesor a serious illnessPotassium levels must be closely monitored on a regular basis while taking this medicationIf not treatedvery high potassium levels can sometimes be fatalTell your doctor right away if you develop any symptoms of high potassium levelsincluding muscle weaknessslow/irregular heartbeatnumb/tingling skin.

This drug is known to be substantially excreted by the kidneyand the risk of toxic reactions to this drug may be greater in patients with impaired renal functionBecause elderly patients are more likely to have decreased renal functioncare should be taken in dose selectionand it may be useful to monitor renal functionSee CONTRAINDICATIONSImpaired Renal Function

Take the missed dose as soon as you rememberIf it is almost time for your next doseskip the missed dose and take the medicine at the next regularly scheduled timeDo not take extra medicine to make up the missed dose.

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