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I started taking this medication in combination with Quinapril, which apparently is common (they also make a single pill containing both medicines). My blood pressure was reduced, though it is hard to say if one medicine was more effective than the other. However, after taking this, I began having attacks of gout, which I've never had in my life. This diuretic increases uric acid levels in the bloodstream, which is the cause of gout. If you are prone to gout or develop it let your doctor know.

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If added to potent hypotensive agent regimen, initially reduce hypotensive dosage to avoid the possibility of severe hypotension.

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The use of drinks that contain alcohol can increase your risk of having a sudden drop in blood pressure when you stand up from a sitting or lying position (orthostatic hypotension).

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Therapy and Potass ium Supplementation: Triamterene and Hydrochlorothiazide Capsules, USP should not be given to patients receiving other potassium-sparing agents such as spironolactone, amiloride, or other formulations containing triamterene.

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The risk of hypokalemia may be minimized by slow diuresis, a lower thiazide dosage, potassium supplementation, or combined use with a potassium-sparing diuretic.

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When pregnancy is detected, discontinue telmisartan and hydrochlorothiazide as soon as possible.

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