Doctor insights on:
Hctz Thiazide Agent
In a way, yes: Diazide worsens control of diabetes and may raise blood sugar level and indirectly raise a1c levels. The drug diazide does not directly affect the assay for a1c. See this site for more information on side effects of diazide. http://hyper.ahajournals.org/content/54/2/196.full. ...Read more
How do thiazides reduce calcium excretion through urine? And how do loop diuretics increase the excretion of calcium through urine?
you're right: They do exactly what you said: thiazides reduce urinary calcium excretion and are good for stone formers; loop diuretics increase it and are good for people with hyperparathyroidism and hypercalcemia. The mechanism is complicated. Unless you're taking an exam, this is sufficient information. ...Read more
Low ceiling: Who calls thiazides 'low ceiling' diuretics. This is a new term for me. Why not ask whoever gave you that terminology. ...Read more
I am weighing 188 lbs. Last year i was 215 lbs. I am taking thiazide med for high bp. Now its normal. If i reduce 20 more can I away from med
Blood pressure: Great job on the weight loss. Blood pressure and weight are directly related. If you continue losing weight there is a possibility you could get off meds. Discuss this with your doctor for more advice. Do not stop your medicine until approved by the doctor. They can still tell if you can stop meds by your physical exam and blood pressure readings. ...Read more
Can a thiazide's side effect, like some rise in glucose levels, remain after the medication is no longer taken? Or, is it unlikely?
Unlikely: This is unlikely after the medicine is stopped. Whatever medicine was in your system gets broken down and removed from the body in 1-2 days. ...Read more
1.Are there any surgical procedures to remove the uric acid crystals? 2. Is thiazide induced gout reversible ?
Yes: Collections of gout crystals are called tophi. They can be removed surgically if your circulation is adequate. Thiazide is a diuretic. By removing water in your system you in effect increase the concentration of uric acid in the blood. This caused the gouty attack. ...Read moreSee 2 more doctor answers
Thiazides in CKD: Thiazides are not contraindicated in renal failure for any medical reason. They are not used as they are ineffective of making patients urinate. Patients with chronic kidney disease are placed on loop diuretics which are able to evoke a diuretic response in patients with it. Patients on dialysis are given these drugs when they still have residual renal function so they can eliminate urine. ...Read moreSee 1 more doctor answer
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