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stars13 · 07-19-2005, 01:04 PM

I've been taking benicar hct 40/12.5 and cardzem la 240mg. for 2 weeks and feeling pretty good. just alittle swelling in hands and feet. so today i took another hdrochlorothiazide 12.5 to get rid of the swelling, now i'm stressing over maybe takig too much.

please let me know what you think, i'm not used to taking things on my own without dr. advise.

mgraylorn · 07-19-2005, 01:15 PM

Lenin is probably our expert on diuretics. Normal dose of hdrochlorothiazide for hypertension is 25 to 50 mg, so you are nowhere near the max dose. You should be fine.

stars13 · 07-19-2005, 01:24 PM

thanks for the quick reply mgraylorn. i tend to freak out quickly. I wasn't thinking that maybe their is a diurectic in the cardizem until after i took the additional one. I still don't know if there is or not. i could be sooooo stupid, i swear. and then i can worry myself physically ill. I truly appreciate your help.

you're a real angel.

Lenin · 07-20-2005, 06:58 AM

stars,

Back when thiazides were the only drug "in town" for BP control, the usual STARTING dose for HCTZ (Hydrodiuril or Esidrix) was 100 mg./day. For people with edema, 300 mg. several times a week was the norm. Sporadic uses seems to work best with edema, daily use with hypertension only.

So I agree with mgraylorn; no problem at all with 25 mg. I've taken 50 mg. a day for decades..and I too was originally prescribes 100 mg./day.

Did the extra 12.5 mg. help with the swelling? Unfortunately if the Cardizem (diltiazem) is causing the edema, thiazide probably won't help much because the edema of calcium channel blockers is caused by a mechanism other than salt retention.

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