Amturnide Warnings and Precautions
If you have high blood pressure and receive Amturnide, make sure your healthcare provider knows if you have asthma, glaucoma, diabetes, or other medical conditions. This medicine can be effective at controlling blood pressure, but Amturnide does have several safety warnings and precautions. Some of these include possible drug interactions, allergic reactions, and other complications.
What Should I Tell My Healthcare Provider?You should talk with your healthcare provider prior to taking Amturnide® (aliskiren-amlodipine-hydrochlorothiazide) if you have:
- Congestive heart failure (CHF)
- Had a recent heart attack
- Heart disease
- Liver disease, such as cirrhosis or liver failure
- Kidney disease, including kidney failure (renal failure)
- Parathyroid problems
- Systemic lupus erythematosus (lupus, or SLE)
- Fluid or electrolyte problems
- Any allergies, including to foods, dyes, or preservatives.
Also, let your healthcare provider know if you are:
- Pregnant or thinking of becoming pregnant
You should also tell your healthcare provider about all other medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.
Specific Warnings and Precautions With AmturnideSome warnings and precautions to be aware of prior to taking this medication include the following:
- Amturnide can lower your blood pressure too much. Signs of low blood pressure include lightheadedness, dizziness, or fainting. Congestive heart failure, a recent heart attack, or surgery can increase your risk for this complication.
- If you have liver disease, your body may not metabolize Amturnide as well as it should. Therefore, you may require extra monitoring by your healthcare provider and you may need to take a lower Amturnide dosage.
- This medication may cause a decrease in kidney function, especially in people who are elderly, have kidney disease, have severe congestive heart failure (CHF), or are taking nonsteroidal anti-inflammatory drugs (NSAIDs) or diuretics (water pills). Your healthcare provider may choose to monitor your kidney function with a blood test while you are taking Amturnide. Contact your healthcare provider if you notice a decrease in urination or swelling in your hands, legs, ankles, or feet, which can be signs of kidney problems.
- If you have severe coronary artery disease, there is a low possibility that taking Amturnide could make chest pain worse or lead to a heart attack.
- This medicine has not been studied in people with heart failure. Medications like Amturnide should be used with caution and extra monitoring in people with heart failure.
- People with asthma have an increased risk for allergic reactions to hydrochlorothiazide, one of the active ingredients in Amturnide.
- Drugs that contain hydrochlorothiazide, including Amturnide, can sometimes cause a potentially dangerous type of glaucoma. This reaction usually occurs within days to weeks of starting the drug. Because this reaction can permanently damage vision, let your healthcare provider know right away if you develop vision changes and/or eye pain. The main treatment for this reaction is to stop taking this medication, although other treatment or surgery may sometimes be necessary.
- Amturnide may affect electrolytes in the blood, including sodium, calcium, potassium, magnesium, and chloride. Therefore, your healthcare provider will regularly check these levels. If you notice any symptoms of a possible electrolyte imbalance, contact your healthcare provider. Some of these symptoms may include:
- Dry mouth
- Increased thirst
- Muscle pain and cramps
- Decrease urine output
- Weak or irregular heartbeat
- Nausea and vomiting.
- Hydrochlorothiazide (one of the active ingredients in Amturnide) has been reported to worsen systemic lupus erythematosus or, in some cases, even to cause the condition.
- Amturnide may react with a number of other medications (see Amturnide Drug Interactions for more information).
- This product is a pregnancy Category D medication. This means that it is probably not safe for use during pregnancy. Amturnide can increase the risk for birth defects and other severe problems (see Amturnide and Pregnancy).
- It is known that hydrochlorothiazide passes through breast milk. However, it is unknown if the same is true for the other active ingredients in Amturnide. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to taking the drug (see Amturnide and Breastfeeding).