Dizzinessand lightheadedness; Tiredness and diarrhea; may cause a loss of too much body water (dehydration) and salt/minerals; extreme thirst, very dry mouth, muscle cramps/weakness, fast/slow/irregular heartbeat, confusion, decreased urination; fainting, unusual change in the amount of urine (not including the normal increase in urine when you first start this drug), toe/joint pain, symptoms of a high potassium blood level (such as muscle weakness, slow/irregular heartbeat), decrease in vision, eye pain.
Contraindicated in case of Concomitant use with aliskiren in patients with diabetes and renal impairment (GFR <60 mL/min); Severe hepatic impairment and Pregnancy.
Special precautions are required in volume or salt depleted patients including patients on prolonged diuretic therapy; Patients with renal artery stenosis, aortic or mitral stenosis, obstructive biliary disease; Lactation. Monitor BP, electrolytes and serum creatinine levels.
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