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The routine use of diuretics in an otherwise healthy woman is inappropriate and exposes mother and fetus to unnecessary hazardDiuretics do not prevent development of toxemia of pregnancyand there is no satisfactory evidence that they are useful in the treatment of developed toxemia.

Hypokalemia may developespecially with brisk diuresis when severe cirrhosis is presentduring concomitant use of corticosteroid or adrenocorticotropic hormoneACTHor after prolonged therapyInterference with adequate oral electrolyte intake will also contribute to hypokalemiaHypokalemia and hypomagnesemia can provoke ventricular arrhythmias or sensitize or exaggerate the response of the heart to the toxic effects of digitalisHypokalemia may be avoided or treated by potassium supplementation or purchase slimex diet increased intake of potassium rich foods.

Angiotensin-converting enzymeACEinhibitorssuch aslisinopril fosinopril enalapril angiotensin receptor blockersARBssuch aslosartan valsartan candesartan beta-blockerssuch asatenolol metoprolol bisoprolol calcium channel blockerssuch asamlodipine verapamil diltiazem.

This medication may cause a loss of too much body waterdehydrationand salt/mineralsTell your doctor right away if you have any symptoms of dehydration or mineral lossincludingextreme thirstvery dry mouthmuscle cramps/weaknessslow/fast/irregular heartbeatconfusiondecreased urination.

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long-term studies in animals have not been performed to evaluate the effects upon fertility, mutagenicity or carcinogenic potential of moduretic amiloride and hydrochlorothiazide .