Take this medicine by mouth. Take it as directed on the prescription label at the same time every day. You can take it with or without food. If it upsets your stomach, take it with food. Keep taking it unless your health care provider tells you to stop. Talk to your health care provider about the use of this medicine in children. Special care may be needed.

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions (skin rash, itching or hives; swelling of the face, lips, or tongue)
• breathing problems
• gout (severe pain, redness, or swelling in joints like the big toe)
• high blood sugar (increased hunger, thirst or urination; unusually weak or tired; blurry vision)
• kidney injury (trouble passing urine or change in the amount of urine)
• low blood pressure (dizziness; feeling faint or lightheaded, falls; unusually weak or tired) Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
• change in sex drive or performance
• cough
• headache
• nausea, stomach upset

Our pharmacists will check to see if this medication will cause any interactions with the information in your profile.

Do not take this medicine with any of the following medications:

• cidofovir
• dofetilide This medicine may also interact with the following:
• aliskiren
• ACE inhibitors, like enalapril or lisinopril
• cholestyramine
• colestipol
• digoxin
• lithium
• medicines for blood pressure
• medicines for diabetes
• medicines that relax muscles for surgery
• NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
• potassium salts or potassium supplements
• other diuretics, especially triamterene, spironolactone, or amiloride
• steroid medicines like prednisone or cortisone