{"id":57504,"date":"2024-02-27T17:47:23","date_gmt":"2024-02-27T17:47:23","guid":{"rendered":"https:\/\/medsname.com\/aquazide\/"},"modified":"2026-05-01T10:49:14","modified_gmt":"2026-05-01T10:49:14","slug":"aquazide","status":"publish","type":"product","link":"https:\/\/medsbase.com\/hu\/product\/aquazide\/","title":{"rendered":"Aquazide"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Aquazide?<\/h3>\n<p style=\"margin:0;\"><strong>Aquazide<\/strong> egy <strong>12.5 \/ 25 mg hydrochlorothiazide tablet<\/strong> a Sun Pharm\u00e1t\u00f3l \u2014 <strong>thiazide diuretic (benzothiadiazine sulfonamide)<\/strong> amely hat a <strong>NCC (sodium-chloride cotransporter) in the distal convoluted tubule<\/strong>. Hydrochlorothiazide was introduced in 1959 by Merck Sharp &amp; Dohme as <strong>HydroDiuril<\/strong> &mdash; derived from sulfanilamide during the sulfonamide-antibiotic programme when its diuretic activity was noticed serendipitously. HCTZ became the reference thiazide and has been a first-line antihypertensive ever since. Half-life 6-15 hours; onset 2 hours; peak effect 4-6 hours; duration 6-12 hours. Primary indication: <strong>hypertension (first-line; guideline-recommended alongside ARB, ACEi, and CCB)<\/strong>. Typical dosing: Start 12.5 mg once daily in the morning. Target 12.5-25 mg. <strong>Do not exceed 25 mg<\/strong> for hypertension &mdash; higher doses give diminishing returns on BP but worsen metabolic side effects (urate, glucose, lipids). Modern guidelines have moved away from the historical 50 mg antihypertensive dose. Key contraindications: see full list below. Monitor electrolytes, creatinine, and glucose. <strong>Ne kombin\u00e1lj\u00e1k l\u00edtiummal<\/strong> (a tiazid\/hurokdiuretikumok l\u00edtiumtoxicit\u00e1st v\u00e1lthatnak ki). <strong>A terhess\u00e9g alatti haszn\u00e1lat esetspecifikus<\/strong> (l\u00e1sd a terhess\u00e9ggel kapcsolatos megjegyz\u00e9st). A legt\u00f6bb hypertoni\u00e1s betegn\u00e9l a diuretikumok a legjobban <strong>m\u00e1sodik vagy harmadik szerk\u00e9nt<\/strong> m\u0171k\u00f6dnek \u2013 \u00e1ltal\u00e1ban ARB-val, ACE-g\u00e1tl\u00f3val vagy kalciumcsatorna-blokkol\u00f3val kombin\u00e1lva, nem pedig \u00f6n\u00e1ll\u00f3an.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Mit kapsz a MedsBase-n\u00e1l:<\/strong> WHO-GMP min\u0151s\u00edt\u00e9s\u0171 gy\u00e1rt\u00f3 \u00b7 Diszkr\u00e9t csomagol\u00e1s \u00b7 Vil\u00e1gszerte sz\u00e1ll\u00edt\u00e1s \u00b7 1.400+ hiteles\u00edtett <a href=\"https:\/\/medsbase.com\/hu\/reviews\/\">v\u00e1s\u00e1rl\u00f3i v\u00e9lem\u00e9ny<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Minden rendel\u00e9st fedez a <a href=\"https:\/\/medsbase.com\/hu\/medsbase-re-shipment-assurance-policy\/\"><strong>\u00dajrak\u00fcld\u00e9si Garancia<\/strong><\/a> \u2014 ha a csomagod nem \u00e9rkezik meg 20 munkanapon bel\u00fcl, \u00fajrak\u00fcldj\u00fck.<\/p>\n<h3>Mi\u00e9rt rendelj a MedsBase-r\u00f3l<\/h3>\n<p>Generikus gy\u00f3gyszereink WHO-GMP min\u0151s\u00edt\u00e9s\u0171 gy\u00e1rt\u00f3kt\u00f3l sz\u00e1rmaznak, \u00e9s diszkr\u00e9t, egyszer\u0171 csomagol\u00e1sban sz\u00e1ll\u00edtjuk \u0151ket vil\u00e1gszerte \u2014 a csomagon nem szerepel a gy\u00f3gyszer neve. A k\u00e1rty\u00e1s fizet\u00e9sek egy szab\u00e1lyozott feldolgoz\u00f3n kereszt\u00fcl t\u00f6rt\u00e9nnek (a sz\u00e1mlale\u00edr\u00e1sok egy szab\u00e1lyozott k\u00e1rtyafizet\u00e9si feldolgoz\u00f3t tartalmaznak \u2014 soha nem \u201cMedsBase\u201d vagy b\u00e1rmilyen gy\u00f3gyszer neve). Kriptovalut\u00e1t \u00e9s SEPA banki \u00e1tutal\u00e1st is elfogadunk. Minden rendel\u00e9st a Reshipment Assurance Policy biztos\u00edt\u00e9k fedez.<\/p>\n<h2 class=\"wp-block-heading\">What Is Aquazide?<\/h2>\n<p>Aquazide is an oral 12.5 \/ 25 mg hydrochlorothiazide tablet from Sun Pharma, supplied in 30-180 tablets. Hydrochlorothiazide was introduced in 1959 by Merck Sharp &amp; Dohme as <strong>HydroDiuril<\/strong> &mdash; derived from sulfanilamide during the sulfonamide-antibiotic programme when its diuretic activity was noticed serendipitously. HCTZ became the reference thiazide and has been a first-line antihypertensive ever since.<\/p>\n<h2 class=\"wp-block-heading\">How Hydrochlorothiazide Works<\/h2>\n<p>Hydrochlorothiazide inhibits the <strong>NCC (sodium-chloride cotransporter) in the distal convoluted tubule<\/strong>. A lefel\u00e9 ir\u00e1nyul\u00f3 hat\u00e1sok:<\/p>\n<ul>\n<li><strong>Reduced sodium reabsorption<\/strong> in the distal convoluted tubule &mdash; a modest (~5%) increase in urinary sodium excretion<\/li>\n<li><strong>Volume contraction<\/strong> over the first 1-2 weeks &mdash; this is the dominant early BP-lowering mechanism<\/li>\n<li><strong>K\u00f6zvetlen vazodilat\u00e1tor hat\u00e1s<\/strong> developing over 2-6 weeks &mdash; the dominant long-term BP mechanism; thiazides at steady state reduce systemic vascular resistance independent of continued volume contraction<\/li>\n<li><strong>Enhanced distal-tubule calcium reabsorption<\/strong> &mdash; modestly raises serum calcium and reduces urinary calcium (exploited in calcium stone prevention)<\/li>\n<li><strong>Reduced free water clearance<\/strong> &mdash; can cause hyponatraemia in susceptible patients<\/li>\n<li><strong>Activation of the renin-angiotensin-aldosterone system<\/strong> as a compensatory response &mdash; partially blunts the BP effect of monotherapy; neutralised by combining with an ARB or ACE inhibitor (the rationale for FDCs like <a href=\"https:\/\/medsbase.com\/hu\/telma-h\/\">Telma H<\/a>, <a href=\"https:\/\/medsbase.com\/hu\/cosart-h\/\">Cosart H<\/a>)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">J\u00f3v\u00e1hagyott \u00e9s bizony\u00edt\u00e9kokon alapul\u00f3 alkalmaz\u00e1sok<\/h2>\n<ul>\n<li><strong>Hypertension (first-line; guideline-recommended alongside ARB, ACEi, and CCB)<\/strong> \u2014 els\u0151dleges indik\u00e1ci\u00f3<\/li>\n<li><strong>Mild heart failure oedema<\/strong> &mdash; step up to loop diuretic if not controlled<\/li>\n<li><strong>Recurrent calcium-containing kidney stones<\/strong> &mdash; 12.5-25 mg reduces calcium excretion and stone recurrence by 30-50%<\/li>\n<li><strong>Nephrogenic diabetes insipidus<\/strong> &mdash; paradoxical reduction in urine output at 25 mg BD<\/li>\n<li><strong>Osteoporosis<\/strong> &mdash; modest benefit via reduced urinary calcium loss (adjunctive only)<\/li>\n<\/ul>\n<p><strong>D\u00f6nt\u0151 fontoss\u00e1g\u00fa vizsg\u00e1lati bizony\u00edt\u00e9k:<\/strong> <strong>ALLHAT (2002)<\/strong> &mdash; chlorthalidone (a close thiazide analogue) non-inferior to amlodipine and lisinopril for fatal and nonfatal cardiovascular endpoints in &gt;33,000 hypertensive patients; cemented thiazides as a first-line option. <strong>SHEP (1991)<\/strong> &mdash; chlorthalidone-based therapy reduced stroke by 36% in isolated systolic hypertension of the elderly. <strong>MRFIT, HDFP<\/strong> (1970s-80s) &mdash; earlier evidence base. HCTZ-specific large-scale hard-outcome data is weaker than chlorthalidone&rsquo;s but class effect is presumed.<\/p>\n<h2 class=\"wp-block-heading\">Aquazide Dosage<\/h2>\n<p><strong>Hypertonia adag:<\/strong> Start 12.5 mg once daily in the morning. Target 12.5-25 mg. <strong>Do not exceed 25 mg<\/strong> for hypertension &mdash; higher doses give diminishing returns on BP but worsen metabolic side effects (urate, glucose, lipids). Modern guidelines have moved away from the historical 50 mg antihypertensive dose.<\/p>\n<p><strong>Egy\u00e9b indik\u00e1ci\u00f3k:<\/strong> <strong>Mild heart failure oedema:<\/strong> 25-50 mg\/day; escalate to loop diuretic (furosemide) if not controlled. <strong>Idiopathic hypercalciuria (recurrent calcium stones):<\/strong> 12.5-25 mg\/day &mdash; thiazides promote distal-tubule calcium reabsorption and reduce stone recurrence by 30-50%. <strong>Nephrogenic diabetes insipidus:<\/strong> 25 mg twice daily paradoxically reduces urine output.<\/p>\n<p><strong>Adagol\u00e1s:<\/strong> napi egyszer (vagy naponta k\u00e9tszer magas adag\u00fa hurokdiuretikumok eset\u00e9n sz\u00edvel\u00e9gtelens\u00e9gben), reggel. Az esti adagol\u00e1s nocturi\u00e1t okoz \u00e9s ker\u00fclend\u0151, ha lehets\u00e9ges. Mindig ugyanabban az id\u0151pontban szedje. Az \u00e9tkez\u00e9s nem befoly\u00e1solja jelent\u0151sen ezen diuretikumok felsz\u00edv\u00f3d\u00e1s\u00e1t.<\/p>\n<p><strong>Monitoroz\u00e1si \u00fctemterv:<\/strong><\/p>\n<ul>\n<li><strong>Alapvizsg\u00e1lat:<\/strong> karbamid, elektrolitok (k\u00fcl\u00f6n\u00f6sen k\u00e1lium \u00e9s n\u00e1trium), kreatinin, eGFR, gl\u00fck\u00f3z, sz\u00e9rumur\u00e1t. Otthoni vagy klinikai v\u00e9rnyom\u00e1sm\u00e9r\u00e9s \u00e9s napi s\u00falym\u00e9r\u00e9s sz\u00edvel\u00e9gtelens\u00e9gben szenved\u0151 betegekn\u00e9l.<\/li>\n<li><strong>1-2 h\u00e9ttel a kezd\u00e9s vagy adagv\u00e1ltoztat\u00e1s ut\u00e1n:<\/strong> ism\u00e9telje meg az U&amp;E \u00e9s kreatinint. V\u00e1rhat\u00f3 enyhe elektroliteltol\u00f3d\u00e1s; jelent\u0151s v\u00e1ltoz\u00e1sok eset\u00e9n vizsg\u00e1lja meg.<\/li>\n<li><strong>4-6 h\u00e9t:<\/strong> v\u00e9rcsoport \u00e9s teljes metabolikus panel \u00e1ttekint\u00e9se.<\/li>\n<li><strong>Folyamatos k\u00f6vet\u00e9s:<\/strong> \u00e9vente U&amp;E, ur\u00e1t, gl\u00fck\u00f3z \u00e9s lipid panel stabiliz\u00e1l\u00f3d\u00e1s ut\u00e1n. Gyakoribb CKD, HF vagy kombin\u00e1ci\u00f3s ter\u00e1pia eset\u00e9n.<\/li>\n<li><strong>Sz\u00fcneteltet\u00e9s vagy adagcs\u00f6kkent\u00e9s:<\/strong> n\u00e1trium &lt;130 t\u00fcnetekkel, k\u00e1lium 5,5, kreatininemelked\u00e9s &gt;30%, \u00faj k\u00f6szv\u00e9ny, s\u00falyos dehidrat\u00e1ci\u00f3s t\u00fcnetek.<\/li>\n<\/ul>\n<p><strong>Megsz\u00fcntet\u00e9s:<\/strong> nincs elvon\u00e1si szindr\u00f3ma, de a hirtelen abbahagy\u00e1s t\u00e9rfogatmegtart\u00e1st okozhat kr\u00f3nikus magas d\u00f3zis\u00fa hurokdiuretikumot szed\u0151 HF betegekn\u00e9l \u2014 fokozatosan sz\u00fcntesse meg \u00e9s figyelje a tests\u00falyt.<\/p>\n<ul>\n<li><strong>Loses efficacy at eGFR &lt;30.<\/strong> Switch to a loop diuretic (furosemide, torasemide) at advanced CKD &mdash; thiazides need functioning distal-tubule sodium delivery.<\/li>\n<li><strong>Raises serum calcium<\/strong> (paradoxical: thiazides enhance distal calcium reabsorption). Useful in osteoporotic patients; problematic in hypercalcaemic conditions (primary hyperparathyroidism, sarcoidosis).<\/li>\n<li><strong>F\u00e9ny\u00e9rz\u00e9kenys\u00e9g ki\u00fct\u00e9s<\/strong> is a specific thiazide class effect &mdash; counsel sun protection in sunny regions.<\/li>\n<li><strong>Sulfonamide cross-reactivity<\/strong> &mdash; avoid if severe sulfa allergy (rare; non-antibiotic sulfonamides rarely cross-react).<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Mell\u00e9khat\u00e1sok<\/h2>\n<p><strong>Gyakori (&gt;1%):<\/strong><\/p>\n<ul>\n<li><strong>Hypokalaemia<\/strong> (3-5%) &mdash; more common at doses &gt;25 mg; largely prevented when combined with an ACEi\/ARB<\/li>\n<li><strong>Hyponatraemia<\/strong> (2-5%) &mdash; especially in elderly women on low-salt diets; can be severe<\/li>\n<li><strong>Hyperuricaemia<\/strong> and gout precipitation<\/li>\n<li><strong>Enyhe gl\u00fck\u00f3ztolerancia-roml\u00e1s<\/strong> (fasting glucose +5-8 mg\/dL average)<\/li>\n<li><strong>Mild LDL and triglyceride rise<\/strong><\/li>\n<li><strong>Mereved\u00e9si zavar<\/strong> in some men &mdash; dose-related<\/li>\n<li><strong>Hypercalcaemia<\/strong> (usually mild)<\/li>\n<li><strong>F\u00e9ny\u00e9rz\u00e9kenys\u00e9g ki\u00fct\u00e9s<\/strong><\/li>\n<\/ul>\n<p><strong>Ritka, de klinikailag jelent\u0151s:<\/strong><\/p>\n<ul>\n<li><strong>S\u00falyos hyponatraemia<\/strong> \u2014 k\u00fcl\u00f6n\u00f6sen id\u0151s betegekn\u00e9l alacsony s\u00f3tartalm\u00fa \u00e9trend mellett, SIADH-ra hajlamos \u00e1llapotokban vagy SSRI-kkel kombin\u00e1lva. Zavarts\u00e1g, eles\u00e9sek vagy g\u00f6rcs\u00f6k form\u00e1j\u00e1ban jelentkezhet.<\/li>\n<li><strong>Pancreatitis<\/strong> \u2014 ritka tiazid\/hurok diuretikum oszt\u00e1lyhat\u00e1s; azonnal sz\u00fcneteltetni, ha fels\u0151 hasi f\u00e1jdalom jelentkezik lip\u00e1zszint-emelked\u00e9ssel<\/li>\n<li><strong>Trombocitopenia, leukopenia, agranulocit\u00f3zis<\/strong> \u2014 ritka hiperszenzitivit\u00e1si reakci\u00f3k (gyakoribb a tiazidokn\u00e1l, mint a hurokdiuretikumokn\u00e1l)<\/li>\n<li><strong>Akut myopia \u00e9s z\u00e1r\u00f3d\u00e1si glauk\u00f3ma<\/strong> \u2014 ritka szulfonamid-oszt\u00e1ly\u00fa reakci\u00f3, kezel\u00e9s megkezd\u00e9s\u00e9t\u0151l \u00f3r\u00e1kon bel\u00fcl vagy napokon bel\u00fcl jelentkezhet; azonnal sz\u00fcneteltetni, ha hirtelen f\u00e1jdalmas szem vagy l\u00e1t\u00e1szavar l\u00e9p fel<\/li>\n<li><strong>Stevens-Johnson szindr\u00f3ma \/ toxikus epiderm\u00e1lis nekrol\u00edzis<\/strong> \u2014 rendk\u00edv\u00fcl ritka, de dokument\u00e1lt esetek vannak<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Ellenjavallatok<\/h2>\n<ul>\n<li>Anuria or severe renal impairment (eGFR &lt;30) &mdash; loses efficacy<\/li>\n<li>Sulfonamide (sulfa) hypersensitivity<\/li>\n<li>Symptomatic hyponatraemia (Na &lt;130) or hypokalaemia (K &lt;3.0) at baseline<\/li>\n<li>Hypercalcaemia<\/li>\n<li>S\u00falyos m\u00e1jk\u00e1rosod\u00e1s (Child-Pugh C)<\/li>\n<li>Addison disease (primary adrenal insufficiency)<\/li>\n<\/ul>\n<p><strong>Terhess\u00e9g:<\/strong> \u00e1ltal\u00e1ban ker\u00fclend\u0151 \u2014 a tiazidok \u00e1tjutnak a m\u00e9hlep\u00e9nyen, \u00e9s magzati vagy \u00fajsz\u00fcl\u00f6ttkori s\u00e1rgas\u00e1got \u00e9s trombocitop\u00e9ni\u00e1t okozhatnak. Csak akkor haszn\u00e1lhat\u00f3, ha a haszon egy\u00e9rtelm\u0171en fel\u00fclm\u00falja a kock\u00e1zatot (rezisztens hypertonia a terhess\u00e9g k\u00e9s\u0151i szakasz\u00e1ban), szakorvosi fel\u00fcgyelet mellett.<\/p>\n<p><strong>Szoptat\u00e1s:<\/strong> \u00e1ltal\u00e1ban elfogadhat\u00f3 alacsony d\u00f3zisban; magas d\u00f3zisok g\u00e1tolhatj\u00e1k a tejelv\u00e1laszt\u00e1st (k\u00fcl\u00f6n\u00f6sen a tiazidok). Alternat\u00edv antihypertenz\u00edv szerek (propranolol, nifedipin) el\u0151ny\u00f6sek, ha lehets\u00e9ges.<\/p>\n<h2 class=\"wp-block-heading\">Gy\u00f3gyszerk\u00f6lcs\u00f6nhat\u00e1sok<\/h2>\n<ul>\n<li><strong>L\u00edtium \u2014 KRITIKUS INTERAKCI\u00d3.<\/strong> A tiazid \u00e9s a hurokdiuretikumok cs\u00f6kkentik a l\u00edtium vesei clearance-\u00e9t \u00e9s l\u00edtiumtoxicit\u00e1st okozhatnak. Ker\u00fclje a kombin\u00e1ci\u00f3t, ha lehets\u00e9ges; ha elker\u00fclhetetlen, a l\u00edtiumszintet hetente monitorozza az els\u0151 h\u00f3napban, \u00e9s cs\u00f6kkentse a l\u00edtiumadagot 25-50%-kal.<\/li>\n<li><strong>NSAID-k<\/strong> \u2014 cs\u00f6kkenti a diuretikus hat\u00e1st (prostaglandin-g\u00e1tl\u00e1s r\u00e9v\u00e9n) \u00e9s jelent\u0151sen n\u00f6veli az AKI kock\u00e1zat\u00e1t ACE-g\u00e1tl\u00f3\/ARB kombin\u00e1ci\u00f3 eset\u00e9n (\u201ctriple whammy\u201d). Kr\u00f3nikus f\u00e1jdalom eset\u00e9n el\u0151nyben r\u00e9szes\u00edtse a paracetamolt.<\/li>\n<li><strong>ACE-g\u00e1tl\u00f3k \u00e9s ARB-k<\/strong> \u2014 a kombin\u00e1ci\u00f3 standard \u00e9s el\u0151ny\u00f6s hypertoni\u00e1ban; az ACE-g\u00e1tl\u00f3\/ARB hozz\u00e1ad\u00e1sa blokkolja a kompenzatorikus RAAS aktiv\u00e1ci\u00f3t \u00e9s fokozza a diuretikus hat\u00e1st. Monitorozza a k\u00e1lium- \u00e9s kreatininszintet.<\/li>\n<li><strong>K\u00e1lium-p\u00f3tl\u00f3k \u00e9s k\u00e1liumtart\u00f3 diuretikumok<\/strong> \u2014 gyakran sz\u00fcks\u00e9gesek a hurok\/tiazid diuretikumok \u00e1ltal okozott hypokalaemia ellens\u00falyoz\u00e1s\u00e1ra. Monitorozza a k\u00e1liumszintet; ker\u00fclje a t\u00falkorrekci\u00f3t.<\/li>\n<li><strong>Digoxin<\/strong> \u2014 a hypokalaemia fokozza a digoxin toxicit\u00e1s\u00e1t (hurok- \u00e9s tiaziddiuretikumok); a spironolakton k\u00f6zvetlen\u00fcl cs\u00f6kkenti a digoxin clearance-\u00e9t. Monitorozza a digoxinszintet \u00e9s a k\u00e1liumot diuretikum kezd\u00e9se vagy v\u00e1ltoztat\u00e1sa eset\u00e9n.<\/li>\n<li><strong>Oralis kortikoszteroidok, amfotericin B, stimul\u00e1ns hashajt\u00f3k<\/strong> \u2014 addit\u00edv hypokalaemia (hurok\/tiazid) vagy elrejtett k\u00e1liumig\u00e9ny (spironolakton).<\/li>\n<li><strong>Or\u00e1lis antidiabetikumok, inzulin<\/strong> \u2014 a tiazidok \u00e9s (kev\u00e9sb\u00e9) a hurkok rontj\u00e1k a gl\u00fck\u00f3ztoleranci\u00e1t; d\u00f3zism\u00f3dos\u00edt\u00e1sra lehet sz\u00fcks\u00e9g.<\/li>\n<li><strong>Kolesztiramin \/ kolesztipol<\/strong> \u2014 40-85%-kal cs\u00f6kkentik a tiazidok \u00e9s a hurokdiuretikumok felsz\u00edv\u00f3d\u00e1s\u00e1t. Az adagol\u00e1st 4 \u00f3r\u00e1val v\u00e1lassza el.<\/li>\n<li><strong>Alkohol<\/strong> \u2014 addit\u00edv ortosztatikus hypot\u00f3nia.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Where Aquazide Fits in the Diuretic Class<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Oszt\u00e1ly<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">K\u00e9pvisel\u0151k<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Tipikus haszn\u00e1lat<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff3cd;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Tiazid<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/aquazide\/\">HCTZ<\/a>, klortalidon<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hypertonia els\u0151vonalbeli kezel\u00e9se, Ca-k\u00f6vek, nephrog\u00e9n diabetes insipidus<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Tiazidszer\u0171<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/natrilix-sr\/\">Indapamid<\/a>, metolazon<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hypertonia (id\u0151s, HYVET bizony\u00edt\u00e9k), szekvenci\u00e1lis nefronblok\u00e1d<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hurok (r\u00f6vid)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/lasix\/\">Furosemide<\/a>, bumetanid<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Akut t\u00fcd\u0151\u00f6d\u00e9ma, CHF, ascites, hypercalcaemia<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Hurok (hossz\u00fa)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/dytor\/\">Torasemid<\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kronikus CHF, HTN (csak hurokdiuretikum HTN bizony\u00edt\u00e9kkal), CKD \u00f6d\u00e9ma<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aldoszteron-antagonista<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/aldactone\/\">Spironolakton<\/a>, eplerenon<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">HF-REF (RALES), rezisztens HTN (PATHWAY-2), Conn-k\u00f3r, m\u00e1jcirrhosisos ascites<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Egy\u00e9b K-megtart\u00f3<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Amilorid, triamteren (\u00e1ltal\u00e1ban kombin\u00e1ci\u00f3kban)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hypokalaemia megel\u0151z\u00e9se hurok\/tiazid hozz\u00e1ad\u00e1sakor<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Karbonsav-anhidr\u00e1z<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Acetazolamid<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Magass\u00e1gi betegs\u00e9g, glauk\u00f3ma, metabolikus alkal\u00f3zis<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">T\u00e1rol\u00e1s<\/h2>\n<p>Store Aquazide below 25&deg;C in the original blister pack. Keep out of reach of children.<\/p>\n<h2 id=\"faqs\">Gyakran Ism\u00e9telt K\u00e9rd\u00e9sek<\/h2>\n<h3 class=\"wp-block-heading\">When should I take Aquazide &mdash; morning or evening?<\/h3>\n<p><strong>Reggel<\/strong> in almost all cases. The diuretic effect produces increased urine output for 2-4 hours after dosing. Evening dosing causes nocturia and disrupts sleep. Patients on twice-daily loop diuretics typically dose at breakfast and early afternoon (not bedtime).<\/p>\n<h3 class=\"wp-block-heading\">Is Aquazide a first-line blood-pressure drug?<\/h3>\n<p>Igen \u2013 a tiazidok (HCTZ, klortalidon) \u00e9s tiazidszer\u0171 szerek (indapamid) az egyik <strong>n\u00e9gy els\u0151vonalbeli antihipertenz\u00edv gy\u00f3gyszeroszt\u00e1ly<\/strong> az ARB-k, ACE-g\u00e1tl\u00f3k \u00e9s kalciumcsatorna-blokkol\u00f3k mellett. A legt\u00f6bb \u00fajonnan diagnosztiz\u00e1lt hypertoni\u00e1s beteg sz\u00e1m\u00e1ra a tiazid \u00e9sszer\u0171 els\u0151 vagy m\u00e1sodik v\u00e1laszt\u00e1s, \u00e9s szinte minden t\u00f6bbgy\u00f3gyszeres kezel\u00e9sben r\u00e9szes\u00fcl\u0151 beteg szed ilyet.<\/p>\n<h3 class=\"wp-block-heading\">Will Aquazide affect my potassium?<\/h3>\n<p>Yes &mdash; Aquazide <strong>cs\u00f6kkenti<\/strong> a k\u00e1lium szintj\u00e9t a distalis tubulusokban t\u00f6rt\u00e9n\u0151 k\u00e1lium\u00fcr\u00edt\u00e9s fokoz\u00e1s\u00e1val. Ellen\u0151rizze alap\u00e9rt\u00e9kn\u00e9l, 1-2 h\u00e9t m\u00falva, majd rendszeresen. A hypokalaemia kock\u00e1zata <strong>minimaliz\u00e1lhat\u00f3 a<\/strong> Aquazide with an ARB or ACE inhibitor &mdash; which is the standard combination in hypertension anyway. If potassium drops below 3.5 in isolated diuretic use, add potassium supplementation, a potassium-rich diet, or a small dose of a potassium-sparing agent (spironolactone, eplerenone, or an <a href=\"https:\/\/medsbase.com\/hu\/amifru\/\">amiloridot tartalmaz\u00f3 kombin\u00e1ci\u00f3t<\/a>).<\/p>\n<h3 class=\"wp-block-heading\">I have gout &mdash; can I take Aquazide?<\/h3>\n<p>\u00d3vatosan. A tiazidok \u00e9s (kev\u00e9sb\u00e9) a hurokdiuretikumok n\u00f6velik a sz\u00e9rum h\u00fagysav szintj\u00e9t a proxim\u00e1lis tubulusokban t\u00f6rt\u00e9n\u0151 \u00fcr\u00edt\u00e9s verseng\u00e9s\u00e9vel. K\u00f6szv\u00e9nyre hajlamos betegekn\u00e9l: el\u0151nyben r\u00e9szes\u00edtend\u0151k a loszart\u00e1n-alap\u00fa kombin\u00e1ci\u00f3k (<a href=\"https:\/\/medsbase.com\/hu\/cosart-h\/\">Cosart H<\/a>, <a href=\"https:\/\/medsbase.com\/hu\/cozartan-h\/\">Cozartan H<\/a>) whose losartan component is uniquely uricosuric and offsets the thiazide urate rise. If Aquazide is already in use and gout flares, add or continue urate-lowering therapy (allopurinol) rather than stopping Aquazide outright.<\/p>\n<h3 class=\"wp-block-heading\">I&rsquo;m diabetic &mdash; is Aquazide safe?<\/h3>\n<p>Mostly yes, but be aware that thiazides and (to a lesser extent) loop diuretics <strong>modestly worsen glucose tolerance<\/strong> (average fasting glucose rise 5-8 mg\/dL, HbA1c 0.1-0.3%). The BP benefit outweighs this in most diabetics. If you want a more metabolically neutral combination, ARB+CCB is an alternative (<a href=\"https:\/\/medsbase.com\/hu\/olmezest-am\/\">Olmezest AM<\/a>).<\/p>\n<h3 class=\"wp-block-heading\">Can I take ibuprofen with Aquazide?<\/h3>\n<p>Az alkalmi r\u00f6vid t\u00e1v\u00fa haszn\u00e1lat \u00e1ltal\u00e1ban elfogadhat\u00f3. A kr\u00f3nikus napi NSAID-k (ibuprofen, diklofen\u00e1k, naprox\u00e9n) <strong>cs\u00f6kkentik a diuretikus \u00e9s antihypertens\u00edv hat\u00e1st<\/strong> of Aquazide (prostaglandin blockade) and substantially raise the AKI risk when combined with an ACE inhibitor or ARB &mdash; the &#8220;triple whammy.&#8221; Use paracetamol preferentially for chronic pain.<\/p>\n<h3 class=\"wp-block-heading\">T\u00f6bbet fogok vizelni \u00e9jszaka?<\/h3>\n<p>Usually no, if you take Aquazide in the morning. The diuretic effect peaks 2-4 hours after dosing and has mostly worn off by evening. Nocturia is a common complaint when patients switch to evening dosing; switch back to morning dosing and nocturia resolves within 1-3 days.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Aquazide in pregnancy?<\/h3>\n<p>Routinely avoided. Thiazides cross the placenta and can affect the fetus. For hypertension in pregnancy, switch to <a href=\"https:\/\/medsbase.com\/hu\/labebet\/\">labetalol<\/a>, -re, metildop\u00e1ra vagy nifedipinre. Diuretikumokat terhess\u00e9g alatt csak speci\u00e1lis indik\u00e1ci\u00f3k (t\u00fcd\u0151\u00f6d\u00e9ma, rezisztens sz\u00edvel\u00e9gtelens\u00e9g) eset\u00e9n haszn\u00e1lnak szakorvosi fel\u00fcgyelet mellett.<\/p>\n<h3 class=\"wp-block-heading\">Mi a teend\u0151, ha kihagyok egy adagot?<\/h3>\n<p>Vegye be, amint esz\u00e9be jut, kiv\u00e9ve, ha m\u00e1r majdnem itt az id\u0151 a k\u00f6vetkez\u0151 adag bevitel\u00e9hez \u2013 ebben az esetben hagyja ki a kihagyott adagot. Ne dupl\u00e1zza meg a d\u00f3zist. Egyetlen kihagyott adag nem befoly\u00e1solja jelent\u0151sen a hossz\u00fa t\u00e1v\u00fa v\u00e9rnyom\u00e1s- vagy folyad\u00e9kkontrollt.<\/p>\n<h3 class=\"wp-block-heading\">Where can I buy Aquazide online?<\/h3>\n<p>You can buy Aquazide (12.5 \/ 25 mg hydrochlorothiazide, 30-180 tablets) from MedsBase with discreet packaging and worldwide shipping.<\/p>\n<h2 class=\"wp-block-heading\">Kapcsol\u00f3d\u00f3 antihypertonikumok \u00e9s diuretikumok a MedsBase-en<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/hu\/aldactone\/\">Aldactone \u2014 Spironolakton 25 mg (aldoszteronantagonista)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/cosart-h\/\">Cosart H &mdash; Losartan + HCTZ fixed combination<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/dytor\/\">Dytor \u2014 Toraszemid (hurok, kisz\u00e1m\u00edthat\u00f3bb biohasznosul\u00e1s)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/hydrocl\/\">Hydrocl \u2014 Hidroklorotiazid (HCTZ)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/losar\/\">Losar \u2014 Losartan (ARB partner diuretikumhoz)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/telma-h\/\">Telma H &mdash; Telmisartan + HCTZ fixed combination<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/high-blood-pressure-medication\/\"><strong>\u00d6sszes magas v\u00e9rnyom\u00e1sra szolg\u00e1l\u00f3 gy\u00f3gyszer b\u00f6ng\u00e9sz\u00e9se<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 Orvosi nyilatkozat.<\/strong> Ez az oldal t\u00e1j\u00e9koztat\u00f3 jelleg\u0171, \u00e9s nem helyettes\u00edti a k\u00e9pzett eg\u00e9szs\u00e9g\u00fcgyi szakember tan\u00e1cs\u00e1t. A hypertonia, sz\u00edvel\u00e9gtelens\u00e9g \u00e9s sz\u00edvritmuszavarok diagnosztiz\u00e1l\u00e1st, monitoroz\u00e1st \u00e9s d\u00f3zis-individualiz\u00e1l\u00e1st ig\u00e9nyelnek orvosi r\u00e9sz\u00e9r\u0151l \u2014 mindig orvosi utas\u00edt\u00e1s szerint haszn\u00e1ljon b\u00e9ta-blokkol\u00f3kat.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Kapcsol\u00f3d\u00f3 alternat\u00edv\u00e1k<\/h3>\n<p>Egy\u00e9b term\u00e9kek a <strong>Kr\u00f3nikus betegs\u00e9gek<\/strong> v\u00e1s\u00e1rl\u00f3k \u00e1ltal szint\u00e9n megtekintett term\u00e9kek:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/hu\/flexabenz\/\">Flexabenz<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/hivus-lr\/\">Hivus LR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/combutol\/\">Combutol<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/glynase-xl\/\">Glynase Xl<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/cytotam\/\">Cytotam<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Aquazide is Sun Pharma&#8217;s hydrochlorothiazide 12.5\/25 mg tablets \u2014 the reference thiazide diuretic and one of the four guideline-recommended first-line antihypertensive classes. Blocks sodium reabsorption in the distal tubule; modest direct vasodilator activity develops over 2-6 weeks. Modern guidelines prefer low-dose 12.5-25 mg to limit metabolic side effects. ALLHAT and SHEP trial evidence.<\/p>","protected":false},"featured_media":57505,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[4317,3401],"class_list":{"0":"post-57504","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-heart-blood-pressure","9":"product_cat-high-blood-pressure-medication","10":"product_tag-aquazide","11":"product_tag-hydrochlorothiazide","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product\/57504","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/comments?post=57504"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media\/57505"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media?parent=57504"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_brand?post=57504"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat?post=57504"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_tag?post=57504"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}