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Biduret® L

Biduret® L water pills (also called diuretic) are formulated to increase urine formation and discharge the excessive liquid out of your body. These tablets are used for elevated blood pressure (hypertension), heart failure, and fluid retention associated with cirrhosis. Suitable for individuals over 18 years of age.

Other names for this medication:
Biduret®, Moduretic®, Moduret 25®, Co-amilozide

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Active Ingredient:
Hydrochlorothiazide, Amiloride

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Description

Biduret® L is manufactured by GSK. The active ingredients comprised in Biduret® L tablets are Hydrochlorothiazide and Amiloride. Hydrochlorothiazide is a potent thiazide diuretic, and Amiloride is a much weaker potassium-sparing diuretic. Biduret® L also contains Lake Erythrosine, food coloring compound.

Indications:

- high blood pressure (hypertension);

- heart failure;

- fluid retention caused by cirrhosis (liver disease).

Biduret® L also can be used as an alternative oral agent for management of nephrogenic diabetes insipidus (do not confuse with diabetes mellitus or sugar diabetes), followed by abnormal production of urine (polyuria) and constant thirst (polydipsia).

MOA (mechanism of action):

Hydrochlorothiazide lowers the blood pressure by reducing the volume of blood circulating in the body. In particular, it promotes urine formation inhibiting the sodium and water reabsorption in the distal convoluted tubule (kidney nephron). With increased urination, the unnecessary liquid leaves the body instead of being absorbed into the bloodstream. Hydrochlorothiazide also thought to lower peripheral vascular resistance by relaxing the muscles in the walls of blood vessels. Hydrochlorothiazide used alone can cause lots of potassium to be excreted out of the blood leading to hypokalemia.

Amiloride binds to responsive sodium channels and inhibits sodium reabsorption in the tubules and kidneys collecting ducts. By this, Amiloride promotes the discharge of unnecessary water from the body leading to the reduction of plasma and extracellular fluid volume. The reduced volume of plasma and extracellular liquid decreases the peripheral resistance leading to lower blood pressure. Amiloride is a potassium-conserving (antikaliuretic) drug used in combination with Hydrochlorothiazide to prevent the amount of potassium in the blood from falling too low.

Dosage

Biduret® L tablets should be swallowed whole and taken with a full glass of water, preferably in the morning.

The exact dosage, as well as the course duration, must be determined by a doctor for each individual patient.

Biduret® L tablets are only for oral use.

Avoid taking Biduret® L later than 12 noon, as the diuretic action of this medicine may disturb your sleep.

Do not give Biduret® L to patients under 18 years of age.

Potassium blood level should be monitored carefully during the Biduret® L treatment course.

You should not take more than 100 mg/10 mg a day.

Hypertension:

The usual starting dose is 25 mg/2,5 mg daily.

The average recommended dose varies from 25 mg/2,5 mg to 50 mg/5 mg given each day as a divided or single intake.

Heart failure:

The usual starting dose is 25 mg/2,5 mg daily.

The average recommended dose varies from 25 mg/2,5 mg to 100 mg/10 mg a day as a divided or single intake.

Fluid retention due to cirrhosis:

The usual starting dose is 50 mg/5 mg daily.

The average recommended dose varies from 25 mg/2,5 mg to 100 mg/10 mg a day as a divided or single intake.

Missing a dose

If you miss a dose you should take it as soon as you remember about your missing. If it is the time for the next dose you should continue your regular dosing schedule. Do not take a double dose.

Overdose

If an overdose occurs and you are not feeling well, stop taking the medication immediately. You should seek emergency medical attention or contact your healthcare provider immediately.

Storage

Store at room temperature between 10 and 25 degrees C and away from excess moisture and heat. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with the use of Biduret® L are:

  • allergic reactions (swelling of the face, throat or tongue, fever, difficulty breathing, skin rash)
  • headache
  • tiredness (fatigue)
  • arrhythmias
  • tachycardia
  • chest or muscle pain
  • loss of appetite
  • nausea or vomiting
  • diarrhoea
  • stomach pain
  • dehydration
  • electrolyte imbalance
  • excessive sweating
  • fever
  • insomnia
  • nervousness
  • painful urination

Side effects occurrence does not only depend on the medication you are using, but also on your overall health and other factors.

Contraindications

Do not take Biduret® L if you are allergic to Hydrochlorothiazide or Amiloride.

Do not take Biduret® L if you are allergic to any of the other ingredients comprised in Biduret® L.

Do not take Biduret® L if you have a history of severe allergic reactions associated with the use of sulfonamides or acetazolamide.

Do not take Biduret® L if you have anuria, hyperuricemia, hyperlipidemia, hypovolemia, hypokalemia, hyperkalemia, severe hyponatraemia, liver of kidney problems, hepatic coma or precoma, diabetes mellitus, Addison’s disease, systemic lupus erythematosus, gout or dehydration.

Do not take Biduret® L if you have high levels of urea, cholesterol, uric acid, triglycerides, creatinine, potassium or calcium in your blood.

Do not combine Biduret® L with the use of potassium supplements, ACE inhibitors (enalapril), angiotensin II receptor antagonists (losartan), diabetes drugs (insulin, chlorpropamide) antipsychotics (lithium), non steroidal anti-inflammatory drugs (aspirin, ibuprofen, ketoprofen, indometacin), sleep medications (barbiturates), painkillers (codeine, dihydrocodeine, dextropropoxyphene, diamorphine, morphine, pentazocine, pethidine), treatments for high cholesterol (cholestyramine, colestipol) steroids, immunosuppresives (ciclosporin, tacrolimus), and muscle relaxants (tubocurarine, diazepam, lorazepam, clonazepam).

Do not consume alcohol while taking Biduret® L as it may cause severe dizziness or fainting.

Do not drive or operate machinery as Biduret® L causes fatigue and lightheadedness.

Do not use Biduret® L in patients under 18 years of age.

It is recommended not to use Biduret® L in pregnant and breastfeeding women.

Avoid consuming large amounts of foods with high potassium content like dried fruit, bananas, and tomatoes.

Q: What is Biduret® L used for?

A: Biduret® L water pills (also called diuretic) are formulated to increase urine formation and discharge the excessive liquid out of your body. These tablets are used for elevated blood pressure (hypertension), heart failure, and fluid retention associated with cirrhosis.

Q: Is Biduret® L safe?

A: Biduret® L tablets are safe as long used by adult patients for prescribed condition and at prescribed doses.

Q: Can Biduret® L be used in pregnant women?

A: It is recommended not to use Biduret® L in pregnant women.

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Worldwide Shipping

Worldwide Shipping

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EMS  Trackable, where available 5-9 business days USD 30.00 per order

Delivery time is:

Registered Mail - 14-21 business days, price - USD 20.00, no signature is required on delivery.
EMS - 5-9 business days, price - USD 30.00, signature is required on delivery.
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