Considerations for providers

• Monitor fluid intake and output, weight, bllod pressure, and electrolyte levles.
• Watch for signs and symptoms of hypokalemia described above.
• Consult prescriber or dietitian about potassium supplements and potassium-rich foods.
• Monitor creatinine and BUN levels regularly. Cumulative effects of drug may occur with impaired renal function.
• Monitor uric acid level, especially in patients with history of gout.
• Monitor glucose level, especially in patients with diabetes.
• Monitor elderly patients, who are especially susceptible to excessive diuresis.
• Stop drug before parathyroid function tests.
• In patients with hypertension, therapeutic response may be delayed several weeks.

Patient Education

• Take drug with food to minimize stomach upset.
• Take drug in the morning to avoid need to urinate at night.
• Avoid sudden posture changes and rise slowly to avoid dizziness.
• Use a sunblock to prevent photosensitivity reactions.