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Hyperkalemia may complicate any of the following conditions: chronic renal failure, systemic acidosis, such as diabetic acidosis, acute dehydration, extensive tissue breakdown as in severe burns, adrenal insufficiency, or the administration of a potassium-sparing diuretic (eg, spironolactone, triamterene, amiloride) (see OVERDOSAGE). Triamterene is less soluble in solutions with a pH less than 6. In addition, triamterene alone, and when combined with hydrochlorothiazide, is associated with acute interstitial nephritis and acute renal failure in rare cases. Symptoms of a triamterene overdose may include increased urination, nausea, vomiting, weakness, fever, warmth or flushing in your face, or muscle spasms. triamtereneTriamterene is reported as an ingredient of Dociteren in Germany. OcularOcular side effects including acute transient myopia with shallowing of the anterior chamber has rarely been associated with HCTZ-triamterene, HCTZ, chlorthalidone, trichlormethiazide, and other sulfonamides, as well as aspirin, ethoxzolamide and acetazolamide.

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