Search results for:

hydrochlorothiazide-triamterene

hydrochlorothiazide-triamterene
Form Strength ANAN ASMP LACH LALK LOHH LOLR LOWC SDSD SESE SFSF Formulary Status
CAPSULE, ORAL 25 mg-37.5 mg                     capsule is non formulary
TABLET, ORAL 25 mg-37.5 mg; 50 mg-75 mg      


Comments:

Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note:  “Therapeutic Interchange” should be placed in the order comments

Potassium Sparing Diuretics (as of 1/2024)

Medication Ordered  

Brand Name  

Dosage form  

ERX 

Dose and Frequency  

Formulary Medication  

Dosage Form  

ERX 

Dose and Frequency  

Triamterene/HCTZ 

(37.5mg/25mg) 

Maxzide-25 

Tablets 

FORMULARY AGENT 

Triamterene/HCTZ 

(37.5mg/25mg) 

Dyazide 

Capsules 

12729 

1 Capsule Daily 

Triamterene/HCTZ (37.5mg/25mg) 

Tablet 

4813 

8132 

1 Tablet Daily 

Triamterene/HCTZ 

(75mg/50mg) 

Maxzide-75 

Tablets 

4812 

8134 

1 Tablet Daily 

Triamterene/HCTZ (37.5mg/25mg) 

Tablets 

4813 

8132 

2 Tablets Daily 

Triamterene 

Dyrenium 

Capsules 

2713 

11588 

50 mg Daily 

Triamterene/HCTZ (37.5mg/25mg) 

Tablet 

4813 

8132 

1 Tablet Daily 

Triamterene 

Dyrenium 

Capsules 

2712 

8131 

100 mg Daily 

Triamterene/HCTZ (37.5mg/25mg) 

Tablet 

4813 

8132 

2 Tablets Daily 

Amiloride/HCTZ 

(5mg/50mg) 

Moduretic 

Tablets 

392 

1 Tablet Daily 

Triamterene/HCTZ (37.5mg/25mg) 

Tablet 

4813 

8132 

2 Tablets Daily 


Last updated: Feb. 26, 2024
  • Black Box Warning: Hyperkalemia
  • Therapeutic Interchange: T.I.


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Pharmacy Phone Numbers
Our Lady of the Lake Regional Medical Center
225-765-4434
Our Lady of the Lake Children’s Hospital
225-374-1380
Our Lady of the Lake Ascension Hospital
225-647-5057
Our Lady of the Lake Assumption Community Hospital
985-369-4290
Our Lady of Angels Hospital
985-730-6789
Our Lady of Lourdes Hospital
337-470-2866
Our Lady of Lourdes Women and Children’s
337-470-5070
Our Lady of Lourdes Heart Hospital
337-470-1080
St. Dominic Jackson Memorial Hospital
601-200-6000
St. Francis Medical Center
318-966-3461