• Total cumulative dose Route
  • Contraindications Hypersensitivity to thiazide derivatives. Precautions
  • Neonatal Intensive Care Drug Manual




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    Dose adjustment




    Maximum dose

    20 mg/kg/day, although higher doses have been reported.14,15

    Total cumulative dose




    Route

    Oral.

    Preparation

    Oral: Shake well before use.

    Administration

    Oral: Administer after feeds (preferred).

    Monitoring

    Blood pressure and blood glucose levels during initial treatment.

    Sodium and fluid retention (urine output, electrolytes and weight).

    Consider monitoring albumin and liver function.1


    Contraindications

    Hypersensitivity to thiazide derivatives.

    Precautions

    Avoid sodium and water overload.

    Concomitant use of a thiazide diuretic is recommended.

    Avoid higher doses where possible.

    Use with caution in premature infants – increased risk of cardiorespiratory complications.

    Use with caution in jaundice – may displace bilirubin from albumin.

    Reduce dose in infants with renal impairment.

    Use with caution in infants with hepatic impairment.

    Use with caution in mechanical hypertension, e.g. secondary to aortic coarctation or arteriovenous shunt.

    Use with caution in pulmonary hypertension.



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    Neonatal Intensive Care Drug Manual

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