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This medication comes with important safety warnings that must be understood to minimize potential risks. Please ensure you review the following information and discuss any concerns with your healthcare provider:

• Risk to Unborn Babies: This medication can seriously harm an unborn baby and should not be used during pregnancy. If you are pregnant, planning to become pregnant, or suspect you might be pregnant, inform your healthcare provider immediately. They can advise on safer alternatives for managing your condition. If you discover you are pregnant while taking this medication, stop the medication and contact your provider without delay.

• Low Blood Pressure: There is a risk of experiencing a significant drop in blood pressure, which may lead to dizziness, tiredness, or lightheadedness, especially when beginning treatment or increasing the dose. Ensure you stay well-hydrated. If you experience dizziness, sit down slowly, and hold onto a stable surface. Contact your healthcare provider if symptoms persist, and seek immediate medical help if you sustain a head injury. This risk is increased if you have inadequate fluid intake, prolonged diarrhea or vomiting, low salt levels, take high doses of diuretics, or have a history of narrow heart valves.

• High Potassium Levels: This medication may elevate potassium levels in your blood, even if your kidneys are healthy. The risk is heightened if you use other potassium-raising medications. Regular blood tests will be ordered by your healthcare provider to monitor potassium levels. Report symptoms such as nausea, muscle weakness, or irregular heartbeat immediately, as untreated high potassium can be dangerous.

• Risk of Heart Attack or Chest Pain: Some individuals may experience worsening chest pain or a heart attack, especially when starting or increasing the medication. This risk is greater for those with severe coronary artery disease. Seek urgent medical attention if you have chest pain, pressure, dizziness, heartburn, or difficulty breathing.

• Possible Kidney Damage: The medication can impact kidney function, particularly in individuals with pre-existing kidney issues or severe heart failure. Your healthcare provider will monitor kidney function through lab tests. Inform your provider if you notice decreased urination, as this might indicate reduced kidney function.

Contraindications: Do not use this medication if you are taking aliskiren (Tekturna) and have diabetes, as this combination can be hazardous. Always consult your healthcare provider to ensure this medication is safe for you.

When taking this medication, some individuals may experience common side effects such as dizziness or lightheadedness as their body adjusts. Swelling in the hands, ankles, or feet, as well as flushing, can also occur but are generally mild. To minimize dizziness, try to rise slowly from sitting or lying positions. While many people do not experience serious side effects, it is important to be aware of them.

If you experience severe side effects such as fainting, a fast or irregular heartbeat, or signs of kidney problems like changes in urine output, contact your healthcare provider immediately. Rarely, individuals with pre-existing severe heart conditions might experience worsening chest pain or even a heart attack after starting or increasing the dose of this medication. Symptoms of a heart attack include chest, jaw, or left arm pain, shortness of breath, and unusual sweating, and they require urgent medical attention.

Another serious concern is a high potassium level in the blood, which can manifest as muscle weakness, a slow or irregular heartbeat, nausea, or a tingling sensation. Muscle problems like stiffness or abnormal movement are also potential serious side effects. In very rare cases, a severe allergic reaction may occur. Indicators include rash, itching, swelling especially on the face, tongue, or throat, severe dizziness, and difficulty breathing. Immediate medical help is advised if these symptoms appear.

While this is not an exhaustive list of possible side effects, it is crucial to monitor how you feel and report any other unusual symptoms to your healthcare provider.