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Triamterene + chlortalidone is an oral combination diuretic product marketed by Wyntra Pharmaceuticals for the treatment of hypertension and edema. It consists of triamterene, a potassium-sparing diuretic, and chlortalidone, a thiazide-like diuretic. Triamterene works by blocking the epithelial sodium channels (ENaC) in the distal tubule and collecting duct, which promotes sodium excretion while reducing potassium loss. Chlortalidone inhibits the sodium-chloride symporter in the distal convoluted tubule, leading to increased excretion of sodium, chloride, and water. This combination is designed to achieve effective blood pressure control and fluid reduction while mitigating the hypokalemia often associated with thiazide-like diuretic monotherapy.
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