Under Eye Puffiness, Diagnosed Acute Renal Failure Due To Use Of Triameterene / Hctz, Used Triamterene For Meniere's Syndrome. Advise?
Thanks for your query.
Acute renal failure due to triameterene/hctz can be due to dehydration or an allergic reaction to the med itself. Have your renal parameters normalized. What was the ultrasound report of the kidneys then. If it was Acute renal failure your renal functions should have normalized - what are they now?
When your kidneys have got used to the meds (both of which are diuretics) and you start reducing the dose, there may be some amount of fluid retention. The only way out is to wait and allow the kidneys to readjust.
Restricting your fluid intake to less than 1000ml/24hrs and strictly limiting your salt intake to about 3 gm(half a teaspoon)/ 24hrs would help you avoid retaining water.
Reduce the dosages gradually.
Hope I have answered your query. Please accept my answer in case you do not have further queries.
Your ultrasound of the kidneys attached appears normal.
It is very likely that the puffiness on your face is due to excess fluid intake and reduced dose of the diuretics. It would help if we know your present urine report and serum creatinine.
If you are unable to get these- limit your salt and water intake as I mentioned earlier. It would be a good idea to monitor your weight daily at a fixed time ( a normal bathroom scale would do). The trend of your weight will give an idea about your fluid status whether you are accumulating fluid.
Further steps can be taken based on the weight scale.
Hope this helps.