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4RX Store > Medication List > Diuretics drugs > Order Diamox online

Diuretics Medication (Diamox)

Generic name:
Brand name:
Diamox is one of the names used to market a medicinal substance Acetazolamide. The substance has an ant-epileptic, water pill, and intraocular pressure-lowering effects. It can be appointed for different types of glaucoma, epilepsy, swelling associated with heart diseases or other causes, altitude sickness, and so on. Read our complete article to find out more useful information such as where to get the medication cheap, what dosages are regularly prescribed, what adverse effects it can cause, and so on.
Swelling caused by heart failure, Swelling caused by different conditions, Epilepsy, Glaucoma, Altitude sickness
The medication helps to relieve swelling, intraocular tension in glaucoma, seizures in epilepsy and cope with altitude sickness
Wyeth Pharmaceuticals
Wyeth Pharmaceuticals
Acetamox, Acetazolam, Acetozalamide, Ak-Zol, Atenezol, Carbonic Anhydrase Inhibitor, Cidamex, Dazamide, Defiltran, Dehydratin, Diacarb, Didoc, Diluran, Diuramid, Diureticum-Holzinger, Diuriwas, Diutazol, Donmox, Duiramid, Edemox, Eumicton, Fonurit, Glaupax, Glupax, Natrionex, Nephramid, Phonurit, Storzolamide, Vetamox
Diamox (Generic Acetazolamide)
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Order Generic Acetazolamide Buy Diamox 250mg


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  60 tabs
$41.79 ($42.11)








  90 tabs
$49.46 ($55.06)








  120 tabs
$65.21 ($79.20)








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  Generic Medication guide:

What is Diamox and when is it used?

The medication known in the U.S. mostly as Diamox is a diuretic based on Acetazolamide. You can buy Diamox cheap at our online drugstore because we offer the same medication under a less advertised and promoted name.

The medication is a diuretic (water pill), antiglaucoma, and anti-seizure substance. The principle of the medication is the selective suppression of an enzyme that provokes hydration of carbon dioxide and the subsequent dissociation of carbonic acid.

Short drug info
Trade names Diamox, Diacarb, others
Pregnancy category US: C (Risk not ruled out)
Way of administration By mouth
Legal status
AU: S4 (Prescription only)

CA: Rx-only

UK: POM (Prescription only)

US: Rx-only
Metabolism None
Elimination half-life 2–4 hours
Washing out Urine (90%)

The water pill effect is due to suppression of carbonic anhydrase in the kidneys, which leads to a drop in the recapture of bicarbonate, sodium and potassium ions, increased urine output, increased urine pH, and an elevation in ammonia reabsorption. It does not affect the removal of chlorine ions. These processes reduce the production of watery fluid in the eye and intraocular pressure. Suppression of carbonic anhydrase in the brain leads to the accumulation of CO 2 in the brain and inhibition of excessive paroxysmal discharges of neurons, which leads to anti-seizure potential. The use of medication in an elevated intracranial tension is related to the suppression of carbonic anhydrase in the vascular plexuses of the ventricles of the brain and diminished production of cerebrospinal fluid.

Indications for use of Diamox

1. Glaucoma therapy:

- Chronic and secondary open-angle glaucoma;

- Short-term preoperative and ophthalmological procedures course and to reduce intraocular tension.

2. Reduction of edema:

- In heart failure;

- Swelling caused by medication.

3. Epilepsy treatment (along with other anti-seizure medications):

- Small seizures in kids;

- Large seizures in adults;

- Mixed form epilepsy.

When is the therapy with Diamox prohibited?

- Hypersensitivity to the formulation and sulfonamides, impaired liver and kidney function, acute kidney failure, hyponatremia and/or hypokalemia, Addison's disease, adrenal insufficiency, hyperchloremic acidosis.

- Extended course with the formulation is prohibited to individuals with chronic decompensated angle-closure glaucoma because if the angle of the chamber of the eye is fully closed, the aggravation of the course of glaucoma will be covered by normalized intraocular tension.

- Urolithiasis (with hypercalciuria), diabetes, uremia. Application restrictions:

- Pulmonary embolism,

- Pulmonary emphysema (possibly increased acidosis),

- Pregnancy.

Dosages of Diamox

When you plan to buy generic Diamox, make sure to consult a specialist before you start using the drug. Here you can find the general recommendations on the use:

Glaucoma treatment

- Open-angle glaucoma is treated with 250 mg taken once to four times a day. A dose of more than 1000 mg does not improve therapeutic efficacy.

- Secondary glaucoma is treated with 250 mg (one pill) every four hours. In some individuals, the effect is observed after taking 250 mg (one pill) two times a day.

- In acute attacks of angle-closure glaucoma 250 mg (one pill) 4 times a day is used.

Epilepsy treatment

The medication can be taken by adults and administered to children. Usually, the dosage is in the range between 8 mg and 30 mg per kg of body weight per day. The daily dosage must be split into 1-4 intakes based on the chosen dosage. The optimal dose is 250-1000 mg (1-4 tablets).

Reduction of swelling

The dose at the beginning of the course is 250 mg per day (one pill) in the morning. The best water pill effect is observed if the medication is used every other day or after two days with a one-day break. In the therapy of heart failure, Acetazolamide should be prescribed along with the first-line therapy, for example, digitalis glycosides, a low-salt diet, and potassium deficiency supplementation.

Altitude sickness treatment

The recommended daily dose is 500-1000 mg (2-4 tablets), divided into several doses. In the case of the expected rapid rise to a height (more than 500 m per day), the advised dosage is 1000 mg (4 tablets), divided into several doses.

The medication should be taken a day before rising and then within 48 hours if the symptoms persist.


The drug is used to treat children from the age of 3 years only as an adjunct therapy for epilepsy.

Adverse effects of Diamox

Adverse Effects
Sensitivity to light
Metallic taste
Hepatic disease
Thrombocytopenic purpura
Electrolyte imbalance
Muscle weakness
Hearing dysfunction or tinnitus
Sulfonamide type reactions

Interactions of Diamox with other substances

If you use any medications when you buy Acetazolamide, consult your healthcare provider prior to starting the combined use.

- The formulation can potentiate the action of folic acid antagonists, hypoglycemic agents, and anticoagulants, which are taken orally.

- The simultaneous use of the medication with acetylsalicylic acid can lead to severe acidosis and toxic impact on the CNS with a risk of anorexia, and coma with a possibly fatal outcome.

- In the simultaneous use of the formulation with cardiac glycosides or drugs that elevate arterial tension, the dose of the first must be changed. - Diamox disrupts the metabolism of Phenytoin elevating the level of the latter in blood serum. In individuals receiving Diamox with certain PSP (phenytoin, primidone), severe osteomalacia was observed.

- The simultaneous use of the formulation with amphetamines, atropine or quinidine can enhance their side effects. The washing out of amphetamine and quinidine is reduced, so their effect including the negative one is extended.

- Diamox may elevate or drop the level of glucose in the blood, which should be kept n mind in diabetes. A change in the dose of insulin or oral hypoglycemic drugs may be required.

- Diamox enhances lithium washing out and may decrease plasma lithium levels. - The medication may raise the level of carbamazepine in blood plasma.

- In the simultaneous use of Diamox, the risk of toxic effects of salicylates, digitalis drugs, carbamazepine, ephedrine, and non-depolarizing muscle relaxants is elevated.

- The water pill effect is enhanced by theophylline, weakened by acid-soluble diuretics. - The formulation can cause a drop in serum of primidone and an elevation in carbamazepine when used along with acetazolamide. - Cyclosporine: Acetazolamide may elevate cyclosporine levels.

- Diamox may lower the effect of Methenamine.

- The simultaneous use of acetazolamide with sodium bicarbonate raises the risk of kidney stones.

Features of the application

- There were reports of suicidal thoughts and behavior in individuals treated with antiepileptic drugs for various reasons. Clinical studies also showed a slight elevation in the risk of suicidal thoughts and behavior. Thus, signs of suicidal thoughts and behavior should be controlled and the need for appropriate therapy considered. Patients (and those who look after them) are encouraged to seek medical attention immediately if any negative signs, thoughts or behavior occur.

- The medication prescribed in doses exceeding the regular ones does not lead to an enhanced diuresis but it can cause sluggishness and paresthesia, sometimes it can even lead to a diminished diuresis. Under certain conditions, however, it is necessary to use very large doses under a specialist’s control.

- Throughout the therapy, both a drop and rise in blood sugar levels were noted, this should be taken into account when using a drug in diabetes.

- In prolonged therapy, caution is necessary. The user should be warned about the need to report all cases of changes in the skin. It is advised to periodically monitor the blood picture and the level of electrolytes in the blood serum, and the picture of peripheral blood. Deaths occurred due to a serious reaction to sulfonamides, although such cases were rare. In the case of a sharp decrease in the number of blood cells or the development of toxic changes in the skin, the formulation must be urgently canceled.

- Use cautiously in pulmonary in any respiratory diseases and especially COPD, kidney failure, and in elderly individuals due to a raised risk of metabolic acidosis. - In individuals with a history of kidney stones, the danger/benefit ratio should be evaluated for the further precipitation of the stones. The drug alkalizes the urine. - The occurrence generalized erythema accompanied by pustules and fever may be a symptom of acute generalized eczematous pustulosis. When diagnosing this condition, the treatment course must be ceased, further prescribing the drug is contraindicated.

- In the case of medication intolerance, symptoms may occur that may threaten the patient’s life, for example, Stevens-Johnson syndrome, Lyell syndrome, hemorrhagic diathesis, and others. In case skin or hematological manifestations, the formulation use must be discontinued right away.

- Acetazolamide should be prescribed with caution to patients taking acetylsalicylic acid (high doses), since there is a likelihood of developing anorexia, increased breathing, lethargic state, coma, and even death.

- When skipping the dose, the next dose is taken as usual without the recouping of the previous one.

- If the medication is taken for more than five days, there is a risk of developing metabolic acidosis.

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Product Reviews:

Mar / 17 / 2018 James Flashman   USA, Texas
  All look ok many thanks

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