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Medicines that lower blood pressure lower the chance of having a stroke or heart attack. Serious side effects may also include severe, chronic diarrhea with considerable weight loss, which may develop months to years after starting BENICAR. Impaired Renal Function: Patients whose renal function may depend in part upon the activity of the renin-angiotensin-aldosterone system eg, patients with renal artery stenosis, chronic kidney disease, severe congestive heart failure, or benicar 40 mg tablet depletion, may be at particular risk of developing acute renal failure on BENICAR HCT. Hepatic Impairment: Thiazides a component in BENICAR HCT may cause minor alterations of fluid and electrolyte balance that may precipitate hepatic coma in patients with impaired hepatic function or progressive liver disease. Hypomagnesemia can result in hypokalemia, which may be difficult to treat despite potassium repletion. Hydrochlorothiazide may alter glucose tolerance and raise serum levels of cholesterol and triglycerides.

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