Indapamide is used on its own or together with other medicines to keep your blood pressure under control.
It is also used to treat water retention. Water retention may be noticed as swelling of the feet, ankles, lower leg and hands or shortness of breath. For this reason, it is commonly known as a "water pill".
Take Indapamide exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
You may take this medicine with or without food. Try to take it at the same time each day.
If you are taking the modified-release type of tablet (usually labeled as “SR”), swallow it whole. Do not divide, chew or crush the tablet.
Indapamide must be taken regularly for it to work well. Continue taking this medicine even when you feel better. Do not stop taking it unless instructed by your doctor.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
Do not take Indapamide if you ever had an allergic reaction (e.g. rashes, breathlessness, swollen eyes) to this medicine or similar medicines such as sulfonamide antibiotics.
Alert your doctor if you have the following conditions:
- unable to pass urine
- severe kidney failure
- severe liver problems
- low levels of potassium in your blood
as this medicine may not be suitable for you.
Inform your doctor if you have the following conditions:
- electrolyte or fluid imbalance
- kidney disease
- liver disease
- high levels of cholesterol in your body
- systemic lupus erythematosus (autoimmune disease that causes inflammation)
- Addison’s disease (a rare disorder where the adrenal glands produce insufficient hormones)
Let your doctor know if you are pregnant or breastfeeding.
If you are going for an operation, including minor surgery and dental work, inform your doctor or dentist that you are taking Indapamide.
Keep your appointments with your doctor. Your doctor needs to monitor your condition and check your response to the medication regularly.
What lifestyle changes can I make to improve my blood pressure?
- Routine tests (e.g. liver and kidney function, electrolyte, uric acid levels) may be done while you are being treated with this medicine. Your doctor will advise you about how often you will need to have these tests.
- Regular monitoring of your weight may also be needed.
Regular exercise and eating a healthy diet will help control your blood pressure and improve your overall health. Engage in physical activity like walking for at least 30 to 60 minutes on most days of the week. If you have not exercised for a long time, start with light exercises such as slow walks. Speak to your doctor about what type of exercise would be suitable for you. Follow a healthy diet plan by eating more fruits, vegetables, whole grains and low-fat dairy products and reduce your intake of foods high in saturated fat, cholesterol and sodium. Cutting down on deep-fried foods and using less salt when cooking can kick-start your healthy diet.
If you smoke, you should try to quit. Smoking is harmful to your blood pressure, heart and overall health. Speak to your doctor or pharmacist about ways to stop your smoking habit.
Indapamide may cause any of the following side effects: nausea, vomiting, constipation, diarrhoea, stomach pain, tiredness, weakness, muscle cramps or spasms, headache, dizziness, difficulty sleeping, and rashes.
This medicine may also make your skin more sensitive to sunlight. Apply sunscreen when going outdoors and avoid prolonged exposure to sunlight and UV lamps.
Some side effects may be serious although they are not common. Alert your doctor quickly if you experience:
- irregular heartbeat
- rashes, breathlessness, swelling of the face, eyes or mouth
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Inform your doctor and pharmacist if you are taking any of these medicines:
- medicines for heart disease e.g. digoxin, amiodarone, disopyramide, sotalol
- medicines to treat mental disorder e.g. chlorpromazine, amisulpride, haloperidol
- NSAIDs (medicines for pain and inflammation)
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements and medicines that you buy without a prescription.
Store in a cool, dry place away from the reach of children.
Medicines must not be used past the expiry date.