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Enalapril + Hydrochlorothiazide - Oral - Patient Medicine Information

> Why do I need this medicine?
> How do I take this medicine?
> What should I do if I have forgotten to take this medicine?
> When should I not use this medicine?
> What should I take note of while taking this medicine?
> What side effects could I experience?
> Can I take this with other medicines?
> What special dietary instructions should I follow?
> How should I store this medicine?

 

Why do I need this medicine?

Enalapril and Hydrochlorothiazide are combined together in this medicine. This medicine helps keep your blood pressure under control.

How do I take this medicine?

Take Enalapril + Hydrochlorothiazide 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. Swallow the tablet whole with a glass of water. Try to take it at the same time each day.

This medicine must be taken regularly for it to be effective. Continue taking this medicine even when you feel better. Do not stop taking it unless instructed by the doctor.

What should I do if I have forgotten to take this medicine?

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.

When should I not use this medicine?

Alert your doctor if you have the following conditions:
  • unable to pass urine
  • have previously experience a serious allergic reaction which causes swelling of the face and throat due to an unknown reason or a family history
as Enalapril + Hydrochlorothiazide may not be suitable for you.

Do not take this medicine if you are pregnant or planning to have a baby soon. If you become pregnant while being treated with Enalapril + Hydrochlorothiazide, alert your doctor immediately. This medicine may cause harm to your unborn child. You must use proven birth control methods while taking Enalapril + Hydrochlorothiazide.

Do not take this medicine with aliskiren (medicine used to treat high blood pressure) if you have diabetes.

Do not take this medicine if you are currently taking or have taken sacubitril, a medicine to help keep high blood pressure in control, in the last 36 hours.

What should I take note of while taking this medicine?

Inform your doctor if you have the following conditions:
  • electrolyte imbalance (imbalance of minerals in the body)
  • collagen vascular disease (disease of the connective tissue which holds bones, ligaments and muscles together in the body)
  • heart disease e.g. narrowing of the valves of the heart, enlarged heart
  • kidney disease e.g. narrowing of the blood vessels in the kidneys
  • liver disease
  • diabetes
  • high levels of cholesterol in the blood
  • gout
Let your doctor know if you are breastfeeding.

If you are going for an operation and certain laboratory tests, inform your doctor that you are taking Enalapril + Hydrochlorothiazide.

For as long as you are taking this medicine, you may need to have regular checking of your blood pressure to check your body’s response to the medicine. You may also need to have regular tests for your kidney function and for electrolyte levels in your body. Your doctor will advise you how often you need to have them.

What lifestyle changes can I make to improve my blood pressure?

Regular exercise and eating a healthy diet will help lower your blood pressure and improve your overall health. Engage in physical activity (e.g. walking) 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 kick your smoking habit.

What side effects could I experience?

This medicine may cause drowsiness, dizziness or blurring of vision. If affected, do not drive or take part in any activity in which you need to be alert or to see clearly.

You may also feel dizzy when getting up from a sitting or lying down position, especially if you are taking this medicine for the very first time. This is common and should improve gradually as you get used to this medicine. It will help if you get up slowly from a sitting or lying down position. If you are taking this medicine for the very first time, take the first dose of Enalapril + Hydrochlorothiazide at bedtime to minimise dizziness.

Other side effects may include any of the following: headache, weakness, tiredness, muscle pains or cramps, cough, difficulty breathing, chest pain, nausea, vomiting, diarrhoea, stomach pain, loss of taste perception, rash and sensitivity to sunlight. Apply sunscreen when going outdoors and avoid direct or prolonged exposure to sunlight and UV lamps.

Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:
  • allergic reaction which causes swelling of the face or throat, breathlessness
  • yellowing of the skin or eyes, stomach pain
  • fever with persistent sore throat or mouth ulcers, unusual bleeding or bruising
  • fast or irregular heart beat
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.

Can I take this with other medicines?

Do not take this medicine with aliskiren (medicine used to treat high blood pressure) if you have diabetes.

Do not take Enalapril + Hydrochlorothiazide if you are currently taking or have taken sacubitril, a medicine to help keep high blood pressure in control, in the last 36 hours.

Inform your doctor or pharmacist if you are taking any of these medicines:
  • medicines for mood disorders e.g. lithium
  • medicines for heart disease e.g. doxazosin, digoxin, sotalol
  • medicines for pain and inflammation e.g. aspirin, ibuprofen, indometacin
  • medicines for diabetes e.g. insulin
  • potassium supplements (either as a medicine or as a salt substitute)
  • diuretics or “water pills” e.g. furosemide
  • cholesterol-lowering medicines e.g. cholestyramine, colestipol resins
  • medicines for gout e.g. allopurinol
This list does not include all medicines that may interact with Enalapril + Hydrochlorothiazide.

Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicine, supplements and medicines that you buy without a prescription.

What special dietary instructions should I follow?

Avoid alcohol.

Cut down on your salt intake. This may help lower your blood pressure and improve your overall health. Speak to your doctor or dietitian about ways to cut down on your salt intake.

Do not take potassium supplements. Avoid taking too much food that is high in potassium, such as orange juice, bananas or prunes. Do not use salt substitutes that contain potassium.

How should I store this medicine?

Store in a cool, dry place away from the reach of children.

Medicines must not be used past the expiry date.

This information is independently developed by MIMS based on Enalapril + Hydrochlorothiazide - Oral and is provided for your reference only. It is not a replacement for and should only be used in conjunction with full consultation with a licensed healthcare professional, the information provided by your pharmacist and/or the manufacturer of the medication. It may not contain all the available information you require and cannot substitute professional medical care, nor does it take into account all individual circumstances. Although great effort has been made to ensure content accuracy, we shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2019 MIMS. All rights reserved. Powered by MIMS.com

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