Inform your doctor of any cough that does not seem to be related to a usual cause. Monitoring of serum potassium is recommended. Drinking alcohol can further lower your blood pressure and may increase certain side effects of this medicine. Each medication should be taken as a separate tablet until the appropriate dose of each medication is determined. Hypertrophic cardiomyopathy. Not for initial therapy. How does this medication work? Medicines increasing the risk of angioedema. The most frequent clinical adverse reactions were: dizziness 7. Zestoretic white blood cell count: This medication can decrease the number of white blood cells, which help the body to fight infection. Dialysis esp. It can be harmful for people to take this medication if their doctor has not prescribed it. Toenail Fungus: Treatment Options Table. This list is not complete. Valvular Stenosis: There is concern on theoretical grounds that patients with aortic stenosis might be at particular risk of decreased coronary perfusion when treated with vasodilators because they do not develop as much afterload reduction. If you become pregnant, stop taking this medication and contact your doctor immediately. Lower doses may be necessary to minimize side effects. If you have diabetes, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. These patients should be followed carefully until the swelling has resolved. This medication comes in tablet form and is typically given once daily with or without food. Hydrochlorothiazide crosses the placental but not the blood-brain barrier and is excreted in breast milk. Medications other than those listed Zestoretic may interact with this medication. Reasons for updating Change to section 6 - manufacturer Change to section 6 - date of revision. Use of potassium sparing diuretics e. Cough: People taking lisinopril may develop a dry, persistent cough that usually disappears only after stopping or lowering the lisinopril dose of this medication. All material copyright MediResource Inc. Talk to your doctor about whether you should continue breast-feeding. Legal category: Product subject to medical prescription which may be renewed B. Serious side effects Zesforetic been reported with Zestorwtic or its ingredients including the following:. Back to top. Reasons for updating Change to section 6 - manufacturer Change to section 6 - date of revision. Talk to your doctor about whether you should continue breast-feeding. Lisinopril may cause decreased kidney function. Seniors: Seniors have an increased risk of experiencing side effects when taking quinapril lisinopril - hydrochlorothiazide due to reduced kidney function. If you develop painful, warm, and swollen joints, contact your doctor. Black patients may have higher rate of angioedema than non-Black patients. Liver damage. Agents Causing Renin Release: The antihypertensive effect of Zestoretic is augmented by antihypertensive agents that cause renin release e. Adverse reactions that have occurred in clinical trials or in marketing experience are those which Zstoretic been previously reported with lisinopril and Zestotetic when used Zsetoretic for the treatment of hypertension. Zesstoretic tabs View Edit active tab. Five categories - A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy. Did you experience many side effects while taking this drug? Modify Search. Reasons for updating Change to date of revision Change to appearance of the medicine. Metabolism: Hyperuricemia may occur, or acute gout may be precipitated, in certain patients receiving thiazide therapy. Clear All. Summary of Product Characteristics last updated on medicines. Therefore, when Zestoretic and nonsteroidal anti-inflammatory agents are used concomitantly, the patient should be observed closely to determine if the desired effect of the diuretic is obtained. Zestoretic side effects in more detail. Maximum serum concentrations of lisinopril on Day 7 were higher in the elderly volunteers than in the young. Skip to Content. Patients should be titrated on the individual drugs. Contra-Indications: Patients who are hypersensitive to Zestoretic component of this product and patients with a history of angioneurotic edema Zetoretic to previous treatment with an angiotensin converting enzyme inhibitor. Louis University supports the belief in educating the full person; mind, body, heart, and spirit; which has a strong commitment to ensuring students become leaders with sound ethical and moral values. Agents Affecting Sympathetic Activity: Agents affecting sympathetic activity e. Do not use if you are pregnant. The levels of electrolytes such as calcium, potassium, sodium, magnesium, and chloride can be affected by treatment with hydrochlorothiazide. Monitor BP, electrolytes, renal and hepatic function. Children: Not established. When pregnancy is detected, Zestoretic should be discontinued as soon as possible.
Zestoretic - sorry In a study in 9 hypertensive patients, following Zedtoretic of lisinopril, there was an increase in mean renal blood flow that was not significant. This is a combination product containing 2 medications: lisinopril and hydrochlorothiazide. Do not take hydrochlorothiazide and lisinopril within 36 hours before or after taking medicine that contains sacubitril such as Entresto. Active Ingredients Rosuvastatin Calcium. It increases excretion of sodium and chloride in approximately equivalent amounts. If you experience any of these when you take lisinopril - hydrochlorothiazide, stop taking the medication at once and get immediate medical attention. View My Medicine Chest. Conditions treated by. You should avoid taking any other medications in the ACE inhibitors class of medications. If the diuretic cannot be discontinued, an initial dose of 5 mg of lisinopril alone should be administered and the patient remain under medical supervision for at least 2 hours, and until blood pressure has stabilized for at least an additional hour see Warnings and Precautions, Drug Interactions. Hydrochlorothiazide belongs to a class of medications called diuretics or "water pills" that help control blood pressure by getting rid of excess salt and water. Hydrochlorothiazide belongs to a class of medications called diuretics or "water pills" that help control blood pressure by getting rid of excess salt and water. Liver function: Liver disease or reduced liver function may cause this medication to build up in the body, causing side effects. Seniors: Seniors have an increased risk of experiencing side effects when taking quinapril lisinopril - hydrochlorothiazide due to reduced kidney function. See also: Zestoretic side effects in more detail. See the "Zestoretic Precautions" section. Human Data: It is not known whether exposure limited to the first trimester of pregnancy can adversely affect fetal outcome. Nursing mothers: not recommended. Stop using the medicine and tell your doctor right away if you become pregnant. Each medication should be taken as a separate tablet until the appropriate dose of each medication is determined. There may be an interaction between lisinopril - hydrochlorothiazide and any of the following:. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Keep this and all medications out of the reach of children. This leaflet was last revised in August October Health Canada has issued new restrictions concerning the use of hydrochlorothiazide.
Zestoretic is a combination of two drugs. Hydrochlorothiazide is a thiazide diuretic medication while Lisinopril belongs to the class of drugs called ACE inhibitors. The first prevents body from absorbing too much salt, which can cause fluid retention, and the second lowers blood pressure and also relieves symptoms of fluid retention.
Dosage and direction
Take exactly as it was prescribed to you, do not change your dose without your doctor's permission. Take each dose with a glass of water regardless to a meal.
Avoid drinking alcohol. Avoid salt substitutes containing potassium. If you have disorders of liver or kidney, lupus, asthma, gout, diabetes, congestive heart failure or pregnant consult your doctor first than to take Zestoretic. While you are taking Zestoretic, your blood pressure will need to be checked regularly.
Anuria, hypersensitivity to the components of Zestoretic, in patients who had angioedema (swelling of face, extremities, eyes, lips, tongue, difficulty in swallowing or breathing) in their history.
Possible side effect
Seek for immediate medical help if such symptoms are observed while taking Zerstoretic: high potassium (slow heart rate, weak pulse, muscle weakness, tingly feeling), low potassium (confusion, uneven heart rate, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling), thirst, nausea, vomiting, dry mouth, drowsiness, skin rash jaundice urinating less than usual swelling, weight gain and any serious symptom of allergy (hives, swelling of your face, lips, tongue, or throat).
NSAIDs may diminish the antihypertensive effect of ACE inhibitors. When Zestoretic is administered concomitantly with non-steroidal anti-inflammatory drugs in patients with compromised renal function the further deterioration of renal function may occur. Use of Zestoretic with potassium-sparing diuretics may lead to significant increases in serum potassium. Zestoretic increases lithium toxicity, may influence when cholestyramine and gold injections are used for treatment of certain diseases.
If you missed a dose take it as soon as you remember, but if it is almost time of your next intake just skip the missed dose. Do not try to compensate a missed dose by taking an extra one.
If you suspect that you took too much of Zestoretic and experience nausea, weakness, dizziness, dry mouth, thirst, muscle pain or weakness seek for immediate medical attention.
The medication should be stored at room temperature 15-30 C (59-86 F) in a light- resistant box.
We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.