Health Facts PlusDrug Information:                    Enalapril and Hydrochlorothiazide

Health Facts PlusDrug Information: Enalapril and Hydrochlorothiazide

Enalapril and Hydrochlorothiazide(e nal'' a pril) (hye droe klor oh thye'' a zide)

How should this medicine be used?

What special precautions should I follow?

What special dietary instructions should I follow?

What should I do if I forget a dose?

What side effects can this medication cause?

What storage conditions are needed for this medicine?

What other information should I know?

Do not take enalapril and hydrochlorothiazide if you are pregnant. If you become pregnant while taking enalapril and hydrochlorothiazide, call your doctor immediately. Enalapril and hydrochlorothiazide may harm the fetus.

Why is this medication prescribed?Return to top

The combination of enalapril and hydrochlorothiazide is used to treat high blood pressure. Enalapril is in a class of medications called angiotensin-converting enzyme (ACE) inhibitors. It works by decreasing certain chemicals that tighten the blood vessels, so blood flows more smoothly. Hydrochlorothiazide is in a class of medications called diuretics ( ''water pills''). It works by causing the kidneys to get rid of unneeded water and salt from the body into the urine.How should this medicine be used?Return to top

The combination of enalapril and hydrochlorothiazide comes as a tablet to take by mouth. It is usually taken with or without food once or twice a day. To help you remember to take enalapril and hydrochlorothiazide, take it around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take enalapril and hydrochlorothiazide exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.Enalapril and hydrochlorothiazide controls high blood pressure but does not cure it. Continue to take enalapril and hydrochlorothiazide even if you feel well. Do not stop taking enalapril and hydrochlorothiazide without talking to your doctor.Other uses for this medicineReturn to top

This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.What special precautions should I follow?Return to top

Before taking enalapril and hydrochlorothiazide,tell your doctor and pharmacist if you are allergic to enalapril (Vasotec), hydrochlorothiazide (HCTZ, Hydrodiuril, Microzide), benazepril (Lotensin), captopril (Capoten), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), trandolapril (Mavik), sulfa drugs, or any other medications.

tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: aspirin and other nonsteroidal anti-inflammatory medications (NSAIDs) such as indomethacin (Indocin); cholestyramine (Questran); colestipol (Colestid); diuretics (''water pills''); insulin or oral medications for diabetes; lithium (Eskalith, Lithobid); oral steroids such as dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), and prednisone (Deltasone); other medications for high blood pressure; pain medications; phenobarbital (Luminal, Solfoton); and potassium supplements. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.

tell your doctor if you have or have ever had heart, parathyroid, liver, or kidney disease; lupus; diabetes; allergies; asthma; gout; or angioedema, a condition that causes hives, difficulty breathing, and painful swelling of the face, lips, throat, tongue, hands, or feet.

tell your doctor if you plan to become pregnant or are breast-feeding.

if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking enalapril and hydrochlorothiazide.

ask your doctor about the safe use of alcoholic beverages while you are taking enalapril and hydrochlorothiazide. Alcohol can make the side effects from enalapril and hydrochlorothiazide worse.

you should know that diarrhea, vomiting, not drinking enough fluids, and sweating a lot can cause a drop in blood pressure, which may cause lightheadedness and fainting.

What special dietary instructions should I follow?Return to top

Talk to your doctor before using salt substitutes containing potassium. If your doctor prescribes a low-salt or low-sodium diet, follow these directions carefully.What should I do if I forget a dose?Return to top

Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.What side effects can this medication cause?Return to top

Enalapril and hydrochlorothiazide may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately:

swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs

fever, sore throat, chills, and other signs of infection

yellowing of the skin or eyes

Enalapril and hydrochlorothiazide may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration''s (FDA) MedWatch Adverse Event Reporting program online [at http://www.fda.gov/MedWatch/report.htm] or by phone [1-800-332-1088].What storage conditions are needed for this medicine?Return to top

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.In case of emergency/overdoseReturn to top

In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.What other information should I know?Return to top

Keep all appointments with your doctor and the laboratory. Your blood pressure should be checked regularly to determine your response to enalapril and hydrochlorothiazide. Your doctor may order certain lab tests to check your body''s response to enalapril and hydrochlorothiazide.Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.Brand namesReturn to top

American Society of Health-System Pharmacists, Inc. Disclaimer

The MedMaster Patient Drug Information database provides information copyrighted by the American Society of Health-System Pharmacists, Inc., Bethesda, Maryland Copyright 2004. All Rights Reserved.

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