WARNING

Monopril HCT is a medication that combines two active ingredients: fosinopril (Monopril) and hydrochlorothiazide (HCT). It is primarily prescribed to treat high blood pressure (hypertension). Like many medications, Monopril HCT carries certain risks and potential side effects. Here’s a brief overview:

• Low Blood Pressure: Taking Monopril HCT can cause a drop in blood pressure, which may lead to dizziness, fainting, or lightheadedness, especially when standing up quickly.
• Electrolyte Imbalance: Hydrochlorothiazide, one of the components in Monopril HCT, can affect the balance of electrolytes like potassium and sodium in your body. This can result in symptoms such as muscle weakness, irregular heartbeat, or excessive thirst.
• Kidney Function: The medication may impact kidney function, particularly if you already have kidney problems. Your doctor will monitor your kidney function during treatment.
• Allergic Reactions: Some individuals may be allergic to Monopril HCT, experiencing symptoms like skin rash, itching, swelling, severe dizziness, or difficulty breathing. Seek immediate medical attention if you experience any signs of an allergic reaction.
• Hyperuricemia: This medication can raise uric acid levels in the blood, which may contribute to gout attacks in susceptible individuals.
• Blood Glucose: Hydrochlorothiazide can also affect blood sugar levels, potentially leading to hyperglycemia (high blood sugar) in some individuals.
• Pregnancy: Monopril HCT is not recommended during pregnancy as it may harm the developing fetus, particularly during the second and third trimesters.
• Interactions: It’s important to be cautious about potential drug interactions with Monopril HCT. Inform your doctor about all medications and supplements you are taking to avoid adverse reactions.
• Side Effects: Common side effects may include headache, dizziness, fatigue, and gastrointestinal issues like nausea or diarrhea.
• Dehydration: Hydrochlorothiazide can increase urination, potentially leading to dehydration. It’s essential to stay adequately hydrated while taking this medication.

It’s crucial to take Monopril HCT exactly as prescribed by your healthcare provider and to attend regular check-ups to monitor your response to the medication and any potential side effects. If you experience severe or unusual side effects, contact your healthcare provider promptly. This information is for general understanding, and individual responses to medications can vary, so always consult your healthcare professional for personalized guidance.

Why is this medication prescribed?

Monopril HCT is a prescription medication prescribed by healthcare providers for the treatment of high blood pressure, which is also known as hypertension. It is a combination medication that contains two active ingredients:

• Fosinopril: Fosinopril is an angiotensin-converting enzyme (ACE) inhibitor. It works by relaxing blood vessels, which helps lower blood pressure.
• Hydrochlorothiazide (HCT): Hydrochlorothiazide is a diuretic (water pill) that helps the body eliminate excess salt and water through urine, leading to reduced blood volume and lower blood pressure.

How should this medicine be used?

Here are some general guidelines for its use:

• Dosage: The dosage of Monopril HCT will be determined by your healthcare provider based on your specific medical condition and individual response to the medication. It’s essential to follow your doctor’s instructions carefully.
• Administration: Monopril HCT is usually taken orally in tablet form. Swallow the tablet whole with a full glass of water. You can take it with or without food, but it’s important to take it consistently in the same way each day.
• Frequency: Typically, Monopril HCT is taken once a day, and it is important to take it at the same time each day to maintain a consistent level of the medication in your body.
• Monitoring: Your doctor may regularly monitor your blood pressure and may adjust your dosage as needed to achieve the desired blood pressure control.
• Duration: You should continue taking Monopril HCT for as long as your healthcare provider recommends, even if your blood pressure improves. Hypertension often requires long-term management, and stopping the medication without medical guidance can lead to a rise in blood pressure.
• Follow Instructions: It’s crucial to follow your doctor’s instructions regarding the medication. Do not change the dosage or stop taking Monopril HCT without consulting your healthcare provider.
• Stay Hydrated: Since Monopril HCT contains a diuretic (HCT), it can increase urination. Make sure to stay adequately hydrated by drinking enough fluids, but be cautious not to overhydrate.
• Regular Check-ups: Attend regular follow-up appointments with your healthcare provider to monitor your blood pressure, kidney function, and overall health while on Monopril HCT.

Remember that Monopril HCT is just one part of a comprehensive treatment plan for hypertension. Lifestyle modifications, such as a healthy diet, regular exercise, limiting salt intake, and reducing stress, are also important components of blood pressure management. Always consult your healthcare provider for specific guidance and to address any questions or concerns you may have about this medication.

Other uses for this medicine

• Monopril HCT is primarily indicated for the treatment of hypertension. However, there may be some off-label uses or situations where it’s prescribed for other purposes. Off-label use refers to the prescription of a medication for a condition or use that is not specifically approved by regulatory authorities like the FDA. These uses may include conditions like heart failure or kidney disease when your healthcare provider believes the potential benefits outweigh the risks.
• Your doctor will determine the most appropriate treatment for your specific medical condition.

What special precautions should I follow?

regarding special precautions to follow when taking Monopril HCT:

• Medical Supervision: Always take Monopril HCT under the supervision of a healthcare provider. They will determine the appropriate dosage and monitor your response to the medication.
• Pregnancy and Breastfeeding: Inform your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding. Monopril HCT is generally not recommended during pregnancy due to potential harm to the fetus. Your doctor will consider alternative medications if necessary.
• Allergies: If you have a known allergy to fosinopril, hydrochlorothiazide, or other ACE inhibitors or sulfa drugs, inform your doctor. Allergic reactions can be serious and require immediate medical attention.
• Kidney Function: Monopril HCT can affect kidney function. Your healthcare provider will monitor your kidney function through blood tests, especially if you have pre-existing kidney problems.
• Dehydration: Due to the diuretic effect of hydrochlorothiazide, dehydration can occur. Be sure to drink enough fluids while taking this medication, but avoid excessive fluid intake.
• Electrolyte Imbalance: Hydrochlorothiazide can affect the balance of electrolytes in your body, including potassium and sodium. Your doctor may check your electrolyte levels and may recommend dietary adjustments or supplements.
• Interactions: Inform your healthcare provider about all medications, supplements, and herbal products you are taking to avoid potential drug interactions. Certain drugs can interact with Monopril HCT, affecting its effectiveness or causing adverse effects.
• Blood Pressure Monitoring: Regularly monitor your blood pressure as advised by your doctor, even if you feel well. Hypertension often requires ongoing management and adjustments to medication.
• Lifestyle Modifications: Continue with lifestyle changes recommended by your healthcare provider, such as dietary modifications, exercise, and stress management, as they are essential components of blood pressure control.

Always follow your healthcare provider’s instructions and guidance when taking Monopril HCT, and don’t hesitate to ask questions or seek clarification on any concerns you may have about the medication or its usage.

What special dietary instructions should I follow?

• Salt Intake: Your doctor may recommend a low-sodium diet while taking Monopril HCT, as it can enhance the medication’s effectiveness in lowering blood pressure. Reducing your salt intake can also help prevent fluid retention.
• Potassium-Rich Foods: If your doctor adjusts your diet due to potassium loss, you may be advised to consume more potassium-rich foods like bananas, oranges, potatoes, and spinach.
• Alcohol: Limit alcohol consumption while taking this medication, as alcohol can affect blood pressure and may interact with Monopril HCT.

What should I do if I forget a dose?

If you forget to take a dose of Monopril HCT, take it as soon as you remember. However, if it is close to the time for your next scheduled dose, skip the missed dose and resume your regular dosing schedule. Do not take a double dose to make up for the missed one, as this can increase the risk of side effects.

What side effects can this medication cause?

Monopril HCT, which contains the active ingredients fosinopril (an ACE inhibitor) and hydrochlorothiazide (a diuretic), can potentially cause side effects. It’s important to note that not everyone will experience these side effects, and some individuals may experience side effects to a greater or lesser degree. Common side effects of Monopril HCT may include:

• Dizziness or Lightheadedness: A drop in blood pressure can lead to feelings of dizziness or lightheadedness, especially when standing up quickly. To minimize this, rise slowly from a seated or lying position.
• Headache: Some individuals may experience headaches while taking Monopril HCT.
• Fatigue: Feeling tired or fatigued can be a common side effect of this medication.
• Dry Cough: Like other ACE inhibitors, Monopril (the fosinopril component) can occasionally cause a persistent dry cough in some people. If you experience this, inform your healthcare provider.
• Gastrointestinal Symptoms: You may experience nausea, vomiting, diarrhea, or abdominal pain.
• Increased Urination: Hydrochlorothiazide, the diuretic component of Monopril HCT, can lead to increased urination.
• Electrolyte Imbalance: Hydrochlorothiazide can affect the balance of electrolytes like potassium and sodium in your body, potentially leading to symptoms such as muscle weakness, irregular heartbeat, or excessive thirst.
• Increased Blood Uric Acid: Monopril HCT can raise uric acid levels in the blood, which may increase the risk of gout attacks in susceptible individuals.
• Rash or Skin Reactions: Skin rash, itching, or other skin reactions can occur, although this is less common.
• Elevated Blood Sugar Levels: Hydrochlorothiazide may lead to increased blood glucose levels in some individuals.
• Kidney Function Changes: Monopril HCT can affect kidney function, particularly if you have pre-existing kidney problems. Your doctor will monitor your kidney function through blood tests.
• Low Blood Pressure: In some cases, Monopril HCT can cause excessively low blood pressure, especially if the dosage is too high or if you become dehydrated.
• Allergic Reactions: Although rare, some individuals may experience severe allergic reactions to Monopril HCT. Seek immediate medical attention if you notice symptoms such as swelling of the face, lips, tongue, or throat, or have difficulty breathing.

It’s important to remember that while these side effects are possible, many people tolerate Monopril HCT well without experiencing significant adverse effects. If you do experience any side effects or have concerns about the medication, contact your healthcare provider. They can adjust your treatment plan or recommend alternative medications if necessary. Additionally, always take Monopril HCT as prescribed and attend regular check-ups to monitor your health while on this medication.

What should I know about storage and disposal of this medication?

Storage:

• Store Monopril HCT at room temperature, away from excessive heat, moisture, and light.
• Keep the medication in its original container or packaging to protect it from light and moisture.
• Store the medication out of reach of children and pets, in a secure location.
• Do not store Monopril HCT in the bathroom, as moisture and humidity can affect its stability.

Disposal:

• Dispose of expired or unused medication properly. Do not flush it down the toilet or throw it in the trash, as it may harm the environment.
• Consult with your pharmacist or a local disposal program for guidance on how to safely dispose of medication. Some areas have designated medication disposal sites or programs.

In case of emergency/overdose

• If you suspect an overdose of Monopril HCT, call emergency services (911 in the United States) or seek immediate medical attention.
• Symptoms of overdose may include extreme dizziness, fainting, excessive drowsiness, rapid or irregular heartbeat, and signs of electrolyte imbalance (e.g., muscle weakness, confusion).
• If possible, provide the healthcare professionals with information about the medication and the amount ingested.

What other information should I know

• It’s essential to attend all scheduled appointments with your healthcare provider to monitor your blood pressure, kidney function, and overall health while taking Monopril HCT.
• Inform all healthcare providers (including dentists and specialists) about your use of Monopril HCT and any other medications or supplements you are taking. This can help prevent potential drug interactions.
• Be cautious when rising from a seated or lying position, especially when you first start taking the medication, as it can cause dizziness. Take your time to avoid falls or injuries.
• Do not share your medication with others, as it is prescribed specifically for your condition.
• Carry a medical alert card or wear a medical alert bracelet to inform healthcare providers that you are taking Monopril HCT in case of emergency situations.
• Follow your doctor’s instructions for dietary restrictions, especially related to potassium and sodium intake.
• If you plan to have surgery, including dental surgery, inform your surgeon and anesthesiologist about your use of Monopril HCT, as they may need to adjust your medication.

Always keep your healthcare provider informed about any changes in your health or any new medications you may start taking while on Monopril HCT. This information will help ensure your safety and the effectiveness of your treatment.