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Quinapril/HCTZ 20mg-25mg Tablet -Generic Accuretic

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What is hydrochlorothiazide and quinapril?

Hydrochlorothiazide is a thiazide diuretic (water pill) that
helps prevent your body from absorbing too much salt, which can cause fluid
retention.

Quinapril is in a group of drugs called ACE inhibitors. ACE
stands for angiotensin converting enzyme. Quinapril lowers
blood pressure
and also relieves symptoms of fluid retention.

The combination of hydrochlorothiazide and quinapril is used
to treat
hypertension
(high blood pressure).

What is the most important information I should know about
hydrochlorothiazide and quinapril?

Do not use this medication if you are unable to urinate.

You should not use this medication if you are allergic
to any other ACE inhibitor, such as benazepril (Lotensin), captopril (Capoten),
fosinopril (Monopril), enalapril (Vasotec), lisinopril (Prinivil, Zestril),
moexipril (Univasc), perindopril (Aceon), ramipril (Altace), or trandolapril (Mavik).

Before taking hydrochlorothiazide and quinapril, tell your
doctor if you have kidney disease (or are on dialysis), liver disease,
congestive heart failure, gout,
lupus, diabetes, or an allergy to sulfa drugs.

Quinapril can cause birth defects in the baby if you take the medication during
pregnancy. Do not use hydrochlorothiazide and quinapril without telling your
doctor if you are pregnant or planning a pregnancy. Avoid the regular use of
salt substitutes in your diet, and do not take potassium supplements while
taking hydrochlorothiazide and quinapril, unless your doctor has told you to.

Some things can cause your blood pressure to get too low.
This includes vomiting, diarrhea, heavy sweating,
heart disease, dialysis, a low-salt diet, or taking other diuretics (water
pills). Follow your doctor’s instructions about the type and amount of liquids
you should drink while taking hydrochlorothiazide and quinapril. Tell your
doctor if you have a prolonged illness that causes diarrhea or vomiting.

What should I discuss with my healthcare provider before
taking hydrochlorothiazide and quinapril?

Do not use this medication if you are allergic to hydrochlorothiazide or
quinapril, or if you are unable to urinate.

You should not use this medication if you are allergic to
other ACE inhibitor, such as benazepril (Lotensin), captopril (Capoten),
fosinopril (Monopril), enalapril (Vasotec), lisinopril (Prinivil, Zestril),
moexipril (Univasc), perindopril (Aceon), ramipril (Altace), or trandolapril (Mavik).

If you have certain conditions, you may need a dose
adjustment or special tests to safely take this medication. Before you take
hydrochlorothiazide and quinapril, tell your doctor if you have:

  • kidney disease (or if you are on dialysis);
  • liver disease;
  • congestive heart failure;

  • gout;

  • lupus;

  • diabetes; or

  • an allergy to sulfa drugs.

FDA pregnancy category D. Do not use this medication without telling your doctor
if you are pregnant or planning a pregnancy. Quinapril could cause birth defects
in the baby if you take the medication during pregnancy. Use an effective form
of birth control. Stop using this medication and tell your doctor right away if
you become pregnant during treatment. Hydrochlorothiazide can pass into breast
milk and may harm a nursing baby. Do not use this medication without telling
your doctor if you are breast-feeding a baby.

How should I take hydrochlorothiazide and quinapril?

Take this medication exactly as it was prescribed for you. Do
not take the medication in larger amounts, or take it for longer than
recommended by your doctor. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure
you get the best results from this medication.

Take each dose with a full glass of water.

Some things can cause your blood pressure to get too low.
This includes vomiting, diarrhea, heavy sweating,
heart disease, dialysis, a low-salt diet, or taking other diuretics (water
pills). Follow your doctor’s instructions about the type and amount of liquids
you should drink while taking hydrochlorothiazide and quinapril. Tell your
doctor if you have a prolonged illness that causes diarrhea or vomiting.

While you are taking this medication, your blood pressure
will need to be checked on a regular basis. Do not miss any scheduled
appointments.

Your blood and urine may also be tested if you have been
vomiting or are dehydrated.

Hydrochlorothiazide can interfere with the results of a
thyroid test. Tell any doctor who treats you that you are using a thiazide
diuretic.

If you are being treated for high blood pressure, keep using
this medication even if you feel fine. High blood pressure often has no
symptoms.

Store hydrochlorothiazide and quinapril at room temperature away from
moisture
, heat, and light.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost
time for your next dose, skip the missed dose and take the medicine at the next
regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this
medicine. Overdose symptoms may include nausea, weakness, dizziness, dry mouth,
thirst, muscle pain or weakness, or feeling like you might pass out.

What should I avoid while taking hydrochlorothiazide and
quinapril?

Avoid becoming overheated or dehydrated during exercise and
in hot weather. Follow your doctor’s instructions about the type and amount of
liquids you should drink. In some cases, drinking too much liquid can be as
unsafe as not drinking enough.

Avoid getting up too fast from a sitting or lying position,
or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.

Avoid drinking alcohol, which can increase some of the side effects of
hydrochlorothiazide and quinapril. Avoid using other medicines that make you
light-headed (such as cold medicine, pain medication, muscle relaxers, and
medicine for seizures, depression or anxiety). They can add to the side effects
of hydrochlorothiazide and quinapril. Tell your doctor if you regularly use any
of these medicines, or any other blood pressure medications.

Avoid the regular use of salt substitutes in your diet, and
do not take potassium supplements while taking hydrochlorothiazide and quinapril,
unless your doctor has told you to.

Hydrochlorothiazide and quinapril side effects

Get emergency medical help if you have any of these signs of an allergic
reaction: hives; severe stomach pain; difficulty breathing; swelling of your
face, lips, tongue, or throat. Call your doctor at once if you have any of these
serious side effects:

  • 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);

  • dry mouth, thirst, nausea, vomiting;

  • feeling weak, drowsy, restless, or light-headed;

  • a red, blistering, peeling skin rash;

  • jaundice (yellowing of the skin or eyes);

  • urinating less than usual or not at all;

  • swelling, weight gain, feeling short of breath; or

  • fever, chills, body aches, flu symptoms.

Less serious side effects may include:

  • cough;

  • dizziness, headache, tired feeling;

  • muscle or back pain;

  • runny
    nose
    ;

  • sleep problems (insomnia);

  • diarrhea, constipation, upset stomach; or

  • mild skin rash, increased sweating.

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