The name of your medicine is APO-Quinapril. It contains the active ingredient quinapril (as quinapril hydrochloride).
It is used to:
Ask your doctor if you have any questions about why this medicine has been prescribed for you. Your doctor may have prescribed this medicine for another reason.
This medicine is available only with a doctor's prescription.
Hypertension (high blood pressure):
Blood pressure helps get your blood all around your body. Your blood pressure may be different at different times of the day and may be affected by how busy or worried you are. You have hypertension when your blood pressure stays higher than is needed, even when you are calm and relaxed.
There are usually no symptoms of hypertension. The only way of knowing that you have hypertension is to have your blood pressure checked on a regular basis. If high blood pressure is not treated it can lead to serious health problems, including stroke, heart disease and kidney failure.
Heart failure means that the heart muscle is weak and cannot pump blood strongly enough to supply all the blood needed throughout the body. Heart failure is not the same as heart attack and does not mean that the heart stops. Heart failure may start off with no symptoms, but as the condition progresses, patients may feel short of breath or may get tired easily after light physical activity such as walking. Some patients may wake up short of breath at night. Fluid may collect in different parts of the body, often first noticed as swollen ankles and feet.
Quinapril works by widening your blood vessels, which reduces pressure in the vessels, making it easier for your heart to pump blood around your body. This helps increase the supply of oxygen to your heart, so that when you place extra demands on your heart, such as during exercise, your heart may cope better and you may not get short of breath as easily.
Quinapril belongs to a group of medicines called angiotensin converting enzyme (ACE) inhibitors.
Your doctor may have prescribed quinapril for another reason. Ask your doctor if you have any questions about why quinapril has been prescribed for you.
There is no evidence that this medicine is addictive.
The safety and effectiveness of quinapril in children has not been established.
Do not take this medicine if:
Before you start taking this medicine, tell your doctor if:
1. You have allergies to:
2. You have or have had any medical conditions, especially the following:
3. You are following a very low salt diet
4. You are about to receive de-sensitisation therapy for an hymenoptera (insect) allergy
5. You are currently pregnant or you plan to become pregnant. Do not take this medicine whilst pregnant.
6. You are currently breast-feeding or you plan to breast-feed. Do not take this medicine whilst breast-feeding.
7. You are planning to have surgery or an anaesthetic.
8. You are currently receiving or are planning to receive dental treatment.
9. You are taking or are planning to take any other medicines. This includes vitamins and supplements that are available from your pharmacy, supermarket or health food shop.
Some medicines may interact with quinapril. These include:
If you are taking any of these you may need a different dose or you may need to take different medicines.
Other medicines not listed above may also interact with quinapril.
Follow carefully all directions given to you by your doctor. Their instructions may be different to the information in this leaflet.
Your doctor will tell you how much of this medicine you should take. This will depend on your condition and whether you are taking any other medicines.
Do not stop taking your medicine or change your dosage without first checking with your doctor.
For hypertension (high blood pressure):
For most patients, not on diuretics, the usual starting dose is 5 to 10 mg taken once a day. The dose may need to be adjusted depending on your blood pressure at an interval of 4 weeks. Most patients take between 10 and 40 mg each day.
This dose may be taken once a day or divided into two equal doses per day.
For heart failure:
The usual starting dose is 5 mg taken once a day. In most patients, effective doses are between 10 and 20 mg a day. Your doctor will advise whether the dose is to be taken as a single dose or as two separate doses.
Swallow the tablets with a full glass of water.
Do not chew the tablets.
Take this medicine at the same time each day. Taking it at the same time each day will have the best effect and will also help you remember when to take it.
Take this medicine before meals.
Taking your medicine with food that has a high fat content may mean it does not work as well.
Quinapril helps control your condition but does not cure it. Therefore, continue taking your medicine for as long as your doctor tells you.
Make sure you have enough to last over weekends and holidays.
If it is almost time to take your next dose, skip the missed dose and take your next dose at the usual time. Otherwise take it as soon as you remember and then go back to taking your medicine as you would normally.
Do not take a double dose to make up for missed doses.
This may increase the chance of you experiencing side effects.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints to help you remember.
If you think that you or anyone else may have taken too much of this medicine, immediately telephone your doctor or the Poisons Information Centre (Tel: 13 11 26 in Australia) for advice. Alternatively go to the Accident and Emergency Department at your nearest hospital.
Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
Tell your doctor that you are taking this medicine if:
Your doctor may occasionally do tests to make sure the medicine is working and to prevent side effects. Go to your doctor regularly for a check-up.
Make sure you drink enough water during exercise and hot weather when you are taking quinapril tablets, especially if you sweat a lot.
If you do not drink enough water while taking quinapril tablets, you may feel faint, light-headed or sick. This is because your blood pressure is dropping suddenly. If you continue to feel unwell, tell your doctor.
If you feel light-headed, dizzy or faint when getting out of bed or standing up, get up slowly.
Standing up slowly, especially when you get up from bed or chairs, will help your body get used to the change in position and blood pressure. If this problem continues or gets worse, talk to your doctor.
As with other ACE inhibitor medicines, Quinapril may cause dizziness, light-headedness or tiredness in some people. Make sure you know how you react to this medicine before you drive a car, operate machinery, or do anything else that could be dangerous if you are dizzy or light-headed. If this occurs do not drive. If you drink alcohol, dizziness or light-headedness may be worse.
Tell your doctor as soon as possible if you do not feel well while you are taking quinapril or if you have any questions or concerns.
Do not be alarmed by the following lists of side effects. You may not experience any of them. All medicines can have side effects. Sometimes they are serious but most of the time they are not.
If you are over 65 years of age you may have an increased chance of getting side effects.
Tell your doctor if you notice any of the following.
Mostly, these are mild:
Tell your doctor as soon as possible if you notice any of the following.
These may be serious side effects. You may need medical attention.
If you experience any of the following, stop taking your medicine and contact your doctor immediately or go to the Accident and Emergency department at your nearest hospital.
These are very serious side effects. You may need urgent medical attention or hospitalisation.
Other side effects not listed above may occur in some patients.
Keep your medicine in its original packaging until it is time to take it.
If you take your medicine out of its original packaging it may not keep well.
Keep your medicine in a cool dry place where the temperature will stay below 25°C.
Do not store your medicine, or any other medicine, in the bathroom or near a sink. Do not leave it on a window sill or in the car. Heat and dampness can destroy some medicines.
Keep this medicine where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor or pharmacist tells you to stop taking this medicine or it has passed its expiry date, your pharmacist can dispose of the remaining medicine safely.
APO-Quinapril 5 mg tablets: Yellow coloured, oval shaped, film-coated tablets debossed with '5' on one side and scoreline on the other side.
APO-Quinapril 10 mg tablets: Yellow coloured, capsule shaped, film-coated tablets debossed with '10' on one side and a break-line on the other side.
APO-Quinapril 20 mg tablets: Yellow coloured, circular, film-coated tablets debossed with '20' on one side and scoreline on the other side.
APO-Quinapril is available in blister packs of 30 tablets.
Each tablet contains 5mg or 10mg or 20mg of quinapril (as quinapril hydrochloride) as the active ingredient.
It also contains the following inactive ingredients:
This medicine is gluten-free, lactose-free, sucrose-free, tartrazine-free and free of other azo dyes.
APO-Quinapril 5 mg tablet:
AUST R 133219.
APO-Quinapril 10 mg tablet:
AUST R 133220.
APO-Quinapril 20 mg tablet:
AUST R 133221