ACCUPRIL is used to lower high blood pressure (hypertension). It is also used to treat heart failure.
ACCUPRIL is used to lower high blood pressure (hypertension). Everyone has blood pressure. This pressure helps get your blood all around your body. Your blood pressure may be different at different times of the day, depending on how busy or worried you are. You have hypertension (high blood pressure) 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.
ACCUPRIL 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.
ACCUPRIL belongs to a group of medicines called angiotensin converting enzyme (ACE) inhibitors.
Your doctor may have prescribed ACCUPRIL for another reason. Ask your doctor if you have any questions about why ACCUPRIL has been prescribed for you.
ACCUPRIL is not addictive.
This medicine is available only with a doctor's prescription.
Do not take ACCUPRIL if:
Symptoms of an allergic reaction to ACCUPRIL may include skin rash, itchiness, shortness of breath, swelling of the face, lips or tongue, muscle pain or tenderness or joint pain.
If you have had an allergic reaction to an ACE inhibitor before, you may be allergic to ACCUPRIL.
You may experience an allergic reaction.
Do not take ACCUPRIL if you are diabetic or have kidney problems and are currently taking a medicine called aliskiren. This medicine is used to treat high blood pressure.
You may experience severe side effects.
Do not take ACCUPRIL if you are pregnant or breastfeeding.
ACCUPRIL may enter your womb or it may pass into the breast milk and there is the possibility that your baby may be affected.
Do not take ACCUPRIL after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.
If you are not sure whether you should start taking ACCUPRIL, talk to your doctor.
Tell your doctor if you have allergies to:
Tell your doctor if you have or have had any medical conditions, especially the following:
You must also tell your doctor if you:
If you have not told your doctor about any of the above, tell them before you start taking ACCUPRIL.
Tell your doctor or pharmacist if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and ACCUPRIL may interfere with each other. These include:
These medicines may be affected by ACCUPRIL, or may affect how well it works. You may need different amounts of your medicine, or you may need to take different medicines. Your doctor will advise you.
Tell your doctor if you are taking any of the following medicines:
Taking ACCUPRIL in combination with these medicines may increase your risk of having an allergic reaction.
If you are not sure if you are taking any of the medicines mentioned in this leaflet, check with your doctor or pharmacist.
Your doctor and pharmacist may have more information on medicines to be careful with or avoid while taking ACCUPRIL.
The safety and effectiveness of ACCUPRIL in children have not been established.
Follow all directions given to you by your doctor or pharmacist carefully.
They may differ from the information contained in this leaflet.
Your doctor or pharmacist will tell you how many tablets you will need to take each day. This depends on your condition and whether or not you are taking any other medicines.
If you do not understand the instructions on the box, ask your doctor or pharmacist for help.
For 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 increased 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 ACCUPRIL whole with a full glass of water.
Do not chew the tablets.
Take ACCUPRIL at about the same time each day.
Taking your tablets at the same time each day will have the best effect. It will also help you remember when to take the tablets.
Take ACCUPRIL before meals.
Food with a high fat content may interfere with the absorption of ACCUPRIL.
ACCUPRIL helps control your condition, but does not cure it. Therefore you must take ACCUPRIL every day. Continue taking your medicine for as long as your doctor tells you.
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.
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 the dose that you missed.
This may increase the chance of you getting an unwanted side effect.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
Immediately telephone your doctor or the Australian Poisons Information Centre (telephone 13 11 26), or the New Zealand National Poisons Information Centre (telephone 0800 POISON or 0800 764 766), or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else may have taken too much ACCUPRIL. Do this even if there are no signs of discomfort or poisoning.
If you take too much ACCUPRIL, you may feel light-headed, dizzy or you may faint.
If you are about to be started on any new medicine, tell your doctor, dentist or pharmacist that you are taking ACCUPRIL.
Make sure you drink enough water during exercise and hot weather when you are taking ACCUPRIL, especially if you sweat a lot.
If you do not drink enough water while taking ACCUPRIL, 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 have excess vomiting or diarrhoea while taking ACCUPRIL, tell your doctor.
You may lose too much water and salt and your blood pressure may drop too much.
If you feel light-headed or dizzy after taking your first dose of ACCUPRIL, or when your dose is increased, tell your doctor immediately.
This is especially important if you are taking ACCUPRIL for heart failure.
If you plan to have surgery that needs a general anaesthetic, tell your doctor or dentist that you are taking ACCUPRIL.
Your blood pressure may drop suddenly.
If you become pregnant while taking ACCUPRIL, tell your doctor immediately.
If you are about to have any blood tests, tell your doctor that you are taking ACCUPRIL.
ACCUPRIL may interfere with the results of some tests.
Have your blood pressure checked when your doctor says, to make sure ACCUPRIL is working.
Go to your doctor regularly for a check-up.
Your doctor may occasionally do a blood test to check your potassium levels and see how your kidneys are working.
Do not give ACCUPRIL to anyone else, even if they have the same condition as you.
Do not take ACCUPRIL to treat any other complaints unless your doctor or pharmacist tells you to.
Do not stop taking ACCUPRIL, or lower the dosage, without checking with 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.
Be careful driving or operating machinery until you know how ACCUPRIL affects you.
As with other ACE inhibitor medicines, ACCUPRIL may cause dizziness, light-headedness or tiredness in some people. Make sure you know how you react to ACCUPRIL 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.
Some self help measures suggested below may help your condition.
Talk to your doctor or pharmacist about these measures and for more information.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking ACCUPRIL.
ACCUPRIL helps most people with high blood pressure and heart failure, but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.
If you are over 65 years of age you may have an increased chance of getting side effects.
Ask your doctor or pharmacist to answer any questions you may have.
Following is a list of possible side effects. Do not be alarmed by this list. You may not experience any of them.
Tell your doctor or pharmacist if you notice any of the following and they worry you:
These side effects are usually 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. Serious side effects are rare.
If any of the following happen, stop taking ACCUPRIL and either tell your doctor immediately or go to Accident and Emergency at your nearest hospital:
These are very serious side effects. You may need urgent medical attention or hospitalisation. These side effects are very rare.
Other side effects not listed above may occur in some patients. Tell your doctor or pharmacist if you notice anything that is making you feel unwell.
Keep your tablets in the box until it is time to take them.
If you take the tablets out of the box they will not keep well.
Keep your tablets in a cool dry place where the temperature stays below 25 degrees C.
Do not store ACCUPRIL or any other medicine in the bathroom or near a sink.
Do not leave it on a windowsill or in the car on hot days.
Heat and dampness can destroy some medicines.
Keep it 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 ACCUPRIL or the tablets have passed their expiry date, ask your pharmacist what to do with any that are left over.
ACCUPRIL tablets come in three strengths and each has a different appearance:
A box of ACCUPRIL contains 30 tablets.
ACCUPRIL does not contain sucrose, gluten, tartrazine or any other azo dyes.