ACCURETIC is a combination of a medicine called angiotensin converting enzyme (ACE) inhibitor and a water tablet (diuretic).
ACCURETIC 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.
ACCURETIC works by widening your blood vessels, which reduces pressure in the vessels, making it easier for your heart to pump blood around your body.
ACCURETIC also works by making your kidneys pass more water and salt and retain more potassium. This helps reduce high blood pressure.
Your doctor may have prescribed ACCURETIC for another reason. Ask your doctor if you have any questions about why ACCURETIC has been prescribed for you.
ACCURETIC is not addictive.
This medicine is available only with a doctor's prescription.
Do not take ACCURETIC if:
Do not take ACCURETIC 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 ACCURETIC if you are pregnant or breastfeeding.
ACCURETIC 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 ACCURETIC 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 ACCURETIC, 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 him/her before you start taking ACCURETIC.
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 ACCURETIC may interfere with each other. These include:
These medicines may be affected by ACCURETIC, 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 ACCURETIC 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 ACCURETIC.
The safety and effectiveness of ACCURETIC in children has 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 which ACCURETIC tablet 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 most patients, the usual starting dose of ACCURETIC is 10/12.5 mg a day. The dose may need to be increased to one ACCURETIC 20/12.5 tablet a day, then two ACCURETIC 10/12.5 tablets a day if necessary. Most patients take between 10/12.5 to 20/12.5 mg daily. Each dose may be taken once a day.
Swallow ACCURETIC whole with a full glass of water.
Do not chew the tablets.
Take ACCURETIC at about the same time each day, with or without food.
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. It does not matter whether you take it with or without food.
ACCURETIC helps control your condition, but does not cure it. Therefore you must take ACCURETIC 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 ACCURETIC. Do this even if there are no signs of discomfort or poisoning.
Keep telephone numbers for these places handy.
If you take too much ACCURETIC, you may feel light-headed, dizzy or you may faint. You may also become thirsty, confused, have a change in the amount of urine passed or have a fast heart beat.
If you are about to be started on any new medicine, tell your doctor, dentist or pharmacist that you are taking ACCURETIC.
Make sure you drink enough water during exercise and hot weather when you are taking ACCURETIC, especially if you sweat a lot.
If you do not drink enough water while taking ACCURETIC, 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 and/or diarrhoea while taking ACCURETIC, or you have any of the following symptoms, tell your doctor:
You may be dehydrated because you are losing too much water.
If you feel light-headed or dizzy after taking your first dose of ACCURETIC, or when your dose is increased, tell your doctor immediately.
If you plan to have surgery that needs a general anaesthetic, tell your doctor or dentist that you are taking ACCURETIC.
Your blood pressure may drop suddenly.
If you become pregnant while taking ACCURETIC, tell your doctor immediately.
If you are about to have any blood tests, tell your doctor that you are taking ACCURETIC.
ACCURETIC may interfere with the results of some tests.
Have your blood pressure checked when your doctor says, to make sure ACCURETIC 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 ACCURETIC to anyone else, even if they have the same condition as you.
Do not take ACCURETIC to treat any other complaints unless your doctor or pharmacist tells you to.
Do not stop taking ACCURETIC, 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 ACCURETIC affects you.
As with other medicines in this class, ACCURETIC may cause dizziness, light-headedness or tiredness in some people. Make sure you know how you react to ACCURETIC 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 ACCURETIC.
ACCURETIC helps most people with high blood pressure, 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 ACCURETIC 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°C.
Do not store ACCURETIC 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 ACCURETIC or the tablets have passed their expiry date, ask your pharmacist what to do with any that are left over.
ACCURETIC tablets come in two strengths and each has a different appearance:
A box of ACCURETIC contains 30 tablets.
ACCURETIC does not contain sucrose, gluten, tartrazine or any other azo dyes.