What is Fosinopril Hydrochlorothiazide?

Hydrochlorothiazide is a thiazide diuretic (water pill) that helps prevent your body from absorbing too much salt, which can cause fluid retention.
Fosinopril is in a group of drugs called ACE inhibitors. ACE stands for angiotensin converting enzyme. Fosinopril lowers blood pressure and also relieves symptoms of fluid retention.
The combination of hydrochlorothiazide and fosinopril is used to treat hypertension (high blood pressure) or congestive heart failure.
Hydrochlorothiazide and fosinopril may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Fosinopril Hydrochlorothiazide?

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), enalapril (Vasotec), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), or trandolapril (Mavik).
Before taking hydrochlorothiazide and fosinopril, tell your doctor if you have kidney disease (or are on dialysis), liver disease, gout, lupus, diabetes, or an allergy to sulfa drugs.
Fosinopril can cause birth defects in the baby if you take the medication during pregnancy. Do not use hydrochlorothiazide and fosinopril 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 fosinopril, 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 fosinopril. Tell your doctor if you have a prolonged illness that causes diarrhea or vomiting.

What should I discuss with my healthcare provider before taking Fosinopril Hydrochlorothiazide?

kidney disease (or if you are on dialysis)
liver disease
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. Fosinopril 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 and fosinopril 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.

Fosinopril Hydrochlorothiazide Side Effects

What are the possible side effects of Fosinopril Hydrochlorothiazide?

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
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
joint or muscle pain
diarrhea, constipation; or
mild skin rash, increased sweating

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Fosinopril Hydrochlorothiazide Interactions

What other drugs affect Fosinopril Hydrochlorothiazide?

Before taking this medication, tell your doctor if you are using any of the following drugs:

other diuretics (water pills) or blood pressure medications
gold injections to treat arthritis
lithium (Lithobid, Eskalith)
steroids (prednisone and others)
NSAIDs (non-steroidal anti-inflammatory drugs) such as aspirin, ibuprofen (Motrin, Advil), diclofenac (Voltaren), indomethacin, naproxen (Aleve, Naprosyn), piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others; or
insulin or diabetes medicine taken by mouth

This list is not complete and there may be other drugs that can interact with hydrochlorothiazide and fosinopril. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

What should I avoid while taking Fosinopril Hydrochlorothiazide?

Avoid taking an antacid within 2 hours before or after you take hydrochlorothiazide and fosinopril. Antacids can make it harder for your body to absorb fosinopril.
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 fosinopril.
Avoid the regular use of salt substitutes in your diet, and do not take potassium supplements while taking hydrochlorothiazide and fosinopril, unless your doctor has told you to.

Fosinopril Hydrochlorothiazide Dosage

How should I take Fosinopril Hydrochlorothiazide?

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 the medicine 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 fosinopril. 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 fosinopril at room temperature away from moisture, heat, and light.

What happens if I overdose on Fosinopril Hydrochlorothiazide?

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 happens if I miss a dose of Fosinopril Hydrochlorothiazide?

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.
Sourced from everydayhealth.com

Fosinopril Hydrochlorothiazide