Generic Name: quinapril (KWIN-a-pril)
Brand Name: Accupril
Accupril can cause injury and possibly death to the fetus when used during pregnancy. If you think you may be pregnant, contact your doctor right away. If you are planning to become pregnant, talk with your doctor about other treatment options.
Accupril is used for:
Treating high blood pressure alone or with other medicines. It may also be used for other conditions as determined by your doctor.
Accupril is an angiotensin-converting enzyme (ACE) inhibitor. It works by relaxing blood vessels. This helps to lower blood pressure.
Do NOT use Accupril if:
- you are allergic to any ingredient in Accupril
- you are pregnant
- you have a history of angioedema (swelling of the hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or unusual hoarseness), including angioedema caused by treatment with an ACE inhibitor
- you are taking a medicine that contains aliskiren and you also have diabetes or kidney problems. Check with your doctor or pharmacist if you are not sure if a medicine you take contains aliskiren
Contact your doctor or health care provider right away if any of these apply to you.
Before using Accupril:
Some medical conditions may interact with Accupril. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are able to become pregnant
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have a history of heart problems (eg, heart failure, aortic stenosis), blood vessel problems, blood flow problems, bone marrow problems, diabetes, or kidney or liver problems
- if you have a history of stroke, recent heart attack, or kidney transplant
- if you have an autoimmune disease (eg, rheumatoid arthritis, lupus, scleroderma)
- if you are dehydrated or have low blood volume
- if you have high blood potassium levels, low blood sodium levels, or are on a low-salt (sodium) diet.
- if you are receiving treatments to reduce sensitivity to bee or wasp stings
- if you are having dialysis or apheresis, or are scheduled to have surgery or receive anesthesia
- if you are taking another medicine to treat high blood pressure
Some MEDICINES MAY INTERACT with Accupril. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood pressure may be increased
- Everolimus, sirolimus, or temsirolimus because the risk of angioedema may be increased
- Eplerenone, potassium-sparing diuretics (eg, spironolactone, triamterene), potassium supplements, or trimethoprim because the risk of high blood potassium levels may be increased
- Aliskiren or angiotensin receptor blockers (eg, losartan) because the risk of certain side effects (eg, kidney problems, high blood potassium levels, low blood pressure) may be increased
- Insulin, sulfonylureas (eg, glipizide), or other oral diabetes medicines (eg, metformin) because the risk of low blood sugar may be increased
- Certain gold-containing medicines (eg, auranofin, sodium aurothiomalate) because flushing, nausea, vomiting, and low blood pressure may occur
- Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen, indomethacin, celecoxib) because they may decrease Accupril's effectiveness and the risk of kidney problems may be increased
- Lithium because the risk of its side effects may be increased by Accupril
This may not be a complete list of all interactions that may occur. Ask your health care provider if Accupril may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Accupril:
Use Accupril as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- If you are taking a tetracycline antibiotic (eg, doxycycline) or a fluoroquinolone antibiotic (eg, ciprofloxacin), ask your doctor or pharmacist how to take it with Accupril. This product contains magnesium, which can interfere with absorption of these antibiotics.
- Accupril works best if it is taken at the same time each day. Taking Accupril at the same time each day will help you remember to take it.
- Continue to use Accupril even if you feel well. Do not miss any doses.
- If you miss a dose of Accupril, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Accupril.
Important safety information:
- Accupril may cause dizziness, light-headedness, or fainting. These effects may be worse if you take it with alcohol or certain medicines. Use Accupril with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Accupril may cause dizziness, light-headedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
- Accupril may cause a serious side effect called angioedema. The risk may be higher in black patients. Contact your doctor at once if you develop swelling of the hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or unusual hoarseness.
- Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.
- Accupril may cause a dry, unproductive cough. If caused by Accupril, this symptom usually stops after treatment with Accupril is stopped.
- Accupril may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Accupril. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
- Check with your doctor before you use a salt substitute or a product that has potassium in it.
- Dehydration, excessive sweating, vomiting, or diarrhea may increase the risk of low blood pressure. Contact your health care provider at once if any of these occur.
- Rarely, Accupril may lower the ability of your body to fight infection. This risk may be greater if you have certain other health problems (eg, kidney problems, collagen vascular disease). Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.
- Accupril may not work as well in black patients. They may also be at greater risk of side effects. Contact your doctor if your symptoms do not improve or if they become worse.
- If you have high blood pressure, do not use nonprescription products that contain stimulants. These products may include diet pills or cold medicines. Contact your doctor if you have any questions or concerns.
- Tell your doctor or dentist that you take Accupril before you receive any medical or dental care, emergency care, or surgery.
- Diabetes patients - Accupril may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
- Lab tests, including blood pressure, blood electrolyte levels, and kidney and liver function, may be performed while you use Accupril. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
- Use Accupril with caution in the ELDERLY; they may be more sensitive to its effects.
- Accupril should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: Accupril may cause birth defects and fetal or newborn death if you take it while you are pregnant. If you think you may be pregnant, contact your doctor right away. Accupril is found in breast milk. If you are or will be breast-feeding while you use Accupril, check with your doctor. Discuss any possible risks to your baby.
Possible side effects of Accupril:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Cough; dizziness; headache; nausea; tiredness; vomiting.
Severe allergic reactions (rash; hives; itching; difficulty breathing or swallowing; tightness in the chest; swelling of the eyes, mouth, face, lips, throat, or tongue; unusual hoarseness); burning, numbness, or tingling; chest, jaw, or arm pain; confusion; decreased urination; fast, slow, or irregular heartbeat; mental or mood changes; one-sided weakness; shortness of breath; slurred speech; stomach pain (with or without nausea or vomiting); sudden, severe nausea or vomiting; sudden, unexplained weight gain; swelling of the hands, ankles, or feet; symptoms of infection (eg, fever, chills, persistent sore throat); symptoms of liver problems (eg, dark urine, loss of appetite, pale stools, yellowing of the skin or eyes); symptoms of low blood pressure (eg, fainting, severe dizziness, light-headedness); unusual bleeding or bruising; unusual sweating; unusual tiredness or weakness; vision changes.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include fainting; severe dizziness or light-headedness.Proper storage of Accupril:
Store Accupril at room temperature, between 59 and 86 degrees F (15 and 30 degrees C), in a tightly closed container. Protect from heat, moisture, and light. Do not store in the bathroom. Keep Accupril out of the reach of children and away from pets.
- If you have any questions about Accupril, please talk with your doctor, pharmacist, or other health care provider.
- Accupril is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
- Check with your pharmacist about how to dispose of unused medicine.
This information should not be used to decide whether or not to take Accupril or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Accupril. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Accupril. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using Accupril.
Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.