Fosinopril

Fosinopril is used for:

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Treating high blood pressure. It may be used alone or with other blood pressure medicines. It may also be used with other medicines for the treatment of congestive heart failure. It may also be used for other conditions as determined by your doctor.

Fosinopril is an angiotensin-converting enzyme (ACE) inhibitor. It works by helping to relax blood vessels. This helps to lower blood pressure.

Do NOT use Fosinopril if:

• you are allergic to any ingredient in Fosinopril or any other ACE inhibitor (eg, enalapril)
• you are pregnant

Contact your doctor or health care provider right away if any of these apply to you.

Before using Fosinopril :

Some medical conditions may interact with Fosinopril . 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 taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have or have ever had liver or kidney problems, kidney transplantation, or kidney dialysis
• if you have bone marrow suppression, low blood counts, low blood pressure, low blood sodium, high blood potassium, narrowing or hardening of the arteries of the brain, dehydration, diabetes, systemic lupus erythematosus (SLE or lupus), scleroderma, or a collagen vascular disease (ask your doctor if you are not sure)
• if you are scheduled to have surgery or receive anesthesia

Some MEDICINES MAY INTERACT with Fosinopril . Tell your health care provider if you are taking any other medicines, especially any of the following:

• Dextran sulfate, thiazide diuretics (eg, hydrochlorothiazide) because the risk of serious damage to the kidney (eg, decreased urine output, weight gain) may be increased
• Nonsteroidal anti-inflammatory medicines (eg, aspirin, ibuprofen, indomethacin, naproxen, celecoxib) because they may decrease Fosinopril 's effectiveness
• Potassium supplements or potassium-sparing diuretics (eg, amiloride) because they may cause high blood potassium levels, resulting in listlessness, confusion, abnormal skin sensations in the arms and legs, heaviness of limbs, slowed heart rate, irregular heart rhythm, or stopping of the heart when used with Fosinopril
• Lithium, sulfonylureas (eg, glyburide), or thiopurines (eg, azathioprine) because the risk of their side effects may be increased by Fosinopril

This may not be a complete list of all interactions that may occur. Ask your health care provider if Fosinopril 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 Fosinopril :

Use Fosinopril as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Fosinopril by mouth with or without food.
• Taking Fosinopril at the same time each day will help you remember to take it.
• Do not take an antacid that has aluminum, magnesium, or simethicone in it within 2 hour before or 2 hours after you take Fosinopril .
• If you miss a dose of Fosinopril , 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 Fosinopril .

Important safety information:

• Fosinopril may cause dizziness or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Fosinopril with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Fosinopril may cause dizziness, lightheadedness, 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.
• 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.
• Fosinopril may cause a dry, unproductive cough. This symptom usually stops after treatment with Fosinopril is stopped.
• Tell your doctor or dentist that you take Fosinopril before you receive any medical or dental care, emergency care, or surgery.
• Check with your doctor before you use a salt substitute or a product that has potassium in it.
• Drink plenty of fluids while taking Fosinopril and avoid engaging in activities that cause excessive sweating. Dehydration, excessive sweating, vomiting, or diarrhea may lead to a fall in blood pressure. Contact your health care provider at once if any of these occur.
• Fosinopril 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.
• Diabetes patients - Fosinopril 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 liver function, kidney function, blood counts, and blood pressure, may be performed while you use Fosinopril . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Fosinopril should be used with extreme caution in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: Fosinopril may cause fetal and newborn death if you take it while you are pregnant. If you think you may be pregnant, contact your doctor right away. Fosinopril is found in breast milk. Do not breast-feed while taking Fosinopril .

Possible side effects of Fosinopril :

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:

Diarrhea; dizziness or lightheadedness when sitting up or standing; dry cough; fatigue; fever; headache; irregular or slow heartbeat; muscle pain; nausea; persistent, nonproductive cough; shortness of breath; vomiting.

Severe allergic reactions (rash; hives; itching; difficulty swallowing or breathing; tightness in the chest or throat; swelling of the hands, face, mouth, lips, eyes, throat, or tongue); chest pain; fainting; fever; unusual hoarseness; unusual stomach pain; upper respiratory tract infection; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include dizziness; lightheadedness, especially upon standing; weakness.

Store Fosinopril at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Fosinopril out of the reach of children and away from pets.

General information:

• If you have any questions about Fosinopril , please talk with your doctor, pharmacist, or other health care provider.
• Fosinopril 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.

This information is a summary only. It does not contain all information about Fosinopril . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

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