ZESTRIL 2.5MG

Active substance: LISINOPRIL DIHYDRATE

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P032418

Taking other medicines Tell your doctor if you are taking, or have recently taken, any other medicines. This includes medicines that you buy without a prescription. This is because Zestril can affect the way some medicines work and some medicines can have an effect on Zestril. PACKAGE LEAFLET: INFORMATION FOR THE USER In particular, tell your doctor or pharmacist if you are taking any of the following medicines: Other medicines to help lower your blood pressure. Water tablets (diuretic medicines). Medicines to break up blood clots (usually given in hospital). Beta-blocker medicines, such as atenolol and propranolol. Nitrate medicines (for heart problems). Non-steroidal antiinflammatory drugs (NSAIDs) used to treat pain and arthritis. Aspirin (Acetylsalicylic acid), if you are taking more than 3grams each day. Medicines for depression and for mental problems, including lithium. Potassium tablets or salt substitutes that have potassium in them. Insulin or medicines that you take by mouth for diabetes. Medicines used to treat asthma. Medicines to treat nose or sinus congestion or other cold remedies (including those you can buy in the pharmacy). Medicines to suppress the bodys immune response (immunosuppressants). Allopurinol (for gout). Procainamide (for heart beat problems). Medicines that contain gold, such as sodium aurothiomalate, which may be given to you as an injection. Pregnancy and breastfeeding Pregnancy: You must tell your doctor if you think you are (or might become) pregnant. Your doctor will normally advise you to stop taking Zestril before you become pregnant or as soon as you know you are pregnant and will advise you to take another medicine instead of Zestril. Zestril is not recommended in early pregnancy, and must not be taken when more than 3months pregnant, as it may cause serious harm to your baby if used after the third month of pregnancy. Breast-feeding: Tell your doctor if you are breast-feeding or about to start breast-feeding. Zestril is not recommended for mothers who are breast-feeding, and your doctor may choose another treatment for you if you wish to breast-feed, especially if your baby is newborn, or was born prematurely. Driving and using machines Some people feel dizzy or tired when taking this medicine. If this happens to you, do not drive or use any tools or machines. You must wait to see how your medicine affects you before trying these activities. 3.How to take Zestril Always take Zestril exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure. Once you have started taking Zestril your doctor may take blood tests. Your doctor may then adjust your dose so you take the right amount of medicine for you. Taking your medicine Swallow the tablet with a drink of water. Try to take your tablets at the same time each day. It does not matter if you take Zestril before or after food. Keep taking Zestril for as long as your doctor tells you to, it is a long term treatment. It is important to keep taking Zestril every day. Taking your first dose Take special care when you have your firstdose of Zestril or if your dose is increased. It may cause a greater fall in blood pressure than later doses. This may make you feel dizzy or light-headed. If this happens, it may help to lie down. If you are concerned, please talk to your doctor as soon as possible. Adults Your dose depends on your medical condition and whether you are taking any other medicines. Your doctor will tell you how many tablets to take each day. Check with your doctor or pharmacist if you are unsure. For high blood pressure The usual starting dose is 10mg once aday. The usual longterm dose is 20mg once aday. For heart failure The usual starting dose is 2.5mg once aday. The longterm dose is 5to 35mg once aday. After a heart attack The usual starting dose is 5mg within 24hours of your attack and 5mg onedaylater. The usual long-term dose is 10mg once aday. For kidney problems caused by diabetes The usual dose is either 10mg or 20mgonce a day. If you are elderly, have kidney problems or are taking diuretic medicines your doctor may give you a lower dose than the usual dose. Children and adolescents (6to 16years old) with high blood pressure Zestril is not recommended for children under 6years or in any children with severe kidney problems. The doctor will work out the correct dose for your child. The dose depends on the childs body weight. For children who weigh between 20kg and 50kg, the usual starting dose is 2.5mg once a day. For children who weigh more than 50kg, the usual starting dose is 5mg once a day.

Zestril 2.5mg Tablets Zestril 5mg Tablets Zestril 10mg Tablets Zestril 20mg Tablets
lisinopril Read all of this leaflet carefully before you start taking this medicine. - Keep this leaflet. You may need to read itagain. - If you have any further questions, ask your doctor or pharmacist. - This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours. - If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. In this leaflet: 1.What Zestril is and what it is used for 2.Before you take Zestril 3.How to take Zestril 4.Possible side effects 5.How to store Zestril 6.Further information 1.What Zestril is and what it is used for Zestril contains a medicine called lisinopril. This belongs to a group of medicines called ACE inhibitors. Zestril can be used for the following conditions: To treat high blood pressure (hypertension). To treat heart failure. If you have recently had a heart attack (myocardial infarction). To treat kidney problems caused by Type II diabetes in people with high blood pressure. Zestril works by making your blood vessels widen. This helps to lower your blood pressure. It also makes it easier for your heart to pump blood to all parts of your body. 2.Before you take Zestril Do not take Zestril if: You are allergic (hypersensitive) to lisinopril or any of the other ingredients of Zestril (listed in Section 6: Further information). You have ever had an allergic reaction to another ACE inhibitor medicine. The allergic reaction may have caused swelling of the hands, feet, ankles, face, lips, tongue or throat. It may also have made it difficult to swallow or breathe (angioedema). A member of your family has had severe allergic reactions (angioedema) to an ACEinhibitor or you have had severe allergic reactions (angioedema) without a known cause. If you are more than 3months pregnant. (It is also better to avoid Zestril in early pregnancy - see Pregnancy section). Do not take Zestril if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist before taking Zestril. If you develop a dry cough which is persistent for a long time after starting treatment with Zestril, talk to your doctor. Take special care with Zestril Check with your doctor or pharmacist before taking Zestril if: You have a narrowing (stenosis) of the aorta (an artery in your heart) or a narrowing of the heart valves (mitral valves). You have a narrowing (stenosis) of the kidney artery. You have an increase in the thickness of the heart muscle (known as hypertrophic cardiomyopathy). You have problems with your blood vessels (collagen vascular disease). You have low blood pressure. You may notice this as feeling dizzy or light-headed, especially when standing up. You have kidney problems or you are having kidney dialysis. You have liver problems. You have diabetes. You have recently had diarrhoea or vomiting (being sick). Your doctor has told you to control the amount of salt in your diet. You have high levels of cholesterol and you are having a treatment called LDLapheresis. You must tell your doctor if you think you are (or might become) pregnant. Zestril is not recommended in early pregnancy, and must not be taken if you are more than 3months pregnant, as it may cause serious harm to your baby if used at that stage (see Pregnancy section). You are of black origin as Zestril may be less effective. You may also more readily get the side effect angioedema (a severe allergic reaction). If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking Zestril. Treatment for allergies such as insect stings Tell your doctor if you are having or are going to have treatment to lower the effects of an allergy such as insect stings (desensitisation treatment). If you take Zestril while you are having this treatment, it may cause a severe allergic reaction. Operations If you are going to have an operation (including dental surgery) tell the doctor or dentist that you are taking Zestril. This is because you can get low blood pressure (hypotension) if you are given certain local or general anaesthetics while you are taking Zestril.

If you take more Zestril than you should If you take more Zestril than prescribed by your doctor, talk to a doctor or go to a hospital immediately. The following effects are most likely to happen: Dizziness, palpitations. If you forget to take Zestril If you forget to take a dose, take it as soon as you remember. However, if it is nearly time for the next dose, skip the missed dose. Do not take a double dose to make up for a forgotten dose. If you stop taking Zestril Do not stop taking your tablets, even if you are feeling well, unless your doctor tells you to. If you have any further questions on the use of this medicine, ask your doctor or pharmacist. 4.Possible side effects Like all medicines, Zestril can cause side effects, although not everybody gets them. If you experience any of the following reactions, stop taking Zestril and see your doctor immediately: Severe allergic reactions (rare, affects 1to 10users in 10,000). The signs may include sudden onset of: - Swelling of your face, lips, tongue or throat. This may make it difficult to swallow. - Severe or sudden swelling of your hands, feet and ankles. - Difficulty breathing. - Severe itching of the skin (with raisedlumps). Severe skin disorders, like a sudden, unexpected rash or burning, red or peeling skin (very rare, affects less than 1user in10,000). An infection with symptoms such as fever and serious deterioration of your general condition, or fever with local infection symptoms such as sore throat/pharynx/ mouth or urinary problems (very rare, affects less than 1user in 10,000). Other possible side effects: Common (affects 1to 10users in 100) Headache. Feeling dizzy or lightheaded, especially if you stand up quickly. Diarrhoea. A dry cough that does not go away. Being sick (vomiting). Kidney problems (shown in a blood test). Uncommon (affects 1to 10users in 1,000) Mood changes. Change of colour in your fingers or toes (pale blue followed by redness) or numbness or tingling in your fingers or toes. Changes in the way things taste. Feeling sleepy. Spinning feeling (vertigo). Having difficulty sleeping. Stroke. Fast heart beat. Runny nose. Feeling sick (nausea). Stomach pain or indigestion. Skin rash or itching. Being unable to get an erection (impotence). Feeling tired or feeling weak (loss of strength). A very big drop in blood pressure may happen in people with the following conditions: coronary heart disease; narrowing of the aorta (a heart artery), kidney artery or heart valves; an increase in the thickness of the heart muscle. Ifthis happens to you, you may feel dizzy or light-headed, especially if you stand up quickly. Changes in blood tests that show how well your liver and kidneys are working. Heart attack. Rare (affects 1to 10users in 10,000) Feeling confused. A lumpy rash (hives). Dry mouth. Hair loss. Psoriasis (a skin problem). Changes in the way things smell. Development of breasts in men. Changes to some of the cells or other parts of your blood. Your doctor may take blood samples from time to time to check whether Zestril has had any effect on your blood. The signs may include feeling tired, pale skin, a sore throat, high temperature (fever), joint and muscle pains, swelling of the joints or glands, or sensitivity to sunlight. Low levels of sodium in your blood (the symptoms may be tiredness, headache, nausea, vomiting). Sudden renal failure. Very rare (affect less than 1user in 10,000) Sinusitis (a feeling of pain and fullness behind your cheeks and eyes). Wheezing. Low levels of sugar in your blood (hypoglycaemia). The signs may include feeling hungry or weak, sweating and a fast heart beat. Inflammation of the lungs. The signs include cough, feeling short of breath and high temperature (fever). Yellowing of the skin or the whites of the eyes (jaundice). Inflammation of the liver. This can cause loss of appetite, yellowing of the skin and eyes, and dark coloured urine. Inflammation of the pancreas. This causes moderate to severe pain in the stomach. Severe skin disorders. The symptoms include redness, blistering and peeling. Sweating. Passing less water (urine) than normal or passing no water. Liver failure. Lumps. Inflamed gut. Not known (frequency cannot be estimated from available data) Symptoms of depression. Fainting. Side effects in children appear to be comparable to those seen in adults. If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

5.How to store Zestril Keep out of the reach and sight of children. Do not use after the expiry date (EXP) which is stated on the blister strip and the carton. The expiry date refers to the lastday of that month. 2.5mg tablets: Do not store above 25C. 5mg, 10mg and 20mg tablets: Do not store above 30C. Medicines should not be disposed of via waste water or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help to protect the environment. 6.Further information What Zestril contains The active substance is lisinopril (as dihydrate). The other ingredients are mannitol, calcium hydrogen phosphate dihydrate, maize starch, pregelatinised starch and magnesium stearate. In addition, the pink and brownish-red tablets contain red iron oxide (E172). Zestril is supplied in 4strengths containing 2.5mg, 5mg, 10mg or 20mg of lisinopril (as dihydrate). What Zestril looks like and contents of the pack Zestril 2.5mg Tablets: round, white, uncoated, biconvex tablet with 2.5 on one side and plain on the other side. Diameter 6mm. Zestril 5mg Tablets: round, pink, uncoated, biconvex tablet with 5 on one side and bisected on the other side. Diameter 6mm. The tablet can be divided into equal halves. Zestril 10mg Tablets: round, pink, uncoated, biconvex tablet with 10 on one side and plain on the other side. Diameter 8mm. Zestril 20mg Tablets: round, brownish-red, uncoated, biconvex tablet with 20 on oneside and plain on the other side. Diameter 8mm. Zestril tablets are available in aluminium foil blister packs of 14, 20, 28, 30, 42, 50, 56, 60, 84, 98, 100, 400and 500tablets. Blister packs containing multiples of 7tablets may also be available with weekday marks. Zestril tablets are also available in bottle packs of 20, 30, 50, 100and 400tablets. Not all pack sizes may be marketed. Marketing Authorisation Holder and Manufacturer The Marketing Authorisations for Zestril are held by AstraZeneca UK Ltd, 600CapabilityGreen, Luton, LU13LU, UK. Zestril is manufactured by AstraZenecaUKLimited, SilkRoadBusinessPark, Macclesfield, Cheshire SK102NA, UK. This medicine is authorised in the Member States of the EEA under the following names: Acemin (AT), Acerbon (DE), Zestril (BE,ES, IE, FR, IT, EL, LU, NO, NL, PT, SE,UK).

To listen to or request a copy of this leaflet in Braille, large print or audio please call, free of charge: 08001985000(UK only) Please be ready to give the following information: Product name ReferenceNumber Zestril 2.5mg Tablets PL 17901/ 0060 Zestril 5mg Tablets PL 17901/ 0061 Zestril 10mg Tablets PL 17901/ 0062 Zestril 20mg Tablets PL 17901/ 0063 This is a service provided by the Royal National Institute of Blind People.
Leaflet last updated: November 2011 AstraZeneca 2011 Zestril is a trade mark of the AstraZeneca group of companies. CV 110137

P032418

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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