What is the most important information I should know about hydrochlorothiazide and quinapril?
Do not use if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away.
You should not use hydrochlorothiazide and quinapril if you have ever had angioedema, or if you are unable to urinate. Do not take this medicine within 36 hours before or after taking medicine that contains sacubatril (such as Entresto).
If you have diabetes, do not use hydrochlorothiazide and quinapril together with any medication that contains aliskiren (such as Tekturna or Tekamlo).
What is hydrochlorothiazide and quinapril?
Hydrochlorothiazide is a thiazide diuretic (water pill) that helps prevent your body from absorbing too much salt, which can cause fluid retention.
Quinapril is an ACE inhibitor. ACE stands for angiotensin converting enzyme. Quinapril lowers blood pressure and also relieves symptoms of fluid retention.
Hydrochlorothiazide and quinapril is a combination medicine used to treat hypertension (high blood pressure).
Hydrochlorothiazide and quinapril may also be used for purposes not listed in this medication guide.
What should I discuss with my healthcare provider before taking hydrochlorothiazide and quinapril?
You should not use this medicine if you are allergic to hydrochlorothiazide or quinapril, or if:
- you have a history of angioedema;
- you are unable to urinate;
- you recently took a heart medicine called sacubatril; or
- you are allergic to any other ACE inhibitor, such as benazepril, captopril, enalapril, fosinopril, lisinopril, ramipril, trandolapril, and others.
Do not take hydrochlorothiazide and quinapril within 36 hours before or after taking medicine that contains sacubatril (such as Entresto).
If you have diabetes, do not use hydrochlorothiazide and quinapril together with any medication that contains aliskiren (such as Tekturna or Tekamlo).
You may also need to avoid taking hydrochlorothiazide and quinapril with aliskiren if you have kidney disease.
To make sure hydrochlorothiazide and quinapril is safe for you, tell your doctor if you have ever had:
- kidney disease (or if you are on dialysis);
- cirrhosis or other liver disease;
- glaucoma;
- congestive heart failure;
- gout;
- lupus;
- diabetes; or
- an allergy to sulfa drugs or penicillin.
Do not use if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away. Quinapril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester.
Hydrochlorothiazide and quinapril can pass into breast milk and may harm a nursing baby. You should not breast-feed while using this medicine.
How should I take hydrochlorothiazide and quinapril?
Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not take this medicine in larger or smaller amounts or for longer than recommended.
Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking quinapril. This can lead to very low blood pressure, electrolyte disorders, or kidney failure.
Your blood pressure will need to be checked often. Your blood and urine may also be tested if you have been vomiting or are dehydrated. Visit your doctor regularly.
Keep using this medicine as directed, even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.
If you need surgery, tell the surgeon ahead of time that you are using hydrochlorothiazide and quinapril. You may need to stop using the medicine for a short time.
Store at room temperature away from moisture, heat, and light.
What happens if I miss a dose?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
What should I avoid while taking hydrochlorothiazide and quinapril?
Do not use salt substitutes or potassium supplements while taking quinapril, unless your doctor has told you to.
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 becoming overheated or dehydrated during exercise, in hot weather, or by not drinking enough fluids. 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.
Drinking alcohol can further lower your blood pressure and may increase certain side effects of this medicine.
What are the possible side effects of hydrochlorothiazide and quinapril?
Get emergency medical help if you have signs of an allergic reaction (hives, severe stomach pain, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling).
Call your doctor at once if you have:
- a light-headed feeling, like you might pass out;
- eye pain, vision problems;
- swelling, weight gain, shortness of breath;
- sudden weakness or ill feeling, fever, chills, sore throat, mouth sores, trouble swallowing;
-
high potassium --nausea, slow or unusual heart rate, weakness, loss of movement;
-
low potassium --confusion, uneven heart rate, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling; or
-
low levels of sodium --headache, confusion, slurred speech, severe weakness, vomiting, loss of coordination, feeling unsteady.
Common side effects may include:
- cough;
- headache, dizziness;
- tired feeling; or
- muscle pain.
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.
What other drugs will affect hydrochlorothiazide and quinapril?
Other drugs may interact with hydrochlorothiazide and quinapril, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.
Where can I get more information?
Your pharmacist can provide more information about hydrochlorothiazide and quinapril.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. 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. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2018 Cerner Multum, Inc. Version: 8.01. Revision date: 9/29/2017.
