Contains the active ingredients, Fosinopril sodium and Hydrochlorothiazide
Consumer Medicine Information
NOTICE: This Consumer Medicine Information (CMI) is intended for persons
living in Australia. This page contains answers to some common
. It does
not contain all the information that is known about
. It does not take the
place of talking to your doctor or pharmacist. All medicines have risks
and benefits. Your doctor has weighed the risk of you using this medicine
against the benefits he/she expects it will have for you. If you have
any concerns about using this medicine, ask your doctor or pharmacist.
Bookmark or print this page, you may need to read it again.
What Fosinopril HCTZ is used for
The name of your medicine is APO-Fosinopril HCTZ. It contains the active ingredients, Fosinopril sodium and Hydrochlorothiazide.
It is used to lower high blood pressure (hypertension). Everyone has blood pressure. This pressure helps get your blood all
around your body. Your blood pressure may be different at different times of the day, depending on how busy or worried you
are. You have hypertension (high blood pressure), this means that your blood pressure stays higher than is needed, even when
you are relaxed.
There are usually no symptoms of hypertension. The only way of knowing that you have hypertension is to have your blood pressure
checked on a regular basis. If high blood pressure is not treated it can lead to serious health problems, including stroke,
heart disease and kidney failure.
How it works
These tablets contain two medicines, Fosinopril sodium and hydrochlorothiazide. Both medicines reduce blood pressure, but
work in different ways.
Fosinopril sodium belongs to a group of medicines called angiotensin converting enzyme (ACE) inhibitors. It works by widening
your blood vessels, reducing the pressure in the vessels (reducing 'blood pressure') and by making it easier for your heart
to pump blood around your body. This helps your heart to work better by increasing the supply of oxygen to your heart.
Hydrochlorothiazide is a diuretic. It helps reduce the amount of excess fluid in the body by increasing the amount of urine
produced. It also lowers high blood pressure, particularly when combined with other blood pressure reducing medicines.
Together Fosinopril and hydrochlorothiazide lower high blood pressure.
Ask your doctor if you have any questions about why this medicine has been prescribed for you.
Your doctor may have prescribed it for another reason.
This medicine is available only with a doctor's prescription.
There is no evidence that this medicine is addictive.
This medicine may affect your ability to drive a car or operate machinery. It may make you feel dizzy or light-headed, so
wait to see if it affects you before you drive a car, operate machinery, or do anything else that could be dangerous if you
are not completely alert. If this occurs do not drive.
Use in children
There is not enough information to recommend the use of this medicine in children.
Before you take Fosinopril HCTZ
When you must not take it
Do not take this medicine if:
You have had an allergic reaction to Fosinopril (or other ACE inhibitors) or hydrochlorothiazide (or other thiazides), or
sulphonamides (possible cross-reaction) or any of the ingredients listed at the end of this leaflet.
Some of the symptoms of an allergic reaction may include: shortness of breath, wheezing or difficulty breathing; swelling
of the face, lips, tongue, throat or other parts of the body; muscle pain or tenderness or joint pain; or rash, itching or
hives on the skin.
You have taken any other "ACE inhibitor" medicine before and it caused you to develop swelling of the face, lips, hands/ feet,
or breathing difficulties
You have a history of angioedema, or angioneurotic oedema, which is swelling of the face, lips, tongue, throat (leading to
difficulty swallowing or breathing), hands or feet, for no apparent reason.
You are not producing urine (anuric)
Do not take this medicine if you are pregnant or plan to become pregnant.
It may affect your developing baby if you take it during pregnancy.
Do not take this medicine after the expiry date (EXP) printed on the pack.
If you take this medicine after the expiry date has passed, it may not work as well.
Do not take this medicine if the packaging is torn, shows signs of tampering or if it does not look quite right.
If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor.
Before you start to take it
Tell your doctor if:
You have allergies to:
any other medicines containing ACE inhibitors, thiazides or sulphonamides
any other substances, such as foods, preservatives or dyes.
You have or have had any medical conditions, especially the following:
a family history of swelling of the face, lips, tongue, throat that may cause difficulty in swallowing or breathing
systemic lupus erythematosus or scleroderma or other autoimmune disease
dehydration (e.g. recent diarrhoea and/or vomiting)
problems passing urine
kidney or liver problems (either now, or in the past)
very high blood pressure
renal arterial stenosis
increased or decreased levels of sodium, potassium or chloride
low blood pressure
Any of the following applies to you:
You are on a low salt diet
You are over 65 years of age
You have had a kidney transplant or are on haemodialysis
You are about to have a treatment called LDL apheresis
You are going to have desensitisation treatment (e.g. treatment to reduce the effects of an allergy to bee or wasp stings).
You are going to have surgery (including dental surgery) involving a general anaesthetic, even if it is minor
You plan to have a blood or urine test
You plan to become pregnant or breast-feed.
Your doctor will discuss with you alternative medicines to take when pregnant, as it may affect your developing baby if you
take it during pregnancy.
Your doctor will discuss the risks and benefits of taking this medicine whilst breast feeding.
You are allergic or intolerant to some sugars including lactose.
This medicine contains a small amount of lactose.
If you have not told your doctor about any of the above, tell them before you start taking this medicine.
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any that you buy without a prescription from
your pharmacy, supermarket or health food shop.
Some medicines and Fosinopril HCTZ may interfere with each other. These include:
Antacids (medicines used to relieve heartburn, indigestion). These can reduce the absorption of Fosinopril. If you must take
them, it is recommended that you take Fosinopril/ hydrochlorothiazide tablets at least 2 hours before or after taking antacids.
Barbiturates (sedative drugs which may be used for treating sleeplessness or epilepsy)
Medicines containing calcium salts
Cholesterol lowering medicines (e.g. colestyramine or colestipol) - these should be taken one hour after, or four to six hours
before, your Fosinopril HCTZ tablet.
Cyclosporin or tacrolimus (used following organ transplants to lower the immune system)
Corticosteroids (used to treat conditions such as rheumatism, arthritis, allergic conditions, certain skin diseases, asthma
or certain blood disorders)
Some medicines used during surgery or emergency situations, such as anaesthetics or muscle relaxants
Lithium (used for depression or bipolar disorder)
Medicines such as ephedrine, noradrenaline or adrenaline; drugs used by doctors to treat low blood pressure, heart failure,
asthma or allergies.
Medicines (including ones bought without prescription) for appetite control, asthma, colds, coughs, hayfever or sinus problems
Medicines used to treat gout (e.g. allopurinol)
Strong painkillers such as morphine
Water tablets or diuretics (e.g. furosemide, amiloride)
Other blood pressure lowering medicines
Pain relievers known as Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) (e.g. ibuprofen, aspirin) and COX-2 inhibitors (e.g.
Celebrex). Taking a combination of. Taking these with Fosinopril/HCTZ may damage your kidneys.
Potassium supplements or potassium containing salt substitutes
Medicines for diabetes (tablets or insulin injection)
These medicines may be affected by Fosinopril HCTZ or may affect how well it works. You may need different amounts of your
medicines, or you may need to take different medicines.
Your doctor and pharmacist can tell you if you are taking any of these medicines. They may also have more information on medicines
to be careful with or avoid while taking Fosinopril HCTZ.
Other interactions not listed above may also occur.
How to take this medicine
Follow all directions given to you by your doctor or pharmacist carefully.
They may be different to the information in this leaflet.
If you do not understand any written instructions, ask your doctor or pharmacist for help.
How much to take
Your doctor or pharmacist will tell you how many tablets you will need to take each day. This depends on your age, condition
and whether or not you are taking any other medicines.
For adults the usual dose is one tablet taken once a day.
How to take it
Swallow the tablet whole with a full glass of water.
When to take it
Take it at about the same time each day.
Taking your medicine at the same time each day will have the best effect. It will also help you remember when to take it.
It does not matter if you take it before, with or after food.
If you need to take an antacid, take it at least 2 hours before or two hours after your dose of Fosinopril HCTZ.
How long to take it for
Continue taking your medicine for as long as your doctor tells you.
It helps to control your condition but it does not cure it. Therefore you must take it every day.
Make sure you have enough to last over weekends and holidays.
If you forget to take it
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.
Otherwise, take it as soon as you remember, and then go back to taking your medicine as you would normally.
Do not take a double dose to make up for the dose that you missed.
This may increase the chance of you getting an unwanted side effect.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (Tel: 13 11 26 for Australia) for advice, or go to the
Accident and Emergency Department at the nearest hospital, if you think that you or anyone else may have taken too much Fosinopril
Do this even if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
While you are taking Fosinopril HCTZ
Things you must do
Tell any other doctors, dentists, and pharmacists who are treating you that you are taking Fosinopril HCTZ.
Tell your doctor immediately if you become pregnant.
If you are about to have any blood or urine tests, tell your doctor that you are taking this medicine.
Go to your doctor regularly for a check-up.
Your doctor may occasionally do tests to make sure the medicine is working and to prevent side effects.
Try not to miss any doses.
Take the medicine even when you feel well.
If you are about to be started on any new medicine, tell your doctor or pharmacist that you are taking Fosinopril HCTZ.
Tell your doctor if you have excessive vomiting or diarrhoea or you become dehydrated (light-headed, weak, dry mouth, thirsty,
muscle pain or cramps, fast heart beat, passing less urine than normal).
Make sure you drink enough water during exercise and hot weather when you are taking
this medicine, especially if you sweat a lot.
If you do not drink enough water your blood pressure may drop suddenly and you may dehydrate. If you experience any of the
above symptoms, tell your doctor.
If you plan to have surgery that needs a general anaesthetic, tell your doctor or dentist that you are taking Fosinopril HCTZ.
Having a general anaesthetic while taking this medicine may also cause your blood pressure to drop suddenly.
If you feel light-headed, dizzy or faint when getting out of bed or standing up, get up slowly.
Standing up slowly, especially when you get up from bed or chairs, will help your body get used to the change in position
and blood pressure. Be careful the first time you take this medicine especially if you are elderly.
If you have a pre-existing kidney problem you should follow up regularly with your doctor.
Things you must not do
Do not stop taking this medicine because you begin to feel better.
Do not give this medicine to anyone else, even if their symptoms seem similar to yours.
Do not take your medicine to treat any other complaints unless your doctor or pharmacist tells you to.
Do not stop taking your medicine, or change the dosage, without checking with your doctor.
Stopping Fosinopril HCTZ without doctor's advice may worsen your condition. Your doctor will decide when you should stop taking
Things to be careful of
Be careful while driving or operating machinery until you know how this medicine affects you.
As with other ACE inhibitor medicines, you may feel light-headed or dizzy when you begin to take Fosinopril HCTZ or after
your dose is increased. This is because your blood pressure is dropping suddenly.
Make sure you know how you react to your medicine before you drive a car, operate machinery, or do anything else that could
be dangerous if you are dizzy or light-headed. If this occurs do not drive.
If you drink alcohol, dizziness or light-headedness may be worse.
Things that would be helpful for your blood pressure
Some self-help measures suggested below may help your condition. Talk to your doctor or pharmacist about these measures and
for more information.
Alcohol - your doctor may advise you to limit your alcohol intake.
Weight - your doctor may suggest losing some weight to help lower your blood pressure and help lessen the amount of work your
heart has to do. Some people may need a dietician's help to lose weight.
Diet - eat a healthy low-fat diet, which includes plenty of fresh vegetables, fruit, bread, cereals and fish. Also eat less
fat and sugar.
Salt - your doctor may advise you to watch the amount of salt in your diet. To reduce your salt intake you should avoid using
salt in cooking or at the table.
Exercise - regular exercise helps to reduce blood pressure and helps to get the heart fitter, but it is important not to overdo
it. Walking is good exercise, but try to find a route that is reasonably flat. Before starting any exercise, ask your doctor
about the best kind of programme for you.
Smoking - your doctor may advise you to stop smoking or at least cut down.
Side effects of Fosinopril HCTZ
All medicines may have some unwanted side effects. Sometimes they are serious, but most of the time, they are not. Your doctor
has weighed the risks of using this medicine against the benefits they expect it will have for you.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Fosinopril HCTZ.
Ask your doctor or pharmacist to answer any questions you may have.
Following is a list of possible side effects. Do not be alarmed by this list. You may not experience any of them.
Tell your doctor or pharmacist if you notice any of the following and they worry you:
Feeling lightheaded, dizzy or faint
Feeling sick (nausea) or being sick (vomiting)
Constipation, diarrhoea (loose stools), pain in the stomach or upper stomach, indigestion, wind (flatulence), increased or
decreased appetite, weight change, dry mouth, strange taste sensations, feeling thirsty, mouth ulcers, burping, heart burn,
difficulty in swallowing
Tiredness, drowsiness, fatigue or weakness
Sore throat, blocked or runny nose, sinus problems, sneezing
Aches and pains, cold or flu symptoms, flushing, weight loss
Loss of memory, sleep disturbances, uncontrolled mood or mood swings, behavioural change, restlessness, shaking
Pins and needles sensation, numbness, weakness of the extremities
Blurred vision, visual disturbances, yellowish hue in vision (signs of a condition called xanthopsia, also called distortion
of color vision)
Skin rash, acne, itching redness
Increased blood pressure
Hearing problems, ear infection, ringing in the ears
Muscle cramps, spasm and pain, restricted mobility, joint pains
Pain in the tendons
The above list includes the more common side effects. Mostly, these are mild.
Tell your doctor as soon as possible if you notice any of the following:
Kidney problems (i.e. burning sensation or pain or problems urinating or urinating too much)
Throat, nose, sinus or chest infection
Gout (painful, swollen joints)
Diabetes (symptoms include excessive thirst, greatly increased amount of urine, increase of appetite with a loss of weight,
feeling tired, drowsy, weak, depressed, irritable and generally unwell)
Sore throat and fever
Sunburn following only a short exposure to the sun
Feeling depressed, confused or hearing or seeing things that are not there
Swollen ankles or lower legs
Unusual bleeding or increased tendency to bleed, persistent sore throat and frequent infections, and/or anaemia
Changes to your heart rhythm
Pain and swelling of the stomach with no passage of wind or motions and being sick (vomiting) (signs of a condition called
Chest pain (see next section below also)
Swelling of face, ankles or other parts of the body, with sudden increase or decrease in the amount of urine passed or have
passed dark coloured urine
Awareness of heart beat
These may be serious side effects. You may need medical attention. Most of these side effects are rare.
If any of the following happen, stop taking your medicine and either tell your doctor immediately or go to Accident and Emergency
at your nearest hospital:
Angina (feeling of tightness, heaviness, dull discomfort, or crushing pain that is felt behind the breastbone and may spread
to the arms, neck and jaw.
Myocardial Infarction (chest pain is more severe and prolonged than angina pain described above and may be associated with
nausea (feeling sick), vomiting (being sick) and excessive sweating
Sudden onset of a severe headache, dizziness, numbness/weakness in the face, arm, or leg, especially on one side of the body,
or altered speech and ability to understand, disturbed vision in one or both eyes, and loss of balance or coordination
Symptoms of an allergic reaction which may include rashes, hives, itching, chest constriction, shortness of breath or swelling
of face, lips, tongue, hands/ feet, fainting, dizziness.
Not urinating (passing water)
Severe skin reactions with blisters, sores or ulceration
Sudden onset of severe abdominal pain with or without nausea or vomiting
Hepatitis or jaundice (symptoms may include nausea, vomiting, loss of appetite, feeling generally unwell, fever, itching yellowing
of the skin and eyes and dark coloured urine).
These are very serious side effects. You may need urgent medical attention or hospitalisation.
Whilst taking this medicine there may be different results from any blood or urine tests you may have. These may include
Abnormal liver function tests
Increase in number of a type of cells in blood called eosinophils
Abnormal deposits in urine
Altered levels of electrolytes sodium and potassium
Increased blood levels of uric acid/ glucose/ cholesterol/ triglycerides
Abnormal kidney function tests
Your doctor will discuss with you what this means and how they will manage it.
Other side effects not listed above may occur in some patients.
Tell your doctor or pharmacist if you notice anything that is making you feel unwell.
After taking this medicine
Keep your tablets in their original packaging until it is time to take them.
If you take the tablets out of their original packaging they may not keep well.
Keep your medicine in a cool dry place where the temperature will stay below 25 degrees C.
Do not store your medicine, or any other medicine, in the bathroom or near a sink.
Do not leave it on a window sill or in the car.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor or pharmacist tells you to stop taking this medicine or it has passed its expiry date, ask your pharmacist
what to do with any medicine that is left over.
Where to go for further information
Pharmaceutical companies are not in a position to give people an individual diagnosis or medical advice. Your doctor or pharmacist
is the best person to give you advice on the treatment of your condition.
What APO-Fosinopril HCTZ looks like
APO-Fosinopril HCTZ 10/12.5 mg Tablets:
white to off-white, circular tablets, debossed with 'RC3' on one side and plain on the other side.
APO-Fosinopril HCTZ 20/12.5 mg Tablets:
white to off-white, flat beveled edged, circular tablets, debossed with 'FH1' on one side and plain on the other side.
Each tablet contains either 10 mg of Fosinopril sodium & 12.5 mg of Hydrochlorothiazide, OR 20 mg of Fosinopril sodium & 12.5
mg of Hydrochlorothiazide as the active ingredients.
It also contains the following inactive ingredients:
Colloidal Anhydrous Silica
This medicine is gluten-free, sucrose-free, tartrazine-free and other azo dyes-free.
Australian Registration Numbers
APO-Fosinopril HCTZ 10/12.5 mg Tablets:
Blister packs of 30:
AUST R 151945.
APO-Fosinopril HCTZ 20/12.5 mg Tablets:
Blister packs of 30:
AUST R 151946.
Ranbaxy Australia Pty Limited
Suite 4.02, Level 4, Building D
12 - 24 Talavera Rd
North Ryde NSW 2113
Apotex Pty Ltd
ABN 52 096 916 418
66 Waterloo Road
North Ryde NSW 2113
Apotex Pty Ltd is the licensee of the registered trade marks AX logo, APO and APOTEX from the registered proprietor, Apotex
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