Normace D 10mg/25mg Tablet belongs to a class of medication called 'anti-hypertensive' primarily used to treat hypertension (high blood pressure). Hypertension is a condition in which the force exerted by the blood against the artery walls becomes so high that it causes health problems, such as heart disease.

Normace D 10mg/25mg Tablet is a combination of two drugs: Enalapril (angiotensin-converting enzyme inhibitor) and Hydrochlorothiazide (diuretic). Enalapril belongs to the class angiotensin-converting enzyme (ACE) inhibitors that work by blocking an angiotensin-converting enzyme which decreases the production of angiotensin II in the body that causes constriction and narrowing of blood vessels leading to high blood pressure. Thereby, it widens and relaxes blood vessels. Hydrochlorothiazide belongs to diuretics (water tablets) that work by increasing the removal of excess water and certain salts such as sodium and potassium from the blood. This removal of water from blood reduces the fluid volume circulating through blood vessels. Thus, together they lower high blood pressure.

Take Normace D 10mg/25mg Tablet as prescribed. Your doctor will advise you on how often you take your tablets based on your medical condition. In some cases, you may experience dizziness, weakness, blurred vision, nausea, headache, orthostatic hypotension (low blood pressure when standing up from sitting or lying position), high cholesterol or uric acid levels, electrolyte imbalance, diarrhoea, chest pain, fast heartbeat, changes in taste or stomach pain. Most of these side effects of Normace D 10mg/25mg Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist, please consult your doctor.

Normace D 10mg/25mg Tablet is not recommended for pregnant women, especially in second and third trimesters as it may cause serious harm to the baby. Therefore, pregnant or breastfeeding women are advised to consult a doctor before taking Normace D 10mg/25mg Tablet. Avoid potassium supplements with Normace D 10mg/25mg Tablet as it may lead to high potassium levels in the blood. If you have asthma, diabetes, low blood pressure, difficulty in urination, gout, blood disorders, systemic lupus erythematosus (an autoimmune disease), scleroderma (hardening and tightening of skin), cerebrovascular disease (a condition affecting blood flow to the brain), have a history of angioedema (swelling under the skin) or skin cancer, kidney, liver or heart problems inform your doctor before taking Normace D 10mg/25mg Tablet.

Normace D 10mg/25mg Tablet is a combination of two drugs, namely: Enalapril and Hydrochlorothiazide. Enalapril belongs to the class angiotensin-converting enzyme (ACE) inhibitors that work by blocking an angiotensin-converting enzyme which decreases the production of angiotensin II in the body causes constriction and narrowing of blood vessels leading to high blood pressure. Thereby, it widens and relaxes blood vessels. Hydrochlorothiazide is a diuretic (water tablet) that increases the removal of excess water and certain salts such as sodium and potassium from the blood. This removal of water from blood reduces the fluid volume circulating through blood vessels. Thus, together they lower high blood pressure.

• Dizziness
• Weakness
• Blurred vision
• Nausea
• Headache
• Orthostatic hypotension (low blood pressure when standing up from lying or sitting position)
• High cholesterol or uric acid levels
• Electrolyte imbalance
• Diarrhoea
• Chest pain
• Fast heartbeat
• Changes in taste
• Stomach pain

If you are known to be allergic to Normace D 10mg/25mg Tablet or any other medicines, please tell your doctor. Normace D 10mg/25mg Tablet is not recommended for pregnant women, especially in second and third trimesters as it may cause serious harm to the baby. Therefore, pregnant or breastfeeding women are advised to consult a doctor before taking Normace D 10mg/25mg Tablet. It is advised to complete the full course of medication and do not suddenly stop taking Normace D 10mg/25mg Tablet as it may cause recurring symptoms or worsen the condition. Avoid potassium supplements with Normace D 10mg/25mg Tablet as it may lead to high potassium levels in the blood. If you are about to under any surgery, receive anesthetics, LDL apheresis treatment (cholesterol removal from blood using a machine), or desensitization treatment, inform your doctor that you are taking Normace D 10mg/25mg Tablet. If you have asthma, diabetes, low blood pressure, difficulty in urination, gout, blood disorders, systemic lupus erythematosus (an autoimmune disease), scleroderma (hardening and tightening of skin), cerebrovascular disease (a condition affecting blood flow to the brain), have a history of angioedema (swelling under the skin) or skin cancer, kidney, liver or heart problems inform your doctor before taking Normace D 10mg/25mg Tablet. 

Drug-Drug Interaction: Normace D 10mg/25mg Tablet may have interaction with pain killers (aspirin), antidepressants (duloxetine, fluoxetine, sertraline), water tablets (hydrochlorothiazide, furosemide), anticonvulsants (pregabalin), medicines used to lower high blood pressure (metoprolol, amlodipine), bronchodilators (albuterol, salmeterol), vitamin (cholecalciferol).

Drug- Food Interaction: Normace D 10mg/25mg Tablet may interact with potassium salt substitutes and potassium supplements resulting in hyperkalemia (high levels of potassium in the blood) and may cause severe adverse effects such as irregular heartbeat, muscle paralysis, and kidney failure. Also, avoid intake of potassium-rich foods such as coconut water, bananas, and broccoli.

Drug-Disease Interaction: If you have asthma, diabetes, low blood pressure, difficulty in urination, gout, blood disorders, systemic lupus erythematosus (an autoimmune disease), scleroderma  (hardening and tightening of skin), cerebrovascular disease (a condition affecting blood flow to the brain), have a history of angioedema (swelling under the skin) or skin cancer, kidney, liver or heart problems inform your doctor before taking Normace D 10mg/25mg Tablet.

• ASPIRIN
• DULOXETINE
• FLUOXETINE
• SERTRALINE
• HYDROCHLOROTHIAZIDE
• FUROSEMIDE
• PREGABALIN
• METOPROLOL
• AMLODIPINE
• ALBUTEROL
• SALMETEROL
• CHOLECALCIFEROL

• Maintain a low salt diet and minimize eating processed foods as they contain more sodium. Try to replace salt with spices or herbs to add flavor to the food.
• Do regular exercise such as cycling, walking, jogging, dancing, or swimming for a minimum of 30 minutes per day.
• Chronic stress may also cause high blood pressure. Therefore, avoid stress triggers and make time for yourself to relax and do activities that you enjoy.
• Maintain a diet that is rich in vegetables, fruits, whole grains, and low-fat dairy products.
• Try to include heart-healthy omega 3 fatty acid-containing foods in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil which may help in lowering high blood pressure.
• Quit smoking and avoid the consumption of alcohol.

• Regular monitoring of blood pressure, kidney functioning, and amount of electrolytes such as sodium, potassium, magnesium, creatinine, and liver enzyme levels are recommended while taking Normace D 10mg/25mg Tablet.
• If you are about to take an anti-doping test, please inform your doctor that you are taking Normace D 10mg/25mg Tablet as it may give a positive result.
• Low salt diet and regular exercise are recommended along with Normace D 10mg/25mg Tablet for effective results.

Hypertension: Blood pressure is the measurement of the heart's force to pump blood to all parts of the body. Hypertension is a chronic condition in which blood pressure is too high. This condition can lead to hardened arteries (blood vessels), decreasing the blood and oxygen flow to the heart. Raised blood pressure can cause chest pain (angina) and heart attack (when blood supply to the heart is blocked). Additionally, high blood pressure also causes brain damage (stroke) and kidney failure. High blood pressure can be diagnosed with the help of a blood pressure monitor or sphygmomanometer. Systolic pressure is the pressure when the heart pumps blood out. On the other hand, diastolic pressure is the pressure when your heart is at the resting stage between heartbeats. If your blood pressure is 140/90 mm of Hg, it means the systolic pressure is 140 mm of Hg and, diastolic pressure is 90 mm of Hg. Normal blood pressure lies in between 90/60 mm of Hg and 120/80 mm of Hg. If the blood pressure is 140/90 mmHg or greater, it is considered high blood pressure.