QUINAPRIL+HYDROCHLOROTHIAZIDE

Do not take HYDROCHLOROTHIAZIDE+QUINAPRIL if you are allergic to any of its components, if you have a history of angioedema, kidney disease or problems passing urine, obstruction in the heart that slows blood in the heart, hereditary (inherited)/idiopathic (unknown cause) angioneurotic oedema (swelling of the face, tongue or throat which causes difficulty breathing), diabetes or impaired kidney function and you are treated with a blood pressure lowering medicine containing aliskiren, or if you are taking sacubitril/valsartan, a medicine for heart failure. Inform the doctor if you have/had skin cancer, aortic stenosis (narrowing of the main blood vessel from the heart), kidney, liver or heart problems, low blood pressure, dry cough, collagen vascular disease (deposits of collagen in your blood vessels), asthma, angioedema, diabetes, gout, systemic lupus erythematosus (SLE, an allergic condition which causes skin rashes, joint pain and fever), salt/electrolyte imbalance, eye problems, pregnant or breastfeeding, or if you are due to undergo any surgery, or desensitisation treatment. Seek medical attention if you experience symptoms of visual disturbances/increased pressure in the eye (intense pain, headaches, redness of the eye, tender eye area, misty vision and loss of vision), neutropenia or agranulocytosis (fever, mouth ulcers, sore throat, unexplained bruising or bleeding, tiredness, or a blood problem such as low/lack of white blood cells), breathing or lung problems (severe shortness of breath or difficulty breathing).

Drug-Drug Interactions: Inform the doctor if you are taking medicines used to treat high blood pressure (aliskiren), medicines used to treat heart failure (sacubitril/valsartan), cholesterol-lowering medicines (cholestyramine, colestipol), neurotransmitters (norepinephrine epinephrine), antibiotics (sulfamethoxazole, trimethoprim), anaesthetics, anti-manic agents (lithium), painkillers (aspirin, ibuprofen), corticosteroids, antacids, antidiarrheals (racecadotril) or anti-diabetics (vildagliptin).

Drug-Food Interactions: No interactions found/established.

Drug-Disease Interactions: Inform the doctor if you have diabetes, impaired kidney function, heart problems, or angioneurotic oedema (swelling of the face, tongue or throat which causes difficulty breathing).

• Follow a low-salt and low-fat diet. 
• Exercise regularly for at least 30 minutes most days.
• Eat a diet rich in whole grains, vegetables, and fruits.
• Avoid smoking and alcohol consumption.
• Maintain a healthy weight with proper diet and exercise.
• Manage stress with meditation, yoga, and massage.

• Your doctor may advise regular monitoring of kidney function, blood pressure and the amount of electrolytes in your blood at regular intervals.
• HYDROCHLOROTHIAZIDE+QUINAPRIL may affect the results of some laboratory tests. If you are due to undergo any tests, inform the doctor that you are taking HYDROCHLOROTHIAZIDE+QUINAPRIL.
• Do not start taking HYDROCHLOROTHIAZIDE+QUINAPRIL if you are pregnant or planning to become pregnant. Talk to the doctor if you have any concerns.