APO-Fosinopril HCTZ 20/12.5 Tablets
contain the active ingredients fosinopril sodium and
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about APO-FOSINOPRIL HCTZ 20/12.5. It does not contain all the available information.
It does not take the place of talking to your doctor or pharmacist.
Keep this leaflet. You may need to read it again.
If you have any concerns about taking APO-FOSINOPRIL HCTZ 20/12.5, ask your doctor or pharmacist.
What APO-FOSINOPRIL HCTZ 20/12.5 is used for
APO-FOSINOPRIL HCTZ 20/12.5 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. If 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 APO-FOSINOPRIL HCTZ 20/12.5 works
APO-FOSINOPRIL HCTZ 20/12.5 tablets contain two medicines, fosinopril sodium and hydrochlorothiazide. Both medicines reduce blood pressure, but work 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 (fluid tablet). 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 such as ACE inhibitors.
Your doctor may have prescribed APO-FOSINOPRIL HCTZ 20/12.5 for another reason.
Ask your doctor if you have any questions about why APO-FOSINOPRIL HCTZ 20/12.5 has been prescribed for you.
APO-FOSINOPRIL HCTZ 20/12.5 is not addictive. APO-FOSINOPRIL HCTZ 20/12.5 is available only with a doctor’s prescription.
The safety and effectiveness of APO-FOSINOPRIL HCTZ 20/12.5 in children have not been established.
Before you take APO-FOSINOPRIL HCTZ 20/12.5
When you must not take it
Do not take APO-FOSINOPRIL HCTZ 20/12.5 if:
- you have an allergy to fosinopril sodium or hydrochlorothiazide(the active ingredients in APO-FOSINOPRIL HCTZ 20/12.5),or to any of the inactive ingredients listed at the end of this leaflet
Symptoms of an allergic reaction to APO-FOSINOPRIL HCTZ 20/12.5 may include skin rash, itchiness, shortness of breath, swelling of the face, lips, tongue, throat, hands or feet.
- you have taken any other ACE inhibitor medicine before,which caused your face, lips,tongue, throat, hands or feet to swell up or made it hard for you to breathe
If you have had an allergic reaction to an ACE inhibitor medicine before, you may be allergic to APO-FOSINOPRIL HCTZ 20/12.5.
- you have had an allergic reaction to another medicine which contains an ingredient
with a name like “sulphonamide” or a “-thiazide” (like hydrochlorothiazide). Ask your doctor or pharmacist if you are not sure
- you have a history of angioedema or angioneurotic oedema, which is swelling of the face, lips, tongue, throat (which may cause difficulty in swallowing or breathing), hands or feet, for no apparent reason
Do not take APO-FOSINOPRIL HCTZ 20/12.5 if you are pregnant. APO-FOSINOPRIL HCTZ 20/12.5 may affect your developing baby if you take it during pregnancy.
Do not take APO-FOSINOPRIL HCTZ 20/12.5 if you are not producing any urine (anuric).
Do not take APO-FOSINOPRIL HCTZ 20/12.5 after the expiry date printed on the pack. Do not take APO-FOSINOPRIL HCTZ 20/12.5 if the packaging is torn or shows signs of tampering. If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking APO-FOSINOPRIL HCTZ 20/12.5, talk to your doctor.
Before you start to take APO-FOSINOPRIL HCTZ 20/12.5
Tell your doctor if you have allergies to:
- any other medicines
- any other substances, such as foods, preservatives or dyes
Tell your doctor if you have a family history of swelling of the face, lips, tongue, throat that may cause difficulty in swallowing or breathing.
Tell your doctor if you have any medical conditions, especially the following:
- kidney problems, or have had kidney problems in the past, or are having dialysis
- liver problems, or have ever had liver problems in the past
- low blood pressure, which you may notice as dizziness or lightheadedness
- high levels of potassium in your blood (hyperkalaemia)
- systemic lupus erythematosus (SLE), scleroderma or other autoimmune diseases
- have a problem passing urine
- are going to have surgery (including dental surgery) involving a general anaesthetic, even if it is minor
Tell your doctor if you plan to become pregnant or breastfeed.
If you have not told your doctor about any of the above, tell them before you start taking APO-FOSINOPRIL HCTZ 20/12.5.
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 APO-FOSINOPRIL HCTZ 20/12.5 may interfere with each other. These include:
- water tablets or diuretics (for example Lasix®, Urex®, Natrilix®, Moduretic®)
- other medicines used to treat high blood pressure
- lithium or lithium-containing medicine (for example Lithicarb®, Priadel®)
- potassium tablets (for example Span-K®, Slow-K® or Mag-K®)
- potassium-containing salt substitutes (for example Pressor-K®)
- arthritis/osteoarthritis tablets which are called non-steroidal anti-inflammatory drugs (NSAIDS) (for example Voltaren®, Indocid®)
- alcoholic drinks
- sleeping tablets
- strong pain relieving medicines
- antidiabetic medicines (for example insulin)
- medicines or other tablets containing calcium
- antigout medicines (for example Anturan®, Benamid®, Capurate®)
- cholestyramine resin and colestipol hydrochloride medicines to treat high cholesterol (for example Questran® Lite, Colestid® Granules)
- some medicines used during surgery or emergency situations, such as anaesthetics
- medicines that lower your immune system, such as corticosteriods, cyclosporin or medicines used to treat cancer (including radiation therapy)
- anti-inflammatory medicines (these are used to relieve pain, swelling and other symptoms of inflammation, including arthritis) and include nonsteroidal anti-inflammatory agents – NSAIDs (for example Voltaren®, Indocid®) and COX-2 inhibitors (for example Celebrex®)
Taking a combination of APO-FOSINOPRIL HCTZ 20/12.5 and an anti-inflamatory medicine may damage your kidneys.
Your doctor will decide whether your treatment needs to be altered or whether you should have check ups or blood tests more frequently
Your doctor and pharmacist may have more information on medicines to be careful with or avoid while taking APO-FOSINOPRIL HCTZ 20/12.5
How to take APO-FOSINOPRIL HCTZ 20/12.5
Follow all directions given to you by your doctor or pharmacist carefully. They may differ from the information in this leaflet. Your doctor or pharmacist will tell you how many tablets you will need to take each day.
If you do not understand the instructions on the label on the pack, ask your doctor or pharmacist for help.
How much to take
APO-FOSINOPRIL HCTZ 20/12.5 tablet is not scored and must not be broken. Since there is no lower dose (10/12.5 mg) of APO-FOSINOPRIL HCTZ available, if a dose of fosinopril/hydrochlorothiazide 10/12.5 mg is required, an alternative product must be used.
APO-FOSINOPRIL HCTZ 20/12.5 is usually taken at a dose of one 20/12.5 mg tablet per day. Your doctor may have prescribed a different dose for you.
When to take it
Take APO-FOSINOPRIL HCTZ 20/12.5 at about the same time each day. Taking your tablet at about the same time each day will help you to remember when to take it. It does not matter if you take APO-FOSINOPRIL HCTZ 20/12.5 before or after food.
If you need to take an antacid (or Questran® Lite or Colestid® Granules), take it at least 2 hours before or two hours after your dose of APO-FOSINOPRIL HCTZ 20/12.5
How long to take it
APO-FOSINOPRIL HCTZ 20/12.5 helps to control your condition but does not cure it. Therefore you must take APO-FOSINOPRIL HCTZ 20/12.5 every day. Continue taking it for as long as your doctor tells you .
If you forget to take APO-FOSINOPRIL HCTZ 20/12.5
If you forget to take one or more doses of APO-FOSINOPRIL HCTZ 20/12.5, take your next dose at the normal time and in the normal amount.
Do not take a double dose to make up for the dose that you missed. Do not take more than your doctor has prescribed for you
If you take too much APO-FOSINOPRIL HCTZ 20/12.5
Immediately phone your doctor or Poisons Information Centre (telephone 13 11 26), or go to the Accident and Emergency Department at your nearest hospital, if you think that you or anyone else may have taken too much APO-FOSINOPRIL HCTZ 20/12.5. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
While you are taking APO-FOSINOPRIL HCTZ 20/12.5
Things you must do
Tell any other doctors, dentists and pharmacists who are treating you that you are taking APO-FOSINOPRIL HCTZ 20/12.5.
If you are about to be started on a new medicine, tell your doctor, dentist or pharmacist that you are taking APO-FOSINOPRIL HCTZ 20/12.5. Tell your doctor if you have excessive vomiting or diarrhoea or experience any of the following symptoms:
- light-headed or dizzy
- dry mouth or thirst
- weakness, tiredness or drowsiness
- muscle pain or cramps
- fast heart beat
- passing less urine than normal
If you experience these symptoms, you may be dehydrated because you are losing too much water.
This is more likely to occur when you begin to take APO-FOSINOPRIL HCTZ 20/12.5 or if your dose is increased.
Make sure you drink enough water during exercise and hot weather when you are taking APO-FOSINOPRIL HCTZ 20/12.5, especially if you sweat a lot. If you do not drink enough water while taking APO-FOSINOPRIL HCTZ 20/12.5, 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 APO-FOSINOPRIL HCTZ 20/12.5. Having a general anaesthetic while taking APO-FOSINOPRIL HCTZ 20/12.5 may also cause your blood pressure to drop suddenly.
If you become pregnant while taking APO-FOSINOPRIL HCTZ 20/12.5, tell your doctor immediately.
If you are about to have blood tests, tell your doctor that you are taking APO-FOSINOPRIL HCTZ 20/12.5. APO-FOSINOPRIL HCTZ 20/12.5 may interfere with the results of some tests.
Have your blood pressure checked when your doctor says, to make sure APO-FOSINOPRIL HCTZ 20/12.5 is working.
Go to your doctor regularly for a check-up. Your doctor may like to do blood tests to see how APO-FOSINOPRIL HCTZ 20/12.5 is affecting you.
Things you must not do
Do not give APO-FOSINOPRIL HCTZ 20/12.5 to anyone else, even if they have the same condition as you.
Do not take APO-FOSINOPRIL HCTZ 20/12.5 to treat any other complaints unless your doctor or pharmacist tells you to.
Do not stop taking APO-FOSINOPRIL HCTZ 20/12.5, or lower the dosage, without checking with your doctor.
Things to be careful of
As with other ACE inhibitor medicines, you may feel light-headed or dizzy when you begin to take APO-FOSINOPRIL HCTZ 20/12.5 or after your dose is increased. This is because your blood pressure is dropping 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 APO-FOSINOPRIL HCTZ 20/12.5, especially if you are elderly.
Be careful driving or operating machinery until you know how APO-FOSINOPRIL HCTZ 20/12.5 affects you.
As with other ACE inhibitor medicines, APO-FOSINOPRIL HCTZ 20/12.5 may cause dizziness, or light-headedness in some people. Make sure you know how you react to APO-FOSINOPRIL HCTZ 20/12.5 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 loose 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 program for you.
- Smoking – your doctor may advise you to stop smoking or at least cut down.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking APO-FOSINOPRIL HCTZ 20/12.5.
APO-FOSINOPRIL HCTZ 20/12.5 helps most people with high blood pressure, but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.
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
- tiredness, fatigue or weakness
- dry cough
- sore throat or runny nose
- feeling sick (nausea) or vomiting
- upset stomach (dyspepsia) or heartburn
- stomach pains
- muscle cramps or pains
- any problem urinating (passing water)
These are the more common side effects of APO-FOSINOPRIL HCTZ 20/12.5. (Mostly these are mild and short lived).
Tell your doctor as soon as possible if you notice any of the following:
- changes to your heart rhythm
- infections of your urinary tract or upper respiratory tract (URTI, or cold or flu symptoms)
- severe dizziness (vertigo)
- impotence (inability to get or maintain an erection)
- mild rash or itching
- 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
- hepatitis (symptoms include – nausea, vomiting, loss of appetite, feeling generally unwell, fever, itching, yellowing of the skin and eyes and dark coloured urine)
These are serious side effects. You may need medical attention. Serious side effects are rare.
If any of the following happen, stop taking APO-FOSINOPRIL HCTZ 20/12.5 and either tell your doctor immediately or go to Accident and Emergency at your nearest hospital:
- fainting within a few hours of taking a dose of APO-FOSINOPRIL HCTZ 20/12.5
- swelling to the face, lips, mouth, tongue or throat which may cause difficulty in swallowing or breathing; swelling of the hands or feet; severe itching and/or rash
- difficulty breathing
- not urinating (passing water)
- chest pain
- stomach pain with or without nausea
These are very serious side effects. You may need urgent medical attention or hospitalisation. (These side effects are rare.)
Other side effects not listed above may occur in some patients. Tell your doctor or pharmacist if you notice anything that makes you feel unwell while you are taking APO-FOSINOPRIL HCTZ 20/12.5.
After using APO-FOSINOPRIL HCTZ 20/12.5
Keep your tablets in the pack until it is time to take them. If you take the tablets out of the pack, they will not keep well.
Keep your tablets in a cool dry place where the temperature stays below 25°C.
Do not store APO-FOSINOPRIL HCTZ 20/12.5 or any other medicine in the bathroom or near a sink.
Do not leave it on a window sill or in a car on hot days. 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 APO-FOSINOPRIL HCTZ 20/12.5 or the tablets have passed their expiry date, ask your pharmacist what to do with any that are left over.
What it looks like
APO-FOSINOPRIL HCTZ 20/12.5 tablets are light orange coloured, round tablets with “FH”’ on one side. APO-FOSINOPRIL HCTZ 20/12.5 is available in blister packs of 30 tablets.
APO-FOSINOPRIL HCTZ 20/12.5 tablets contain 20mg of fosinopril
sodium and 12.5 mg hydrochlorothiazide.
- croscarmellose sodium
- starch- pregelatinised maize
- glycerol dibehenate
- pigment blend PB-23061orange
Apotex Pty Ltd
16 Giffnock Avenue
Macquarie Park NSW 2113
Australian Registration Number
AUST R 223503
Date of preparation:
Published by MIMS December 2017