Zestoretic is used for reducing high blood pressure. Zestoretic is an angiotensin converting enzyme (ACE) inhibitor and thiazide diuretic combination. It works by removing excess fluid from the body and creating blood vessels to loosen or widen.
Use Zestoretic as directed by your physician.
Consider Zestoretic orally with or without food.
If you just take cholestyramine or colestipol, ask your physician or pharmacist the way to take it along with Zestoretic.
Take Zestoretic on a routine schedule to really get the most advantage from it.
Getting Zestoretic at the same time every day will allow you to remember to go on it.
Continue to utilize Zestoretic also if you're feeling well. Don't lose any dose.
In the event that you skip a dose of Zestoretic, take it as as soon as you can. If it is nearly time for your subsequent dose, omit the missed dose and go back to your typical dosing timetable. Don't take 2 doses at the same time.
Ask your doctor any concerns that might have about just how to make use of Zestoretic.
Shop Zestoretic at room temperatures, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Zestoretic outside of the reach of children and away from pets.
Do NOT use Zestoretic if:
you are allergic to any component in Zestoretic or any other sulfonamide medicine (eg, sulfamethoxazole, glyburide, probenecid)
There is a history of angioedema (swelling of the face, lips, neck, or language)
There is a history of kidney artery-narrowing
you are not able to urinate
you are using dofetilide or ketanserin
you are pregnant.
Contact your doctor or health care provider immediately if these apply to you personally.
Some health conditions may interact with Zestoretic. If you got any medical conditions, particularly if any of these apply to you tell your physician or pharmacist:
If you're pregnant, intending to get pregnant, or are breastfeeding
In case you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
When you have allergies to medications, foods, or other materials
Should you be able to become pregnant
When you have impaired liver function, blood vessel problems (eg, stroke), heart disease (eg, congestive heart failure), or high cholesterol
When you have a history of kidney artery-narrowing or reduced kidney function, you're on dialysis, or you have had a kidney transplant
In case you have gout, diabetes, or chemical imbalances (eg, high or low potassium levels, low blood sodium levels), or you're on a diet
When you have a collagen vascular disorder (eg, lupus, scleroderma), bone marrow problems, or serious immune system problems
For those who have a history of allergies or asthma
Should you be planned to have major surgery or receive anesthesia.
Some medicines might interact with Zestoretic. Inform your doctor should you be using any other medications, especially the following:
Aldosterone blockers (eg, eplerenone), corticosteroids (eg, prednisone), digoxin, dofetilide, ketanserin, lithium, loop diuretics (eg, furosemide), potassium products, potassium sparing diuretics (eg, triameterene), or trimethoprim as the chance of chemical problems and irregular heartbeat may be raised
Barbiturates (eg, phenobarbital), dextran sulfate, diazoxide, or narcotic pain medicine (eg, codeine) because the risk of low blood pressure could be raised
Gold-containing medicines (eg, sodium aurothiomalate) because flushing, nausea, vomiting, and reduced blood pressure may occur
Nonsteroidal anti inflammatory drugs (NSAIDs) (eg, ibuprofen, indomethacin, celebrex) or salicylates (eg, aspirin) because they may decrease Zestoretic's effectiveness
Exubera, sulfonylureas (eg, glyburide), or other medicines for diabetes (eg, metformin) because their usefulness can be reduced by Zestoretic.
This might not be a complete list of all relationships that may happen. Ask your doctor if Zestoretic might interact with several other medicines which you take. Check with your own physician before you begin, stop, or change the dose of any medicine.
Important safety advice:
Zestoretic may cause lightheadedness, lightheadedness, or fainting. These effects may be worse for it with alcohol or specific medications. Use Zestoretic with warning. Don't drive or perform other potential dangerous tasks until you understand how you respond to it.
Zestoretic may cause dizziness, lightheadedness, or fainting; alcohol, hot-weather, exercise, or fever may increase these effects. To prevent them, sit-up or stand slowly, especially in the morning. Sit or lay down at the first indication of these results.
Seek advice from your physician before you use a salt alternative or even a merchandise that has potassium within it.
Drink plenty of fluids while using Zestoretic and prevent engaging in activities that cause excessive sweating. Dehydration, excessive perspiration, nausea, or diarrhea may lead to a fall in blood pressure. Contact your doctor immediately if these occur.
Diabetes patients - Zestoretic may increase your blood glucose. Hyperglycemia may make you feel lost, drowsy, or thirsty. It may also make you flush, breathe faster, or have a fruit-like breath smell. In case these symptoms occur, tell your physician immediately.
A consistent, unproductive cough may occur. Tell your physician when this happens. When the medicine is discontinued recovery is accelerated.
Individuals who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Don't forget to consider the medicine even in case you may not feel "normal." Tell your physician in the event you develop any new signs.
Zestoretic might not work as well in black patients. They may also be at greater risk of side effects. Contact your physician in case your symptoms don't improve or if they become worse.
Tell your doctor or dentist that you take Zestoretic before you receive any medical or dental care, emergency care, or surgery.
Zestoretic could cause you to become sunburned more readily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Zestoretic. Use a sunscreen or wear protective clothes if you have to be outside for much more than a short time.
Zestoretic might interfere with specific lab tests, including parathyroid function tests. Be sure your doctor and laboratory staff know you are taking Zestoretic.
Lab tests, including blood pressure, blood electrolytes, complete blood cell counts, and elimination function, may be performed when you are using Zestoretic. These tests might be utilized to track your state or check for side effects. Be sure to keep all doctor and lab appointments.
Use Zestoretic with caution within the elderly; they may become more sensitive to its results.
Zestoretic should be used with extreme caution in children; safety and usefulness in children haven't been confirmed.
Maternity and breast-feeding: Zestoretic may cause birth defects or fetal death in the event that you go on it while you're pregnant. If you think you might be pregnant, contact your doctor without delay. Zestoretic is found in mother's milk. Do not breastfeed while taking Zestoretic.
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