Package Insert: Information for the Patient
Lisinopril/Hydrochlorothiazide Sandoz Pharmaceutical 20 mg/12.5 mg Tablets EFG
Read this package insert carefully before starting to take this medication, as it contains important information for you.
Lisinoprilbelongs to a group of medicines called angiotensin-converting enzyme (ACE) inhibitors and reduces blood pressure by widening blood vessels.
Hidroclorotiazidabelongs to a group of medicines called diuretics and reduces blood pressure by increasing urine elimination.
Lisinopril/Hidroclorotiazida Sandoz Pharmaceutical contains a combination of lisinopril and hidroclorotiazida and is used as a treatment for high blood pressure when treatment with lisinopril as a single agent is insufficient.
Your doctor may also prescribe lisinopril/hidroclorotiazida instead of separate tablets of the same doses of lisinopril and hidroclorotiazida. This fixed combination of doses is not suitable for the beginning of treatment.
Do not take Lisinopril/Hidroclorotiazida Sandoz Farmacéutica:
Warnings and precautions
Consult your doctor or pharmacist before starting to take Lisinopril/Hidroclorotiazida Sandoz Farmacéutica:
Your doctor may monitor your renal function, blood pressure, and electrolyte levels in the blood (e.g., potassium) at regular intervals. See also the information under the heading “Do not take Lisinopril/Hidroclorotiazida Sandoz Farmacéutica”
Lisinopril/Hidroclorotiazida is not generally recommended in the following cases, so you should consult with your doctor before taking this medication:
See also the section “Other medications and Lisinopril/Hidroclorotiazida Sandoz Farmacéutica”
Consult your doctor if you are an athlete, as this medication contains a component that may result in a positive analytical result for doping control.
Patients who are elderly or malnourished should be especially careful when taking lisinopril/hidroclorotiazida.
Lisinopril/hidroclorotiazida may be less effective in black patients.
Children
This medication is not recommended for use in children.
While taking Lisinopril/Hidroclorotiazida Sandoz Farmacéutica:
Consult your doctor immediately if you develop any of the following symptoms:
Other medications and Lisinopril/Hidroclorotiazida Sandoz Farmacéutica
Inform your doctor or pharmacist if you are using, have used recently, or may need to use any other medication.
This applies particularly if you are also taking:
Lisinopril/Hidroclorotiazida Sandoz Farmacéutica and alcohol
Low blood pressure may be exacerbated by alcohol. You may feel dizzy when standing up.
Pregnancy and breastfeeding
If you are pregnant or breastfeeding, or think you may be pregnant, consult your doctor or pharmacist before using this medication.
Pregnancy
Consult your doctor if you think you are (or may become) pregnant. Your doctor will recommend stopping lisinopril/hidroclorotiazida before becoming pregnant or as soon as possible after becoming pregnant and will recommend taking another medication instead of lisinopril/hidroclorotiazida. Lisinopril/hidroclorotiazida is not recommended during pregnancy, and should not be taken if you are more than 3 months pregnant, as it may cause serious harm to your baby if used during this period.
Breastfeeding
Consult your doctor if you are breastfeeding or plan to start breastfeeding. Lisinopril/hidroclorotiazida is not recommended for breastfeeding mothers, and your doctor may choose another treatment for you if you want to breastfeed, especially if your baby is newborn or premature.
Driving and operating machinery
You may feel dizzy or tired while taking this medication. If this occurs, do not drive or operate machinery(see the section “Possible side effects”).
Lisinopril/Hidroclorotiazida Sandoz Farmacéutica contains sodium
This medication contains less than 1 mmol of sodium (23 mg) per tablet, which is essentially sodium-free.
Follow exactly the administration instructions of this medication as indicated by your doctor. In case of doubt, consult your doctor or pharmacist again.
Adults
The usual dose is one tablet once a day.
The maximum dose is 40 mg of lisinopril and 25 mg of hydrochlorothiazide per day.
Use in children
The safety and efficacy profile has not been established in children.
Advanced age
No special dose adjustments are required.
Renal problems
Do not take this medication if you have severe kidney problems.
If you have a kidney disorder, your doctor will prescribe a lower dose and monitor your renal function.
Previous treatment with diuretics
If you change from a diuretic to lisinopril/hydrochlorothiazide, your doctor should instruct you to stop taking the diuretic 2 or 3 days before starting this medication.
How to take the tablet
Take the tablet or half tablet with plenty of water. Try to take your medication at the same time every day.
Tablet division
Place the tablet on a hard surface with the dividing line facing upwards. Press with your finger in the middle of the tablet, and the tablet divides into two parts.
If you take more Lisinopril/Hidroclorotiazida Sandoz Farmacéutica than you should
If you (or someone) take multiple tablets at once or think a child has swallowed some tablets, consult your doctor immediately.
Overdose may cause decreased blood pressure, dizziness, circulatory shock, electrolyte imbalance, renal failure, hyperventilation (rapid breathing, feeling of illness), excessive rapid or slow heart rate, palpitations (feeling of irregular heart rhythm), anxiety, and cough. Bring this leaflet and any remaining tablets to the hospital or doctor so they can know what you have taken.
If you have taken more Lisinopril/Hidroclorotiazida Sandoz Farmacéutica than you should, consult your doctor, pharmacist, or call the Toxicological Information Service, phone: 91 562 04 20, indicating the medication and the amount used..
If you forgot to take Lisinopril/Hidroclorotiazida Sandoz Farmacéutica
Do not take a double dose to compensate for the missed doses, take your next dose at the planned time.
If you interrupt treatment with Lisinopril/Hidroclorotiazida Sandoz Farmacéutica
High blood pressure treatment is a long-term treatment, and interrupting treatment should be discussed with your doctor. Stopping or abandoning treatment may cause an increase in blood pressure.
If you have any other doubts about the use of this medication, ask your doctor or pharmacist.
Like all medications, this medication may cause side effects, although not everyone will experience them.
If you experience any of the following side effects, stop taking this medication and consult your doctor immediately or visit the emergency department of your nearest hospital.
This is a rare and severe side effect (may affect up to 1 in 1,000 people). You may need urgent medical attention or hospitalization..
This is a potentially severe butvery rareside effect (may affect up to 1 in 10,000 people) that indicates liver inflammation that may progress to liver failure. You may need urgent medical attention or hospitalization.
Lisinopril/hidroclorotiazidafrequently(may affect up to 1 in 10 people) causes a decrease in blood pressure that may be associated with a mild headache and weakness. In some patients, this may occur after the first dose or when the dose is increased. If you experience these symptoms, consult your doctor immediately.
Lisinopril/hidroclorotiazida may causevery rarely(may affect up to 1 in 10,000 people) a reduction in the number of white blood cells or red blood cells or platelets and may decrease your resistance to infections. If you suffer from an infection with symptoms such as fever and severe deterioration of your general condition, pale skin, fatigue, shortness of breath, or fever with local symptoms of infection such as throat pain/pharynx/ulcers in the mouth, dark urine, bleeding or spontaneous hematomas or urinary problems, consult your doctor immediately. A blood sample will be taken to check for possible reduction in white blood cells (agranulocytosis). It is essential to inform your doctor about your medication.
It has been detectedfrequently(may affect up to 1 in 10 people) dry cough, which may persist for a long period of time with the use of lisinopril/hidroclorotiazida and other ACE inhibitors, but it may also be a symptom of another respiratory tract disease. Consult your doctor if you suffer from this symptom.
The following side effects have also been detected:
Frequent(may affect up to 1 in 10 people)
Infrequent(may affect up to 1 in 100 people)
Rare(may affect 1 in 1,000 people)
Very rare(may affect 1 in 10,000 people)
Unknown frequency(cannot be estimated from available data)
Reporting of adverse effects
If you experience any type of adverse effect, consult your doctor or pharmacist, even if it is a possible adverse effect that does not appear in this prospectus. You can also report them directly through the Spanish System for the Pharmacovigilance of Medicines for Human Use:https://www.notificaram.es. By reporting adverse effects, you can contribute to providing more information on the safety of this medication.
Like all medications, this medication may cause side effects, although not everyone will experience them.
.
Keep this medication out of the sight and reach of children.
Do not use this medication after the expiration date that appears on the packaging and blister after CAD/EXP. The expiration date is the last day of the month indicated.
No special storage conditions are required.
Medications should not be disposed of through drains or in the trash. Dispose of the packaging and medications you no longer need at the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. By doing so, you will help protect the environment.
Composition of Lisinopril/Hidroclorotiazida Sandoz Pharmaceutical
Appearance of the product and content of the container
Pink, round, biconvex and scored on one face.
The tablets are packaged in a PVC/Aluminum blister inside a cardboard box.
Lisinopril/Hidroclorotiazida Sandoz Pharmaceutical is available in containers of 14, 28, 30, 50, 56, 98, 100 and 400 tablets.
Only some sizes of containers may be marketed.
Holder of the marketing authorization and responsible for manufacturing
Holder of the marketing authorization
Sandoz Pharmaceutical, S.A.
Business Park North Center
Roble Building
C/ Serrano Galvache, 56
28033 Madrid
Spain
Responsible for manufacturing
Salutas Pharma GmbH
Otto-von-Guericke-Allee 1
39179 Barleben
Germany
or
ROWA Pharmaceuticals Limited
Newtown, Bantry, Co.Cork
Ireland
This medicine is authorized in the member states of the European Economic Area with the following names:
Bélgica:Co-Lisinopril Sandoz 20 mg/12.5 mg tablets
Irlanda:Lispril-Hydrochlorothiazide 20 mg/12.5 mg tablets
Italia:LISINOPRIL IDROCLOROTIAZIDE SANDOZ
Portugal:Lisinopril + Hidroclorotiazida Sandoz 20 mg + 12,5 mg tablets
Date of the last review of this prospectus:February 2022
The detailed and updated information of this medicine is available on the website of the Spanish Agency of Medicaments and Health Products (AEMPS)
http://www.aemps.gob.es/
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