Vitopril 5 mg. 30 tablets

What Vitopril is and what it is used for

Vitopril contains an active substance called lisinopril, belongs to a group of medicines called ACE inhibitors (angiotensin-converting enzyme inhibitors).

Your doctor has prescribed Vitodril for any of the following conditions:

treatment of high blood pressure (hypertension)
Treatment of heart failure
If you have had an acute myocardial infarction
If you have kidney complications in type II diabetes or as a result of high blood pressure.
Vitobril works by expanding your blood vessels, helping to lower blood pressure and making it easier for the heart to pump blood to all parts of the body.

2. What you need to know before you take Vitopril

Do not take Vitopril

If you are allergic (hypersensitive) to lisinopril or any of the other ingredients of this medicine
If you have had an allergic reaction to lisinopril or a similar medicine (ACE inhibitors) in the past. An allergic reaction may include symptoms such as swelling of the hands, feet, ankles, face, lips, tongue or throat.
If you or a member of your family have previously been treated with a medicine of the same group as Vitopril (ACE inhibitors) and you have had an allergic reaction that has led to swelling of your hands, feet or ankles, lips, tongue and / or throat angioedema) or if you have had angioedema in other circumstances
If you are pregnant for more than 3 months (preferably avoid taking Vitopril and early pregnancy - see the Pregnancy section)
if you have diabetes or have impaired kidney function and are being treated with a medicine to lower blood pressure containing aliskiren.
If you are not sure if any of the listed conditions apply to you, ask your doctor or pharmacist before taking Vitopril.

If you develop a dry cough that persists for a long time after starting treatment with Vitodril, tell your doctor.

Warnings and precautions
Please tell your doctor if you have or have any of the following medical conditions:

narrowing of the aortic (aortic stenosis) or mitral valve (mitral stenosis), narrowing (stenosis) of the renal artery
increase in heart muscle thickness (hypertrophic cardiomyopathy)
If you have a problem with blood vessels (collagen vascular disease)
if you have low blood pressure, you may feel dizzy or faint when standing up
If you have kidney disease or are undergoing hemodialysis
If you have liver disease
If you have diabetes
If you have recently had diarrhea or vomiting
If you are on a diet with limited salt intake
If you have high blood cholesterol levels and are undergoing treatment called LDL-apheresis
if you are taking potassium supplements
you should tell your doctor if you think you are pregnant or are likely to become pregnant. Vitodril is not recommended during the first months of pregnancy and should not be taken after the third month because it can harm your baby (see section "Pregnancy and breast-feeding")
if you are black, Vitopril may be less effective and more prone to develop angioedema (severe allergic reaction)
if you are taking any of the following medicines used to treat high blood pressure:
angiotensin II receptor blocker (ARB) (also known as sartans - for example valsartan, telmisargan, irbesargan), especially if you have kidney problems associated with diabetes.
aliskiren.
Your doctor may periodically check your kidney function, blood pressure and the amount of electrolytes (eg potassium) in your blood.
See also the information titled "Do not take Vitopril".

Talk to your doctor if you think any of the above applies to you.

Desensitization treatment for allergy with poison of lycopersy.
Please tell your doctor if you have been subjected to or will be subjected to a desensitization treatment for allergy, for example with a teaspoon venom.

Desensitizing treatment reduces allergic effects (for example bee venom or axial poison) but sometimes it can cause severe allergic reactions if you are taking an ACE inhibitor during this treatment.
Operation
Please inform your doctor if you are going to hospital for surgery.
Please tell your doctor or dental practitioner that you are taking Vitopril before you are given a local or general anesthetic. When combining Vitopril with some anesthetics, a short-term drop in blood pressure may occur immediately after taking the tablets.

Take special care when taking the first dose of Vitopril. It can cause a more significant drop in blood pressure compared to that occurring with longer treatment with the drug. You can feel this as dizziness or fainting, which can pass if you lie down. If this applies to you, please consult your doctor.

Children and adolescents
Vitodril has been studied in children. For more information, ask your doctor. Vitodril is not recommended for use in children below 6 years of age or in children with severe kidney problems.

Other medicines and Vitodril
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. The effect of this medicine can be altered if taken with certain medicines. Tell your doctor or pharmacist if you are taking any of the following medicines:

Other blood pressure lowering medicines (antihypertensive medicines)
Aliskiren-containing medicines (for the treatment of high blood pressure)
"Drainage" tablets (diuretics)
Blood clots (usually used in a hospital)
Beta-blockers such as atenolol and propranolol
nitrates (to treat angina and heart problems)
Non-steroidal anti-inflammatory drugs (NSAIDs) used to treat pain and arthritis
acetylsalicylic acid (more than 3 grams per day)
medicines to treat depression and mental problems, including lithium
Potassium supplements and potassium-containing salt substitutes
insulin or other antidiabetic medicines
medicines to treat asthma
Decongestants or other medicines used in rhinitis (including those that you can take without a prescription from the pharmacy)
Immunosuppressants (immunosuppressants)
Apoporinol (to treat gout)
Procainimide (to treat heart problems)
The following medicines may reduce the effect of Vitopril:
The use of medicines containing gold (for example, sodium aurothiomalate) for parenteral administration (in the treatment of rheumatism or rheumatoid arthritis).

Your doctor may need to change your dose and / or take other precautions:
If you are taking an angiotensin II receptor blocker (ARB) or aliskiren (see also the information titled "Do not take Vitopril" and "Warnings and precautions").

Pregnancy and breastfeeding
Pregnancy
You should tell your doctor if you think you are pregnant or planning a pregnancy. Your doctor will advise you to stop taking Vitopril as soon as your pregnancy is confirmed and you switch to another medicine. The use of Vitodril is not recommended in the early months of pregnancy as well as after the third month, as it can seriously harm your baby if taken after the third month of pregnancy.

Breastfeeding
Please tell your doctor if you are breast-feeding or intend to breast-feed. Vitodril should not be used until you are breast-feeding and your doctor should prescribe another treatment, especially in a newborn or preterm infant.

Driving and using machines
Some patients may feel dizzy or tired while taking this medicine. If this applies to you, do not drive or operate machinery
You must wait and see how this medicine affects your ability to drive and use machines.

3. How to take Vitodril

Always take Vitopril exactly as prescribed by your doctor. If you are not sure, ask your doctor or pharmacist.

When initiating treatment with Vitopril your doctor may appoint blood tests and then prescribe the correct dose for you.

How to take Vitopril
Swallow the tablet with a glass of water
Try to take the tablets at the same time each day, before or after a meal.
Do not stop taking the tablets if you feel an improvement without your doctor's explicit indication.
How many tablets to take
Taking an initial dose: the initial dose of Vitopril (or a dose increase) can cause a significant reduction in blood pressure compared to prolonged intake
You may feel this as dizziness or fainting, which may pass if you lie down. If this applies to you, please consult your doctor immediately.

Adults
Your initial and maintenance dose will depend on your condition and whether you are taking other medicines. Ask your doctor or pharmacist if you are not sure how to take Vitodril. Your doctor will tell you how many tablets to take each day. Dosage is individual and it is very important that you take the tablets exactly as prescribed by your doctor

With increased blood pressure
The usual starting dose is 10 mg taken once a day. The usual maintenance dose is 20 mg taken once a day.

In heart failure
The usual recommended dose is 2.5 mg taken once daily.
The usual maintenance dose is 5 to 35 mg taken once a day.

After a myocardial infarction
The usual recommended dose is 5 mg, the first and second day of treatment, then 10 mg taken once a day.

Diabetes and diabetes problems
The usual dose is 10 mg or 20 mg taken once a day.

If you are an elderly patient, have kidney problems, or are taking diuretics, your doctor may prescribe a lower dose than your usual dose.

Use in children and adolescents aged 6 to 16 years with high blood pressure
Vitodril is not recommended in children under 6 years of age or children with severe renal impairment
Your doctor will determine the exact dose for your child. It depends on the body weight of the child
The recommended dose is 2.5 mg once a day in children weighing between 20 kg and 50 kg
in children weighing> 50 kg, the recommended dose is 5 mg once a day.

If you take more Vitopril than you should
If you take a higher dose than prescribed, contact your doctor or nearest emergency center immediately for help.

If you forget to take Vitopril
Do not take a double dose to make up for the missed dose. Take the next dose at the indicated time.

If you stop taking Vitopril
Do not stop taking Vitopril without first asking your doctor, even when you feel better.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, Vitopril can cause side effects, although not everyone gets them.

If you feel any of the following, stop taking Vitopril immediately and tell your doctor.

The signs of such a reaction are as follows:
Severe allergic reactions (rare, affects less than 1 in 10 in 10,000 individuals). They may include one or more of the following

Swelling of the face, lips, throat, or tongue. This can make swallowing difficult.
Sudden or severe swelling of the hands, legs and ankles.
Difficult breathing
Serious severe itching on the skin (with bumps).
Severe skin reactions such as unexpected rash or redness, flushing, scaling (this is a very rare side effect, affects less than 1 in 10,000 patients)
Symptoms such as fever and severe worsening of the common condition or fever with a local infection such as a sore throat / pharynx / oral cavity or urinary problems (a very rare side effect affects less than 1 in 10,000 patients)
Other side effects:
Common (affects less than 1 in 10 people)

Headache
Feeling dizzy or vertiginous, especially when suddenly straightened
Diarrhea
Impaired (vomiting)
Dry cough that does not dull
Kidney problems (detected in blood tests)
Uncommon (affects less than 1 in 100 individuals)

Mood changes
Changing the color of the toes and feet or tingling and tingling of the limbs
Changes in taste
drowsiness
Vertigo (vertigo)
Changes in sleep
blow
Increased heart rate
A constantly running nose
Stomach pain and indigestion
Skin rash and pruritus
Inability to get an erection (impotence)
Feeling of weakness and fatigue (sense of frustration)
Sharp lowering of blood pressure in patients suffering from the following diseases: coronary artery disease, narrowing of the aorta (artery in the heart), narrowing of the renal artery or heart valves; increased thickness of the heart muscle. If your blood pressure decreases abruptly, you may feel dizzy, especially when you get upright.
Change in blood tests to check for liver and kidney function.
Hallucinations.
Rare (affects less than 1 in 1,000 individuals)

Confusion
Skin rash with bumps (hives)
Dry mouth
Hair loss
Psoriasis (skin problem).
Change of sense of smell
Breast augmentation in men
Changes in some blood cells or other blood components. Your doctor may regularly know
How to store Vitopril

Keep out of the reach and sight of children.

Store below 25 ° C.

Do not use Vitopril after the expiry date which is stated on the carton. The expiry date refers to the last day of that month.

Medicines should not be disposed of via wastewater or sewage system. Ask your pharmacist how to dispose of your unnecessary medicines. These measures will help to protect the environment.

6. Package Contents and Additional Information

The active substance is lisinopril. Each tablet contains 5.44 mg of lisinopril dihydrate, equivalent to 5 mg of lisinopril.

The other ingredients are: calcium hydrogen phosphate dihydrate, magnesium stearate, corn starch, mannitol, silicon hydroxide, colloidal, pregelatinized corn starch

What Vitopril looks like and what it contains
Vitolides are white, round, biconvex tablets marked with "5" on one side and dividing lines on both sides.

Pack sizes of 30, 50 and 100 tablets.

 

 

 

 

 

 

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