Follow all directions given to you by your doctor or pharmacist carefully.
They may differ from the information contained in this leaflet.
Your doctor or pharmacist will tell you how many tablets you will need to take each day. This depends on your condition and whether or not you are taking any other medicines.
If you do not understand the instructions on the box, ask your doctor or pharmacist for help.
How much to take
For high blood pressure:
For most patients, not on diuretics, the usual starting dose is 5 to 10 mg taken once a day. The dose may need to be increased depending on your blood pressure at an interval of 4 weeks. Most patients take between 10 and 40 mg each day.
This dose may be taken once a day or divided into two equal doses per day.
For heart failure:
The usual starting dose is 5 mg taken once a day. In most patients, effective doses are between 10 and 20 mg a day. Your doctor will advise whether the dose is to be taken as a single dose or as two separate doses.
How to take it
Swallow the tablets whole with a full glass of water.
Do not chew the tablets.
When to take it
Take Apo-Quinapril tablets at about the same time each day.
Taking your tablets at the same time each day will have the best effect. It will also help you remember when to take the tablets.
Take Apo-Quinapril tablets before meals.
Food with a high fat content may interfere with the absorption of quinapril tablets.
How long to take it
Apo-Quinapril tablets helps control your condition, but does not cure it.
Therefore you must take Apo-Quinapril tablets every day. Continue taking your medicine for as long as your doctor tells you.
If you forget to take it
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.
Otherwise, take it as soon as you remember and then go back to taking your medicine as you would normally.
Do not take a double dose to make up for the dose that you missed.
This may increase the chance of you getting an unwanted side effect.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
If you take too much (overdose)
Immediately telephone your doctor or the Australian Poisons
Information Centre (telephone 13 11 26), or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else may have taken too much Apo-Quinapril tablets. Do this even if there are no signs of discomfort or poisoning.
If you take too much Apo-Quinapril tablets, you may feel light-headed, dizzy or you may faint.
Things you must do
If you are about to be started on any new medicine, tell your doctor, dentist or pharmacist that you are taking Apo-Quinapril tablets.
Make sure you drink enough water during exercise and hot weather when you are taking Apo-Quinapril tablets, especially if you sweat a lot.
If you do not drink enough water while taking Apo-Quinapril tablets, you may feel faint, light-headed or sick. This is because your blood pressure is dropping suddenly. If you continue to feel unwell, tell your doctor.
If you have excess vomiting or diarrhoea while taking Apo-Quinapril tablets, tell your doctor.
You may lose too much water and salt and your blood pressure may drop too much.
If you feel light-headed or dizzy after taking your first dose of Apo-Quinapril tablets, or when your dose is increased, tell your doctor immediately.
This is especially important if you are taking Apo-Quinapril tablets for heart failure.
If you plan to have surgery that needs a general anaesthetic, tell your doctor or dentist that you are taking Apo-Quinapril tablets.
Your blood pressure may drop suddenly.
If you become pregnant while taking Apo-Quinapril tablets, tell your doctor immediately.
If you are about to have any blood tests, tell your doctor that you are taking Apo-Quinapril tablets.
Apo-Quinapril tablets may interfere with the results of some tests.
Have your blood pressure checked when your doctor says, to make sure Apo-Quinapril tablets is working.
Go to your doctor regularly for a check-up.
Your doctor may occasionally do a blood test to check your potassium levels and see how your kidneys are working.
Things you must not do
Do not give Apo-Quinapril tablets to anyone else, even if they have the same condition as you.
Do not take Apo-Quinapril tablets to treat any other complaints unless your doctor or pharmacist tells you to.
Do not stop taking Apo-Quinapril tablets, or lower the dosage, without checking with your doctor.
Things to be careful of
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. If this problem continues or gets worse, talk to your doctor.
Be careful driving or operating machinery until you know how Apo-Quinapril tablets affects you.
As with other ACE inhibitor medicines, Apo-Quinapril tablets may cause dizziness, light-headedness or tiredness in some people. Make sure you know how you react to Apo-Quinapril tablets 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 or heart failure
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. A little alcohol every day (such as one small glass of red wine) may reduce your risk of heart disease. However, greater quantities can have a wide range of very unhealthy effects such as raising blood pressure and certain blood lipids (triglycerides).
- 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 lose weight.
- Diet - eat a healthy diet which includes plenty of fresh vegetables, fruit, bread (preferably wholegrain), cereals and fish. Also eat less sugar and fat (especially saturated fat) which includes sausages, fatty meats, full cream dairy products, biscuits, cakes, pastries, chocolates, chips and coconut. Monounsaturated and polyunsaturated fats from olive oil, canola oil, avocado and nuts are beneficial in small quantities.
- 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 and avoid cooked or processed foods containing high sodium (salt) levels.
- Exercise - regular exercise, maintained over the long term, helps to reduce blood pressure and helps get the heart fitter. Regular exercise also improves your blood cholesterol levels, helps reduce your weight and stress levels, and improves your sleep, mood and ability to concentrate. However, 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 programme for you.
- Smoking - your doctor may advise you to stop smoking or at least cut down. There are enormous benefits to be gained from giving up smoking. There are many professionals, organisations and strategies to help you quit. Ask your doctor or pharmacist for further information and advice.