The medicine 'Renipril'. Instructions for use

The drug "Renipril GT" is an effective antihypertensive drug. The medicine, according to some experts, has all the advantages of combined medicines. The active components of the drug are hydrochlorothiazide and enalapril maleate. The combination of these active ingredients is more effective than each ingredient alone.

The drug "Renipril GT" instruction recommends the appointment with arterial hypertension as a mono drug and as part of a combination treatment.

The dosage of the drug, the duration of its use are set individually by the attending physician.

Means "Renipril" instruction for use recommends taking one or two tablets a day. This dosage is initial. During the therapy, dose adjustment is recommended in accordance with the patient's individual response. The number of tablets per day should not exceed four.

If the patient was prescribed diuretics, it is recommended to reduce the dosage of these drugs or cancel them two or three days before the start of the drug "Renipril".

Instructions for use indicate some side effects. In particular, taking the drug may trigger a feeling of fatigue, a headache, dizziness is likely. In addition, in some cases, the medication "Renipril" causes orthostatic hypotension, nausea, diarrhea, vomiting, angioedema, rash. Admission of the drug can trigger a dry cough, increased levels of creatinine, urea, muscle cramps, leukopenia, thrombocytopenia, anemia.

It should be noted that according to the results of observations, adverse events are mild and, as a rule, transitory in nature and drug withdrawal is not required.

The medicine "Renipril" does not recommend the use of renal functions, renal functions, renal transplantation, in the presence of (in the anamnesis) angioedema, porphyria, in childhood. Contraindicated medication during lactation, pregnancy (especially in the second and third trimester), with hypersensitivity to the components of the drug and sulfonamides.

special instructions

In connection with the risk of developing pancytopenia, anemia, leukopenia, in patients receiving cytotoxic drugs, allopurinol, corticosteroids or immunosuppressants, after the appointment of the drug "Renipril" the instruction for use recommends regular monitoring of the picture of peripheral blood.

With caution, the drug should be taken by patients taking insulin or oral (for oral administration) hypoglycemic drugs.

In patients with hyponiatism and heart failure in severe form, expressed by renal insufficiency, dysfunction or hypertrophy of the left ventricle and in persons with hypovolemia associated with the use of diuretics, diarrhea, salt-free diet, hemodialysis or vomiting, after taking the first pill of the drug "Renipril" Arterial hypotension may occur.

During the therapy, it is necessary to periodically check the concentration of electrolytes, creatinine, urea, protein (in urine).

When an overdose of the drug "Renipril" most often develops hypotension of pronounced character, bradycardia, other disorders of the heart rhythm. Reception of increased doses of medication causes also convulsions, confusion, paresis and other symptoms.

To facilitate the condition, gastric lavage is necessary. Recommended laxatives and activated charcoal. The patient should be supervised by a specialist.

The use of the drug "Renipril" should be agreed with the doctor.