Anti Depressants

Acuitel (Quinapril)

Anti Depressants » Blood Pressure » Acuitel (Quinapril)

Quinapril is used to treat high blood pressure (hypertension) and heart failure. Quinapril is in a group of drugs called ACE inhibitors. ACE stands for angiotensin converting enzyme. Quinapril may also be used for purposes other than those listed in this medication guide.

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About Acuitel (Quinapril):

Product Type: Blood Pressure

Brand name: Acuitel Generic name: Quinapril What is the most important information I should know about acuitel? Do not use this medication without telling your doctor if you are pregnant or planning a pregnancy. Acuitel could cause birth defects in the baby if you take the medication during pregnancy. Use an effective form of birth control. Stop using this medication and tell your doctor right away if you become pregnant during treatment. Acuitel can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Vomiting diarrhea or heavy sweating can cause you to become dehydrated. This can lead to very low blood pressure electrolyte disorders or kidney failure while you are taking acuitel. Drink 6 to 8 full glasses of water daily while you are taking this medication. What is acuitel? Acuitel is in a group of drugs called ACE inhibitors. ACE stands for angiotensin converting enzyme. Acuitel is used to treat high blood pressure (hypertension) and heart failure. Acuitel may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking acuitel? Do not use this medication if you are allergic to acuitel or to any other ACE inhibitor such as benazepril (Lotensin) captopril (Capoten) fosinopril (Monopril) enalapril (Vasotec) lisinopril (Prinivil Zestril) moexipril (Univasc) perindopril (Aceon) ramipril (Altace) or trandolapril (Mavik). Before using acuitel tell your doctor if you are allergic to any drugs or if you have: • kidney disease (or if you are on dialysis); • liver disease; • heart disease or congestive heart failure; • diabetes; or • a connective tissue disease such as Marfan syndrome Sjogren's syndrome lupus scleroderma or rheumatoid arthritis. If you have any of these conditions you may not be able to use acuitel or you may need a dosage adjustment or special tests during treatment. FDA pregnancy category D. Do not use this medication without telling your doctor if you are pregnant or planning a pregnancy. Acuitel could cause birth defects in the baby if you take the medication during pregnancy. Use an effective form of birth control. Stop using this medication and tell your doctor right away if you become pregnant during treatment. Acuitel can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. How should I take acuitel? Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts or take it for longer than recommended by your doctor. Follow the directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results from this medication. Take each dose with a full glass of water. Acuitel can be taken with or without food. Vomiting diarrhea or heavy sweating can cause you to become dehydrated. This can lead to very low blood pressure electrolyte disorders or kidney failure while you are taking acuitel. Drink 6 to 8 full glasses of water daily while you are taking this medication. To be sure this medication is helping your condition your blood pressure will need to be checked on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any scheduled visits to your doctor. If you need to have any type of surgery tell the surgeon ahead of time that you are taking acuitel. You may need to stop using the medicine for a short time. If you are being treated for high blood pressure keep using this medication even if you feel fine. High blood pressure often has no symptoms. Store acuitel at room temperature away from moisture and heat. What happens if I miss a dose? Take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a acuitel overdose may include feeling extremely dizzy or light-headed or fainting. What should I avoid while taking acuitel? Acuitel can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol. It can further lower your blood pressure and may increase some of the side effects of acuitel. Do not use salt substitutes or potassium supplements while taking acuitel unless your doctor has told you to. What are the possible side effects of acuitel? Get emergency medical help if you have any of these signs of an allergic reaction: hives; severe stomach pain; difficulty breathing; swelling of your face lips tongue or throat. Call your doctor at once if you have any of these serious side effects: • feeling light-headed fainting; • urinating more or less than usual or not at all; • fever chills body aches flu symptoms; • pale skin easy bruising or bleeding; • severe blistering peeling and red skin rash; • tired feeling muscle weakness and pounding or uneven heartbeats; • chest pain; • swelling rapid weight gain; or • jaundice (yellowing of the skin or eyes). Less serious side effects may be more likely to occur such as: • cough; • muscle pain; • dizziness drowsiness headache; • nausea vomiting diarrhea stomach pain; or • mild skin itching or rash. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect acuitel? Before taking acuitel tell your doctor if you are taking any of the following drugs: • lithium (Lithobid Eskalith); • tetracycline (Brodspec Panamycin Sumycin Tetracap); • a potassium supplement such as K-Dur Klor-Con; • salt substitutes that contain potassium; or • a diuretic (water pill) such as amiloride (Midamor) bumetanide (Bumex) chlorthalidone (Hygroton Thalitone) ethacrynic acid (Edecrin) furosemide (Lasix) hydrochlorothiazide (HCTZ HydroDiuril) indapamide (Lozol) metolazone (Mykrox Zarxolyn) spironolactone (Aldactone) triamterene (Dyrenium Maxzide Dyazide) torsemide (Demadex). If you are using any of these drugs you may not be able to use acuitel or you may need dosage adjustments or special tests during treatment. There may be other drugs not listed that can affect acuitel. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor

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Anti Depressants: Anafranil (Clomipramine HCI) Anafranil (Clomipramine HCI) is a tricyclic antidepressant used to treat depression and obsessive-compulsive disorder. Buy Anafranil (Clomipramine HCI) and other Anti Depressants products online at Medstore. About Anafranil (Clomipramine HCI): Product Type: Anti Depressants Brand name: Anafranil Generic name: Clomipramine HCI What is the most important information I should know about Anafranil? • While you are taking Anafranil you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Anafranil. In patients younger than 18 years the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety panic attacks difficulty sleeping irritability hostility impulsivity severe restlessness and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Anafranil. Do not stop taking Anafranil. • It may be 4 weeks or more before you start to feel better but do not stop taking Anafranil without first talking to your doctor. • Use caution when driving operating machinery or performing other hazardous activities. Anafranil may cause drowsiness or dizziness. If you experience drowsiness or dizziness avoid these activities. • Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall. • Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Anafranil. What is Anafranil? • Anafranil is in a class of drugs called tricyclic antidepressants. Anafranil affects chemicals in the brain that may become unbalanced and cause obsessive-compulsive disorder. • Anafranil is used to relieve symptoms of obsessive-compulsive disorder such as recurrent thoughts or feelings and repetitive actions. • Anafranil may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Anafranil? • Do not take Anafranil if you have taken a monoamine oxidase inhibitor such as isocarboxazid (Marplan) phenelzine (Nardil) or tranylcypromine (Parnate) within the last 14 days. • Before taking Anafranil tell your doctor if you have liver disease kidney disease asthma thyroid disease diabetes stomach or intestinal problems high blood pressure or heart disease had a heart attack in the last 6 weeks an enlarged prostate or difficulty urinating glaucoma or seizures. • You may not be able to take Anafranil or you may require a dosage adjustment or special monitoring during therapy if you have any of the conditions listed above. • While you are taking Anafranil you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Anafranil. In patients younger than 18 years the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety panic attacks difficulty sleeping irritability hostility impulsivity severe restlessness and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Anafranil. Do not stop taking Anafranil. • Anafranil is in the FDA pregnancy category C. This means that it is not known whether Anafranil will harm an unborn baby. Do not take Anafranil without first talking to your doctor if you are pregnant or could become pregnant during treatment. • Anafranil passes into breast milk and may affect a nursing baby. Do not take Anafranil without first talking to your doctor if you are breast-feeding a baby. How should I take Anafranil? • Take Anafranil exactly as directed by your doctor. If you do not understand these directions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass (8 oz) of water. • Anafranil may be taken several times a day or in one daily dose (usually at bedtime). Follow your doctor's instructions. • Grapefruit and grapefruit juice may interact with Anafranil. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • It may be 4 weeks or more before you start to feel better but do not stop taking Anafranil without first talking to your doctor. • Store Anafranil at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. If it is almost time for the next regularly scheduled dose skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor. What happens if I overdose? • Seek emergency medical attention. • Symptoms of a Anafranil overdose include seizures confusion drowsiness agitation hallucinations and low blood pressure (dizziness fatigue fainting). What should I avoid while taking Anafranil? • Use caution when driving operating machinery or performing other hazardous activities. Anafranil may cause drowsiness or dizziness. If you experience drowsiness or dizziness avoid these activities. • Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall. • Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Anafranil. • Grapefruit and grapefruit juice may interact with Anafranil. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • Do not stop taking Anafranil suddenly. This could cause symptoms such as nausea headache and malaise. What are the possible side effects of Anafranil? • If you experience any of the following serious side effects stop taking Anafranil and contact your doctor immediately or seek emergency medical treatment: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips face or tongue; or hives); seizures; a fast or irregular heartbeat; a heart attack; high blood pressure (blurred vision severe headache); difficulty urinating; or fever with increased sweating muscle stiffness or severe muscle weakness. • Other less serious side effects may be more likely to occur. Continue to take Anafranil and talk to your doctor if you experience drowsiness or dizziness; dry mouth and eyes; constipation; mild tremor; sweating; mild agitation weakness or headache; ringing in the ears; nausea; or loss of weight or appetite. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Anafranil? • Do not take Anafranil if you have taken a monoamine oxidase inhibitor such as isocarboxazid (Marplan) phenelzine (Nardil) or tranylcypromine (Parnate) within the last 14 days. • Anafranil may increase the effects of other drugs that cause drowsiness including other antidepressants alcohol antihistamines sedatives (used to treat insomnia) pain relievers anxiety medicines and muscle relaxants. Tell your doctor about all medicines that you are taking and do not take any other prescription or over-the-counter medicines without first talking to your doctor. • Drugs other than those listed here may also interact with Anafranil. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including herbal products. 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