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Zestril (Lisinopril)

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Zestril (Lisinopril) is an angiotensin converting enzyme (ACE) inhibitor used to treat high blood pressure. It may also be used with other medicine to treat congestive heart disease or to improve survival in some patients after a heart attack. This medicine may be used to treat other conditions as determined by your doctor.

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About Zestril (Lisinopril):

Product Type: Blood Pressure

Brand name: Zestril Generic name: Lisinopril What is the most important information I should know about Zestril? • Do not take Zestril if you are pregnant or planning a pregnancy. When used during the second and third trimesters of pregnancy Zestril can cause injury and even death to the developing fetus. Notify your doctor immediately if you think you might be pregnant. • Zestril may increase the risk of dangerous allergic reactions. Before taking Zestril tell your doctor if you have ever had an allergic reaction that involved swelling of your lips face tongue or throat or difficulty breathing. Seek emergency medical attention if you develop any of these symptoms while taking Zestril. • Heavy sweating vomiting diarrhea or other causes of fluid loss may lead to very low blood pressure dizziness and fainting during therapy with Zestril. Maintain proper fluid intake to prevent dehydration and related side effects. What is Zestril? • Zestril is in a class of drugs called angiotensin-converting-enzyme (ACE) inhibitors. • Zestril is used to lower blood pressure to treat congestive heart failure and to improve the survival rate after a heart attack. • Zestril may also be used for purposes other than those listed in this medication guide. Who should not take Zestril? • Zestril may increase the risk of dangerous allergic reactions. Before taking Zestril tell your doctor if you have ever had an allergic reaction that involved swelling of your lips face tongue or throat or difficulty breathing. Seek emergency medical attention if you develop any of these symptoms while taking Zestril. • Before taking Zestril tell your doctor if you have kidney disease; are on a salt-restricted diet or have high levels of potassium in your blood; are taking salt substitutes potassium supplements (e.g. K-Dur Klor-Con) or potassium-sparing diuretics such as amiloride (Midamor) triamterene (Dyrenium Dyazide Maxzide) or spironolactone (Aldactone); or have diabetes. • You may not be able to take Zestril or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. • Zestril is in the FDA pregnancy category D. This means that Zestril is known to harm an unborn baby. When used during the second and third trimesters of pregnancy Zestril can cause injury and even death to the developing fetus.Do not take Zestril if you are pregnant. • It is not known whether Zestril passes into breast milk and its effects on a nursing baby are not known. Do not take Zestril without first talking to your doctor if you are breast-feeding a baby. How should I take Zestril? • Take Zestril 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 of water. • Zestril can be taken with or without food. • Do not stop taking Zestril without first talking to your doctor. If you stop taking this medication suddenly your condition could become worse. • Store Zestril at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. However if it is almost time for your next dose skip the missed dose and take only your next regularly scheduled dose. Do not take a double dose of this medication. What happens if I overdose? • Seek emergency medical attention. • Symptoms of a Zestril overdose include extreme dizziness weakness fainting and fatigue. What should I avoid while taking Zestril? • Use caution when driving operating machinery or performing other hazardous activities. Zestril may cause dizziness or drowsiness. If you experience dizziness or drowsiness avoid these activities and notify your doctor. Also use caution when rising from a sitting or lying position. • Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Zestril. Alcohol may further lower blood pressure and increase drowsiness and dizziness when you are taking Zestril. • Do not use salt substitutes or potassium supplements while taking Zestril except under the supervision of your doctor. • Heavy sweating vomiting diarrhea or other causes of fluid loss may lead to very low blood pressure dizziness and fainting during therapy with Zestril. Maintain proper fluid intake to prevent dehydration and related side effects. What are the possible side effects of Zestril? • If you experience any of the following serious side effects stop taking Zestril and call your doctor immediately or seek emergency medical treatment: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips tongue or face; or hives); difficulty breathing; little or no urine; an irregular heartbeat or changes in your heartbeat; chest pain; severe dizziness or fainting; or signs of an infection including a sore throat or a fever. • Other less serious side effects may be more likely to occur. Continue to take Zestril and talk to your doctor if you experience mild dizziness or lightheadedness; headache; unusual fatigue or weakness; dry tickling cough; muscle cramps; numbness or tingling in the hands feet arms or legs; nausea vomiting or diarrhea; a rash; or impotence. • 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 Zestril? • Before taking Zestril tell your doctor if you are taking any of the following drugs: a potassium supplement such as K-Dur Klor-Con and others; salt substitutes that contain potassium; any of the diuretics (water pills) triamterene (Dyrenium Maxzide Dyazide) spironolactone (Aldactone) or amiloride (Midamor); any other diuretic (water pill) such as hydrochlorothiazide (HCTZ HydroDiuril others) furosemide (Lasix) bumetanide (Bumex) indapamide (Lozol) and others; lithium (Lithobid Eskalith others); or indomethacin (Indocin). • You may not be able to take Zestril or you may require a dosage adjustment or special monitoring during your treatment if you are taking any of the medicines listed above. • Drugs other than those listed here may also interact with Zestril or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

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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. 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