P.R.I.M.A., INC.
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Carol A. O'Shea, M.D.
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Zestril is an Angiotensin-converting enzyme (ACE) inhibitor. It relaxes the arteries and allows blood to flow without obstruction. To ensure effectiveness, take the pill using a doctor's prescription. The doctor can change your therapy schedule occasionally, depending on how you respond. Prinivil and Zestril are both brand names for the pill.

Dosage and Mode of Indication

Patients should take the pills alongside food but it can be taken on an empty stomach. It must be ingested as prescribed, which is typically once each day. If you're administering the suspension to children, shake the container properly. To avoid administering a wrong dosage, make use of the spoon provided in the pack.

The patient's weight (especially in children) determines the dosage as well as the health problem. You may start with low doses, then gradually move to higher doses if your system responds well. To gain more from Zestril or Prinivil, take it regularly even when you're feeling better. People who suffer from hypertension don't usually feel sick except there have other underlying illnesses.

Hypertension treatment spans two weeks to 1 month whereas myocardial infarction takes months. However, if the pill does not enhance your health, inform your physician.

Adults can ingest lisinopril 10 mg or five milligrams for hypertension once daily, but the maximum dosage is eighty milligrams. Children who are over six years can take a total of 5 mg daily for hypertension. Adults can take between 2.5 mg and 5 mg daily or a maximum of 40 mg for cases of heart failure. Your dosage can be adjusted based on your BP readings within one to two weeks of treatment.

Pregnant women or those who can conceive should not take Zestril or Prinivil. It could injure or abort a fetus if consumed in the 2nd or 3rd trimester. The physician will recommend a birth control medication when taking the pill.

Precautions

Observe these precautions when consuming Zestril or Prinivil pills:

  • Patients who are sensitive to ACE inhibitors like benazepril or other ingredients should inform the doctor.

  • Patients with a history of these conditions shouldn't use the pill:

    • Angioedema

    • Dialysis

    • High level of potassium

  • Don't take the drug with alcoholic drinks or beverages and marijuana.

  • Avoid freezing the oral suspension.

  • Don't burn or flush unused tablets in the toilet.

  • Avoid driving, operating machines, or any activity that requires alertness.

  • Stay hydrated by drinking as much water as possible.

  • If going for a surgical procedure, inform the specialist that you're taking the drug.

  • Obtain clearance from your physician before consuming an alternative for salt or supplement containing potassium when using Zestril or Prinivil.

  • Visit a medical laboratory periodically to test your kidney function as well as potassium level.

  • Pregnant women must avoid taking the pill.

Side Effects

Look out for the following aftereffects:

  • Dizziness

  • Unsteadiness

  • Fatigue

  • Headache

  • Dry cough

  • Fainting spell

  • Abdominal or stomach pain

  • Yellow coloration on the skin or in the eyes

  • Dark-colored urine

  • Weakness of the muscle

  • Uneven heartbeat

  • Reduced appetite

  • Prolonged nausea

  • Prolonged vomiting

Hypersensitivity to Zestril or Prinivil are quite rare. But, if you see any of these symptoms, quickly call a physician:

  • Severe dizziness

  • Difficulty in breathing

  • Rash

  • Itching on the face or inside the throat and tongue

Missed Dosage

If you forget to take your pills, take it immediately you remember especially if it's close to when you are expected to take your next dose. Otherwise, miss it completely. Make sure you take your next dose on time. Avoid double dosing because it won't replace the missed one.

Overdose

Call 911 if someone ingests an overdose of Zestril or Prinivil. Indications of an overdose include:

  • Blurred vision

  • Fainting

  • Difficulty in breathing

Drug Interaction

Always have a record of the pills you ingest, including prescription, non-prescription, as well as herbal products. Don't also begin or quit any dosage without getting a physician's clearance. The following could influence the potency of the pills:

  • Sacubitril

  • Drospirenone in birth control

  • Medication to prevent transplant rejection e.g., everolimus

  • Lithium

  • Losartan

  • Aliskiren

  • NSAIDs e.g., ibuprofen, meloxicam, indomethacin, diclofenac, celecoxib, naproxen, and aspirin, among others.

  • Desensitization injection

  • Weight loss medications