Pregnancy and lactation
The drug-Fosinopril Teva is contraindicated in pregnancy. The use inhibitors in the II and III trimester of pregnancy causes damage or even death of the developing fetus. In identifying pregnancy fosinopril treatment should be discontinued immediately. For infants whose mothers took mix testosterone propionate powder inhibitors during pregnancy, careful monitoring is recommended for early detection of arterial hypotension, oliguria and hyperkalemia.
Since fozinoprilat excreted in breast milk, if necessary, use Teva-Fosinopril should stop breastfeeding.
Inside. The tablet is swallowed, without chewing, with a glass of water, regardless of the meal, preferably at the same time.
If you forget to receiving one or more doses of the drug to the next reception-Fosinopril Teva should be taken at the usual dose; take a higher dose should not be. Hypertension. The recommended starting dose is 10 mg 1 time per day. Then the dose is adjusted depending on the dynamics of lowering blood pressure; in the absence of the desired therapeutic effect within 3-4 weeks, the dose can be increased.Maintenance doses ranging from 10 mg up to a maximum dose of 40 mg 1 time per day. With the use of inhibitors in patients receiving diuretic therapy, may experience a sharp drop in blood pressure, which is recommended for the prevention stop taking diuretics 2-3 days before the expected start of fosinopril therapy. If unable to cancel the diuretics mix testosterone propionate powder should be used in an initial dose of 10 mg 1 once a day. Patients with high activity of the (especially in patients with renovascular hypertension, disorders of water and epektrolitnogo balance, decompensated heart failure, or severe hypertension) because of the possibility of a sudden drop in blood pressure treatment with Fosinopril-Teva is recommended to start under a doctor’s supervision. Chronic heart failure. The recommended starting dose is 1 to 10 mg once a day. Starting treatment should be supervised by a doctor. With good endurance increase the dose at weekly intervals, increasing it to 40 mg 1 time per day. For the treatment of chronic heart failure drug-Fosinopril Teva is usually combined with a diuretic and, if necessary, cardiac glycosides. Elderly patients are differences in the efficacy and safety of drug treatment in elderly patients aged 65 years or older and younger patients are not observed. However, we can not exclude a great sensitivity in some elderly patients to the drug, due to the possible effects of an overdose due to delayed elimination of fosinopril, in patients with impaired renal function or hepatic reduction in dose-Fosinopril Teva is not usually required.
The frequency of side effects is classified in accordance with the recommendations : very often-not less than 10%; often – at least 1% but less than 10%; infrequently – at least 0.1% but less than 1%: rare – less than 0.01% but less than 0.1%; very rare (including isolated cases) – less than 0.01%, the part of the hematopoietic system and lymphatic system: rarely – transient decrease in hemoglobin or hematocrit; rarely – eosinophilia, leukopenia, thrombocytopenia, neutropenia, lymphadenopathy; very rarely – agranulocytosis. On the part of metabolism: rarely – decreased appetite, current worsening of gout, hyperkalemia. On the part of the central nervous system: often – dizziness, headache; rarely – depression, paresthesia, somnolence, stroke, cerebral ischemia, tremor, insomnia, taste disturbances; seldom – a speech disorder, memory impairment, confusion, disorientation. From a sight organ: seldom-visual disturbances.
On the part of the organ of hearing, and the vestibular system:rarely – ringing in the mix testosterone propionate powderears, ear pain, dizziness. Cardio-vascular system: often – tachycardia, marked reduction in blood pressure, orthostatic hypotension; rarely – angina, myocardial infarction, palpitations, cardiac arrest, arrhythmia, increased blood pressure, peripheral edema; rarely – “tides” of blood to the skin of the face, bleeding, the peripheral blood circulation. The respiratory system: often – dry cough;rarely – dyspnea, rhinitis, pharyngitis, bronchitis; rarely – bronchospasm, pneumonia, pulmonary infiptraty. On the part of the digestive tract: often – nausea, vomiting, diarrhea; rarely – constipation, dryness of mucous membranes of the mouth, flatulence; rarely – stomatitis, pancreatitis, angioneurotic edema, tongue, dysphagia, abdominal pain; very rarely – angioneurotic edema of the bowel, bowel obstruction. On the part of the liver and biliary tract: rarely – hepatitis; rarely -pechenochnaya failure. Skin and subcutaneous tissue disorders: often – skin rash, angioedema, dermatitis; Infrequent – increased sweating, itching, hives; rarely -. hemorrhages in the skin (ecchymosis) syndrome has been described. include fever, vasculitis, muscle pain, joint pain or arthritis, antinuclear antibodies, increased erythrocyte sedimentation rate, eosinophilia and leukocytosis, rash, photosensitivity and other cutaneous manifestations. From the musculoskeletal system: rarely – myalgia; -artralgiya rarely arthritis. From the urinary system: rarely – proteinuria, development or exacerbation of the symptoms of chronic renal failure, disorders of the prostate gland; rarely – acute interstitial nephritis; rarely, acute renal failure. Reproductive system: rarely – impotence, decreased libido. Other: often – general weakness, pain, unspecified; rarely – fever, sudden death, increased body mass index; rarely – muscle weakness. From the laboratory parameters: often – increased activity of “liver” transaminases, lactate dehydrogenase, and alkaline phosphatase, hyperbilirubinemia; infrequently – hypercreatininemia, increasing concentrations of urea, hyperkalemia; rarely mix testosterone propionate powder – hyponatremia, a slight increase in hemoglobin, Fosinopril may understate the rates of serum digoxin concentrations.