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Fosinopril belongs to the class of medications called angiotensin converting enzyme inhibitors (ACE inhibitors). It is used to treat high blood pressure.
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Fosinopril belongs to the class of medications called angiotensin converting enzyme inhibitors (ACE inhibitors). It is used to treat high blood pressure. It works by relaxing blood vessels and by helping the heart to pump blood that carries oxygen to the different parts of the body more efficiently.
Riva Fosinopril may be available under multiple brand names and/or in several different forms. Any specific brand name of Riva Fosinopril may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of Riva Fosinopril may not be used for all of the conditions discussed here.
Your doctor may have suggested Riva Fosinopril for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking Riva Fosinopril, speak to your doctor. Do not stop taking Riva Fosinopril without consulting your doctor.
Do not give Riva Fosinopril to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take Riva Fosinopril if their doctor has not prescribed it.
The recommended adult dose of fosinopril ranges from 10 mg to 40 mg daily in a single daily dose, with or without meals. The dose of the medication usually begins at 10 mg daily, with dosing increases as directed by your doctor occurring approximately every 2 weeks as needed. It may take up to 2 weeks to see the full effects of the medication.
Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.
It is important to take Riva Fosinopril exactly as prescribed by your doctor. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store Riva Fosinopril at room temperature, protect it from light and moisture, and keep it out of the reach of children.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.
Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.
The side effects listed below are not experienced by everyone who takes Riva Fosinopril. If you are concerned about side effects, discuss the risks and benefits of Riva Fosinopril with your doctor.
The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.
Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.
Although most of these side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention. Check with your doctor as soon as possible if any of the following side effects occur:
Stop taking the medication and seek immediate medical attention if any of the following occur:
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Riva Fosinopril.
Each white-to-off-white, diamond-shaped tablet with "R" scoreline "R" on one side and "FS" scoreline "10" on the other contains 10 mg of fosinopril sodium. Nonmedicinal ingredients: crospovidone, glycerol behenate, hydroxypropyl cellulose, microcrystalline cellulose, pregelatinized starch, and sodium starch glycolate.
Each white-to-off-white capsule-shaped tablet with "R" on one side and "FS 20" on the other side contains 20 mg of fosinopril sodium. Nonmedicinal ingredients: crospovidone, glycerol behenate, hydroxypropyl cellulose, microcrystalline cellulose, pregelatinized starch, and sodium starch glycolate.
Do not take fosinopril if you:
There may be an interaction between fosinopril and any of the following:
If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:
An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.
Medications other than those listed above may interact with Riva Fosinopril. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.
February 4, 2014
Health Canada has issued new restrictions concerning the use of fosinopril. To read the full Health Canada Advisory, visit Health Canada's web site at www.hc-sc.gc.ca.
Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Riva Fosinopril.
Angioedema: Angioedema, a serious allergic reaction that causes the area around the throat and tongue to swell, that may occur with use of fosinopril. If you experience swelling of the face, tongue, or throat, stop taking fosinopril at once and get immediate medical attention. Other medications in the class of medications known as ACE inhibitors should not be taken in the future. People who have had angioedema caused by other substances may be at increased risk of angioedema while receiving an ACE inhibitor.
Blood counts: Riva Fosinopril can decrease the number of neutrophils (a type of white blood cell that helps fight infection), red blood cells (which carry oxygen), and platelets (which help your blood to clot). Your doctor will do blood tests to monitor this. If you notice any signs of infection (e.g., Fever, chills, or sore throat) or unusual bleeding or bruising, contact your doctor immediately.
Cough: People taking fosinopril may develop a dry, persistent cough that usually disappears only after stopping or lowering the fosinopril dose. Be sure to tell your doctor of any cough that does not seem to be related to a usual cause.
Fluid and electrolyte balance: In rare cases, people who take fosinopril experience an increase in blood levels of potassium. This rarely causes problems, but potassium levels should be monitored by your doctor.
Kidney function: Changes in kidney function have been seen for certain people who take Riva Fosinopril (e.g., people with narrowed blood vessels in their kidneys, or those with severe congestive heart failure). The use of diuretics (water pills), aliskiren or nonsteroidal anti-inflammatory drugs (NSAIDs) may further increase risk of kidney problems for people already at risk for this problem. If you have kidney disease, discuss with your doctor how Riva Fosinopril may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Riva Fosinopril, and whether any special monitoring is needed.
Liver function: This medication may worsen liver function. If you have liver disease or poor liver function, discuss with your doctor how Riva Fosinopril may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Riva Fosinopril, and whether any special monitoring is needed.
If you notice any signs of liver problems (e.g., abdominal pain, itching of skin, yellow eyes or skin, loss of appetite, vomiting), contact your doctor immediately.
Surgery: Anaesthetics and pain relievers used during can cause decreased blood pressure. Fosinopril may make the decrease in blood pressure worse. Make sure that your health care team knows you are taking Riva Fosinopril.
Low blood pressure: Occasionally, blood pressure drops too low after taking fosinopril. This usually happens after the first or second dose or when the dose is increased. It is more likely to occur for those who take aliskiren or water pills, have a salt restricted diet, are on dialysis, are suffering from diarrhea or vomiting, or have been sweating excessively and not drinking enough liquids. If low blood pressure causes you to faint or feel lightheaded, contact your doctor.
Pregnancy: ACE inhibitors such as fosinopril may cause severe harm or death to the developing baby if taken by the mother during pregnancy. Riva Fosinopril should not be used during pregnancy. If you discover you are pregnant, stop taking fosinopril at once and contact your doctor.
Breast-feeding: Riva Fosinopril passes into breast milk. If you are a breast-feeding mother and are taking fosinopril, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of fosinopril for children have not been established. Its use by this age group is not recommended.
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