Common use
Hypernil tablet is widely used to treat high blood pressure and heart failure. It may also be prescribed after a heart attack. Additionally, it also lowers the chances of having a heart attack or stroke. It relaxes your blood vessels and helps your kidneys remove more fluid through the urine, which lowers blood pressure. This medication is a combination of an ACE inhibitor and diuretic.
Dosage and direction
Hypernil can be prescribed either alone or in combination with other medicines. It may be taken with or without food but try taking it at about the same time each day. It is important to continue taking it regularly even if you feel well or even if your blood pressure is controlled. Most people with high blood pressure do not feel ill, but if you stop taking this medicine, your condition could get worse. This medicine is considered safe for long-term use.
Precautions
Before taking this medicine, let your doctor know if you have any kidney or liver problems. Pregnant or breastfeeding mothers should also consult their doctor before taking it. Your doctor may check your kidney function, blood pressure, and potassium levels in your blood at regular intervals while you are taking this medicine.
Contraindications
Consult your doctor, if you have any of these conditions:
Bone marrow disease; Decreased urine; Diabetes; Heart or blood vessel disease; If you are on a special diet like a low salt diet; Immune system problems, like lupus; Kidney disease; Liver disease; Previous swelling of the tongue, face, or lips with difficulty breathing, difficulty swallowing, hoarseness, or tightening of the throat; Recent heart attack or stroke; An unusual or allergic reaction to lisinopril, hydrochlorothiazide, sulfa medications, other medications, insect venom, foods, dyes, or preservatives; Pregnant or trying to get pregnant; Breast-feeding.
Possible side effect
The most common side effects of this medicine include decreased blood pressure, headache, diaerrhea, vomiting, cough, increased potassium level, fatigue, weakness, and dizziness. Most of these are temporary and resolve with time. Talk to your doctor if any of the side effects bother you or do not go away.
Drug interaction
Do not take this medication with any of the following:
Cidofovir
Dofetilide
Sacubitril; valsartan
Tranylcypromine
This medication may also interact with the following:
Barbiturates like phenobarbital; Blood pressure medications; Celecoxib; Corticosteroids like prednisone; Diuretics, especially triamterene, spironolactone or amiloride; Lithium; Medications for diabetes; Medications that relax the muscles for surgery; Narcotic medications for pain; NSAIDs, medications for pain and inflammation, like ibuprofen or naproxen; Potassium salts or potassium supplements; Some cholesterol lowering medications like cholestyramine or colestipol.
Missed dose
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
Overdose
If you suspect that you took too much of Hypernil and feel extremely dizzy or light-headed, or fainting seek for immediate medical attention.
Storage
Keep out of the reach of children and pets.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Protect from light and moisture. Keep the container tightly closed. Throw away any unused medication after the expiration date.
