This medicine comes with a patient information insert. Read the information carefully and make sure you understand it before taking this medicine. Ask your doctor if you have any questions.
In addition to the use of this medicine, treatment for your high blood pressure may include weight control and changes in the types of foods you eat, especially foods high in sodium (salt). Your doctor will tell you which of these are most important for you. You should check with your doctor before changing your diet.
Many patients who have high blood pressure will not notice any signs of the problem. In fact, many may feel normal. It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well.
Remember that this medicine will not cure your high blood pressure, but it does help control it. You must continue to take it as directed if you expect to lower your blood pressure and keep it down. You may have to take high blood pressure medicine for the rest of your life. If high blood pressure is not treated, it can cause serious problems such as heart failure, blood vessel disease, stroke, or kidney disease.
This medicine also works best when there is a constant amount in the blood. To help keep the amount constant, do not miss any doses. Also, it is best to take the doses at the same time each day.
You may take this medicine with or without food.
If your child cannot swallow the tablets, an oral liquid may be given. Ask your doctor or pharmacist about this.
The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
For oral dosage form (tablets):
For high blood pressure:
Adults—At first, 16 milligrams (mg) once a day. Your doctor may change your dose as needed. However, the dose is usually not more than 32 mg per day.
Children 6 to 16 years of age and weighing more than 50 kilograms (kg)—The usual starting dose for the tablet is 8 to 16 mg once a day. Your doctor may change your dose as needed. However, the dose is usually not more than 32 mg per day.
Children 6 to 16 years of age and weighing less than 50 kg—The usual starting dose for the tablet is 4 to 8 mg once a day. Your doctor may change your dose as needed. However, the dose is usually not more than 16 mg per day.
Children 1 to 5 years of age—Dose is based on body weight and must be determined by your doctor. The dose is usually 0.05 to 0.4 mg per kg of body weight per day.
Children younger than 1 year of age—Use is not recommended.
For heart failure:
Adults—At first, 4 milligrams (mg) once a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 32 mg per day.
Children—Use and dose must be determined by your doctor.
If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
Ask your healthcare professional how you should dispose of any medicine you do not use.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Use the mixed oral liquid within 30 days after first opening the bottle. Do not freeze.