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Cardiology Drug Data - A-Z (English)

Drug Class Description

ACE inhibitors.

Generic Name

Captopril - hypertension/diabetes

Drug Description

12.5 mg, white scored capsule- shaped tablet marked ACE and 12.5; 25 mg, 50 mg white scored tablets marked ACE and tablet strength.

Presentation

Tablets, captopril 12.5mg , 25mg , 50mg .

Indications

Mild to moderate hypertension. Severe hypertension where standard therapy is ineffective or inappropriate. Diabetic nephropathy in insulin dependent diabetes.

Adult Dosage

Mild to moderate hypertension
 Initially 12 .5 mg twice daily. Maintenance, 25 mg twice daily increasing gradually at 2 - 4 week intervals if necessary to maximum 50 mg twice daily.

Severe hypertension
Initially 12.5 mg twice daily increasing if necessary to maximum 50 mg three times daily. Diabetic nephropathy, 75 - 100 mg daily in divided doses.

Child Dosage

Contact manufacturer.

Contra Indications

  • Obstruction
  • Pregnancy
  • lactation.

Special Precautions

Renovascular hypertension
severe congestive heart failure. Haemodialysis.

Renal impairment
monitor renal function, white cell count and urinary protein before and during therapy.

Collagen vascular disease
Anaesthesia. Elderly.

Interactions

  • K+-sparing diuretics or K+ supplements
  •  NSAIDs
  •  vasodilators
  •  clonidine
  •  allopurinol
  •  procainamide
  •  probenecid
  •  immunosuppressants
  •  lithium
  •  antidiabetic agents
  • neuroleptics
  •  tricyclic antidepressants
  • antihypertensives.

Adverse Reactions

  • Neutropenia
  • Agranulocytosis
  • Thrombocytopenia
  • Anaemia
  • Proteinuria
  • Hypotension
  • Angioedema
  • Rash
  • Loss of taste
  • Pancreatitis
  • Tachycardia
  • Gastric irritation
  • Cough (rare).

Manufacturer

Bristol-Myers Squibb / Ashbourne

Drug Availability

(POM)

Updated

22 June 2009

Drug Languages: en it fr de es no nl pt se

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ACEPRIL