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FDA modified its labeling on February, 2009 to include a precaution of drug interaction with gold. "Nitritoid reactions (symptoms include facial flushing, nausea, vomiting and hypotension) have been reported rarely in patients on therapy with injectable gold ([[sodium aurothiomalate]]) and concomitant ACE inhibitor therapy including MONOPRIL/ MONOPRIL HCT."<ref>{{cite web|title=Monopril HCT (fosinopril/hydrochlorothiazide) 20/12.5mg and 10/12.5mg Tablets February 2009|url=http://www.fda.gov/Safety/MedWatch/SafetyInformation/Safety-RelatedDrugLabelingChanges/ucm133086.htm|publisher=FDA}}</ref>
FDA modified its labeling on February, 2009 to include a precaution of drug interaction with gold. "Nitritoid reactions (symptoms include facial flushing, nausea, vomiting and hypotension) have been reported rarely in patients on therapy with injectable gold ([[sodium aurothiomalate]]) and concomitant ACE inhibitor therapy including MONOPRIL/ MONOPRIL HCT."<ref>{{cite web|title=Monopril HCT (fosinopril/hydrochlorothiazide) 20/12.5mg and 10/12.5mg Tablets February 2009|url=http://www.fda.gov/Safety/MedWatch/SafetyInformation/Safety-RelatedDrugLabelingChanges/ucm133086.htm|publisher=FDA}}</ref>

==Dosage==
The recommended initial dosage of Fosinopril/hydrochlorothiazide for adults with high blood pressure (hypertension) is losartan-hydrochlorothiazide 10&nbsp;mg/12.5&nbsp;mg per day. The dosage range could be 10-80&nbsp;mg/12.5-50&nbsp;mg once a day.



==References==
==References==
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{{reflist}}

{{Agents acting on the renin-angiotensin system}}


{{DEFAULTSORT:Fosinopril hydrochlorothiazide}}
{{DEFAULTSORT:Fosinopril hydrochlorothiazide}}

Revision as of 06:15, 13 December 2013

Fosinopril/hydrochlorothiazide
Combination of
FosinoprilAngiotensin converting enzyme inhibitor
HydrochlorothiazideThiazide diuretic
Clinical data
Trade namesMonopril HCT
Pregnancy
category
  • C (1st trimester); D (2nd & 3rd trimesters)
Routes of
administration
Oral
ATC code
Legal status
Legal status
  • In general: ℞ (Prescription only)


Fosinopril/hydrochlorothiazide is the combination preparation of fosinopril, an angiotensin converting enzyme (ACE) inhibitor, and hydrochlorothiazide, a thiazide diuretic. It is a combination drug to treat high blood pressure (hypertension)[1] The other similar drug in UAS is Losartan/hydrochlorothiazide (Hyzaar).

This drug has a boxed warning about its significant risk to cause fetal/neonatal morbidity and mortality when being used during pregnancy (2nd and 3rd trimesters).[2]

FDA modified its labeling on February, 2009 to include a precaution of drug interaction with gold. "Nitritoid reactions (symptoms include facial flushing, nausea, vomiting and hypotension) have been reported rarely in patients on therapy with injectable gold (sodium aurothiomalate) and concomitant ACE inhibitor therapy including MONOPRIL/ MONOPRIL HCT."[3]

Dosage

The recommended initial dosage of Fosinopril/hydrochlorothiazide for adults with high blood pressure (hypertension) is losartan-hydrochlorothiazide 10 mg/12.5 mg per day. The dosage range could be 10-80 mg/12.5-50 mg once a day.


References

  1. ^ O'Grady P, Yee KF, Lins R, Mangold B (1999). "Fosinopril/hydrochlorothiazide: single dose and steady-state pharmacokinetics and pharmacodynamics". Br J Clin Pharmacol. 48 (3): 375–81. doi:10.1046/j.1365-2125.1999.00013.x. PMC 2014346. PMID 10510149. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  2. ^ "fosinopril/hydrochlorothiazide (Rx)". Medscape. Retrieved 13 December 2013.
  3. ^ "Monopril HCT (fosinopril/hydrochlorothiazide) 20/12.5mg and 10/12.5mg Tablets February 2009". FDA.