Indapamide is used for:
Treating high blood pressure
alone or along with other medicines. It is also used to treat salt and water
retention (swelling) associated with congestive heart failure.
Indapamide is a diuretic. It
works by causing the kidneys to eliminate large amounts of water and salts.
Do NOT use indapamide if:
·
you are allergic to any
ingredient in indapamide or to a sulfonamide medicine (eg, sulfamethoxazole)
·
you are unable to urinate
·
you are taking ketanserin
Contact your doctor or health
care provider right away if any of these apply to you.
Before using indapamide:
Some medical conditions may
interact with indapamide. Tell your doctor or pharmacist if you have any
medical conditions, especially if any of the following apply to you:
·
if you are pregnant, planning
to become pregnant, or are breast-feeding
·
if you are taking any
prescription or nonprescription medicine, herbal preparation, or dietary
supplement
·
if you have allergies to medicines,
foods, or other substances
·
if you have heart problems
(eg, irregular heartbeat, heart failure), liver problems (eg, cirrhosis),
kidney disease, gout, lupus, problems urinating, or swelling
·
if you have severe or
persistent vomiting, or low blood levels of sodium or potassium, or if you are
on a low-salt (sodium) diet
·
if you have had a certain
neurosurgical procedure (sympathectomy)
·
if you are receiving fluids
through a vein (parenteral fluids)
Some MEDICINES MAY INTERACT
with indapamide. Tell your health care provider if you are taking any other
medicines, especially any of the following:
·
Nonsteroidal anti-inflammatory
drugs (NSAIDs) (eg, ibuprofen) because they may decrease indapamide's
effectiveness
·
Angiotensin-converting enzyme
(ACE) inhibitors (eg, enalapril) because the risk of kidney problems may be
increased
·
Diazoxide because the risk of
high blood glucose levels, high uric acid levels, or low blood pressure may be
increased
·
Adrenocorticotropin hormone
(ACTH) or corticosteroids (eg, prednisone) because they may increase the risk
of indapamide's side effects
·
Amantadine, antineoplastic
agents (eg, cyclophosphamide), digitalis glycosides (eg, digoxin), ketanserin,
lithium, or other blood pressure medicines because the risk of their side
effects may be increased by indapamide
This may not be a complete
list of all interactions that may occur. Ask your health care provider if
indapamide may interact with other medicines that you take. Check with your health
care provider before you start, stop, or change the dose of any medicine.
How to use indapamide:
Use indapamide as directed by
your doctor. Check the label on the medicine for exact dosing instructions.
·
Take indapamide by mouth with
or without food. If stomach upset occurs, take with food to reduce stomach
irritation.
·
Indapamide may increase the
amount of urine or cause you to urinate more often when you first start taking
it. To keep this from disturbing your sleep, try to take your dose before 6 pm.
·
If you miss a dose of
indapamide and you are taking 1 dose daily, take the missed dose if you
remember the same day. Skip the missed dose if you do not remember until the
next day. Do not take 2 doses at once.
Ask your health care provider
any questions you may have about how to use indapamide.
Important safety information:
·
Indapamide may cause
drowsiness, dizziness, lightheadedness, or blurred vision. These effects may be
worse if you take it with alcohol or certain medicines. Use indapamide with
caution. Do not drive or perform other possibly unsafe tasks until you know how
you react to it.
·
Indapamide may cause
dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or
fever may increase these effects. To prevent them, sit up or stand slowly,
especially in the morning. Sit or lie down at the first sign of any of these
effects.
·
Patients who take medicine for
high blood pressure often feel tired or run down for a few weeks after starting
treatment. Be sure to take your medicine even if you may not feel
"normal." Tell your doctor if you develop any new symptoms.
·
Your doctor may check your
blood electrolytes while you take indapamide to check for a fluid or
electrolyte imbalance. Tell your doctor right away if you experience decreased
urination; dry mouth; fainting; fast or irregular heartbeat; increased thirst;
muscle pain, weakness, or cramping; restlessness; severe dizziness or
drowsiness; stomach problems; or unusual tiredness or weakness.
·
Your doctor may have also
prescribed a potassium supplement for you. If so, follow the dosing carefully.
Do not start taking additional potassium on your own or change your diet to
include more potassium without first checking with your doctor.
·
Indapamide may cause you to
become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until
you know how you react to indapamide. Use a sunscreen or wear protective
clothing if you must be outside for more than a short time.
·
Tell your doctor or dentist
that you take indapamide before you receive any medical or dental care,
emergency care, or surgery.
·
Diabetes patients - Indapamide
may affect your blood sugar. Check blood sugar levels closely. Ask your doctor
before you change the dose of your diabetes medicine.
·
Indapamide may interfere with
certain lab tests. Be sure your doctor and lab personnel know you are taking
indapamide.
·
Lab tests, including blood
electrolyte, glucose, and uric acid levels, and kidney function, may be
performed while you use indapamide. These tests may be used to monitor your
condition or check for side effects. Be sure to keep all doctor and lab
appointments.
·
Use indapamide with caution in
the ELDERLY; they may be more sensitive to its effects, especially low blood
sodium or potassium.
·
Indapamide should be used with
extreme caution in CHILDREN; safety and effectiveness in children have not been
confirmed.
·
PREGNANCY and BREAST-FEEDING:
If you become pregnant, contact your doctor. You will need to discuss the
benefits and risks of using indapamide while you are pregnant. It is not known
if this medicine is found in breast milk. Do not breast-feed while taking
indapamide.
Possible side effects of indapamide:
All medicines may cause side
effects, but many people have no, or minor, side effects. Check with your
doctor if any of these most COMMON side effects persist or become bothersome:
Back pain; constipation;
diarrhea; dizziness or lightheadedness when siting up or standing; drowsiness;
headache; nausea; nervousness; runny nose; trouble sleeping; upset stomach;
vomiting; weakness.
Seek medical attention right
away if any of these SEVERE side effects occur:
Severe allergic reactions
(rash; hives; itching; difficulty breathing; tightness in the chest; swelling
of the mouth, face, lips, or tongue); blurred vision; chest pain; dark urine;
decreased urination or urination problems; dry mouth; fainting; fast heartbeat;
fatigue; fever, chills, cough, or sore throat; increased thirst; loss of
appetite; numbness of the hands or feet; pale stools; red, swollen, blistered,
or peeling skin; severe or persistent dizziness, drowsiness, or
lightheadedness; severe stomach pain; swelling of the hands, ankles, or feet;
symptoms of low blood potassium (eg, irregular heartbeat; muscle pain,
weakness, or cramping);symptoms of low blood sodium (eg, confusion, mental or
mood changes, seizures, sluggishness);unusual bruising or bleeding; unusual
tiredness or weakness; yellowing of the skin or eyes.
This is not a complete list of
all side effects that may occur. If you have questions about side effects,
contact your health care provider. Call your doctor for medical advice about
side effects. To report side effects to the appropriate agency, please read the
Guide to Reporting Problems to FDA.
If OVERDOSE is suspected:
Contact
1-800-222-1222 FREE (the American Association of Poison Control Centers),
your local poison control center, or emergency room immediately. Symptoms may
include nausea; vomiting; weakness.
Proper storage of indapamide:
Store indapamide at room
temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from
heat, moisture, and light. Do not store in the bathroom. Keep indapamide out of
the reach of children and away from pets.
General information:
·
If you have any questions
about indapamide, please talk with your doctor, pharmacist, or other health
care provider.
·
Indapamide is to be used only
by the patient for whom it is prescribed. Do not share it with other people.
·
If your symptoms do not
improve or if they become worse, check with your doctor.
·
Check with your pharmacist
about how to dispose of unused medicine.
This information should not be
used to decide whether or not to take indapamide or any other medicine. Only
your health care provider has the knowledge and training to
decide which medicines are right for you.This information does not
endorse any medicine as safe, effective, or approved for treating any
patient or health condition. This is only a brief
summary of general information about indapamide.It does NOT include
all information about the possible uses, directions, warnings, precautions, interactions,
adverse effects, or risks that may apply to indapamide. This information
is not specific medical advice and does not replace
information you receive from your health care provider.You must talk with your
healthcare provider for complete information about the risks and benefits of
using indapamide.