Lotensin

 
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Without a Prescription

Lotensin HCT combines two types of blood pressure medication. The first, benazepril hydrochloride, is an ACE (angiotensin-converting enzyme) inhibitor. It works by preventing a chemical in your blood called angiotensin I from converting into a more potent form (angiotensin II) that increases salt and water retention in the body and causes the blood vessels to constrict--two actions that tend to increase blood pressure.
Lotensin HCT does not cure high blood pressure it merely keeps it under control.
Lotensin HCT is not prescribed for the initial treatment of high blood pressure. It is saved for later use, when a single blood pressure medication is not sufficient for the job. In addition, some doctors are using Lotensin HCT along with other drugs to treat congestive heart failure.
Since blood pressure declines gradually, it may be several weeks before you get the full benefit of Lotensin HCT and you must continue taking it even if you are feeling well.
To aid in clearing excess water from the body, Lotensin HCT contains hydrochlorothiazide, a diuretic that promotes production of urine. Diuretics often wash too much potassium out of the body along with the water. However, the ACE inhibitor part of Lotensin HCT tends to keep potassium in the body, thereby canceling this unwanted effect.
You must take Lotensin HCT regularly for it to be effective.

Side Effects

Lotensin side effects that you should report to your health care professional or doctor as soon as possible:

More common side effects may include:
- Headache;
- Fatigue;
- Dizziness;

Less common side effects may include:
- Vertigo (loss of balance);
- Upper respiratory infection;
- Sinus inflammation;
- Nausea;
- Muscle tension;
- Impotence;
- Flu-like symptoms;
- Drowsiness;
- Cough;
- Congestion and/or runny nose;
- Back pain;

Rare side effects may include:
- Weakness;
- Vomiting;
- Voice problems;
- Vision problems;
- Urinary tract infection;
- Tooth problems;
- Stomach pain;
- Stomach and intestinal inflammation;
- Severe allergic reactions;
- Sensitivity to light;
- Ringing in the ears;
- Rash;
- Rapid or irregular heartbeat;
- Poor circulation in the limbs;
- Pinkeye;
- Pain;
- Nosebleeds;
- Nervousness;
- Neck pain;
- Muscle aches;
- Loss of appetite;
- Joint pain;
- Itchy skin;
- Insomnia;
- Infection;
- Indigestion;
- Increased need to urinate;
- Hair loss;
- Gout;
- Gas;
- Flushing;
- Fever;
- Fainting;
- Eye (retina) problems;
- Extremely low blood pressure;
- Excessive sweating;
- Dry mouth;
- Dizziness upon standing;
- Distorted sense of taste;
- Diarrhea;
- Decreased sex drive;
- Decreased sense of touch;
- Constipation;
- Chills;
- Chest pain;
- Bronchitis;
- Arthritis;
- Abnormal skin sensations (such as burning or prickling);
- Abnormal dreams;

Contraindications

Lotensin is contraindicated if you have any of the following conditions:
- If you are unable to urinate;
- If you actually faint;
- If you are sensitive to or have ever had an allergic reaction to any of the following: lotensin, thiazide diuretics such as hydrodiuril and esidrix, ace inhibitors such as captopril and vasotec, or sulfa or other sulfonamide-derived drugs such as bactrim and septra;
- If you develop a sore throat or fever;
- If you develop swelling of the face, lips, tongue or throat, or of your arms and legs, or have difficulty swallowing or breathing;
- If you have a history of allergies or asthma;
- If you have diabetes;
- If you have liver disease;
- If you notice a yellow tinge to your skin and the whites of your eyes;

Interactions

Do not take Lotensin with any of the following drugs:
- Salt substitutes containing potassium;
- Potassium-sparing diuretics such as aldactone, dyazide, and moduretic;
- Potassium supplements such as slow-k and k-dur;
- Other high blood pressure medications;
- Norepinephrine (levophed);
- Nonsteroidal anti-inflammatory drugs such as naprosyn;
- Narcotics such as percocet;
- Lithium (eskalith, lithobid);
- Diuretics such as hydrodiuril and lasix;
- Digoxin (lanoxin);
- Diabetes medication such as insulin or micronase;
- Corticosteroids such as prednisone or acth;
- Colestipol (colestid);
- Cholestyramine (questran);
- Barbiturates such as phenobarbital;

Dosage

ADULTS

Your doctor will adjust the dosage depending on how your blood pressure responds.
Lotensin HCT is usually taken once a day.
The smallest dose that is effective should be used.

Overdose

Symptoms of Lotensin HCT overdose may include:
- Weakness and dizziness;
- Weak or irregular heartbeat;
- Nausea and vomiting;
- Muscle pain or cramps;
- Excessive thirst;
- Dry mouth;
- Asevere drop in blood pressure;
Without Prescription (2017)