Brand
name: Capoten
Pronounced: KAP-o-ten
Generic name: Captopril
Why is Capoten prescribed?
Capoten is used in the treatment of high blood pressure and congestive
heart failure. When prescribed for high blood pressure, it is effective
used alone or combined with diuretics. If it is prescribed for congestive
heart failure, it is used in combination with digitalis and diuretics.
Capoten is in a family of drugs known as "ACE (angiotensin converting
enzyme) inhibitors." It works by preventing a chemical in your
blood called angiotensin I from converting into a more potent form
that increases salt and water retention in your body. Capoten also
enhances blood flow throughout your blood vessels.
In addition, Capoten is used to improve survival in certain people
who have suffered heart attacks and to treat kidney disease in diabetics.
Some doctors also prescribe Capoten for angina pectoris (crushing
chest pain), Raynaud's phenomenon (a disorder of the blood vessels
that causes the fingers to turn white when exposed to cold), and rheumatoid
arthritis.
Most important fact about Capoten
If you have high blood pressure, you must take Capoten regularly for
it to be effective. Since blood pressure declines gradually, it may
be several weeks before you get the full benefit of Capoten; you must
continue taking it even if you are feeling well. Capoten does not cure
high blood pressure; it merely keeps it under control.
How should you take Capoten?
Capoten should be taken 1 hour before meals. If you are taking an
antacid such as Mylanta, take it 2 hours prior to Capoten.
Take Capoten exactly as prescribed. Stopping Capoten suddenly could
cause your blood pressure to increase.
If you miss a dose...
Take it as soon as you remember. If it is almost time for your next
dose, skip the one you missed and go back to your regular schedule.
Never take two doses at the same time.
Storage instructions...
Store Capoten at room temperature, away from moisture, in a tightly
closed container.
Capoten side effects
Side effects cannot be anticipated. If any develop or change in intensity,
inform your doctor as soon as possible. Only your doctor can determine
if it is safe for you to continue taking Capoten.
* Side effects may include:
Itching, loss of taste, low blood pressure, rash
Why should Capoten not be prescribed?
If you are sensitive to or have ever had an allergic reaction to Capoten
or similar drugs such as Vasotec, you should not take this medication.
Make sure that your doctor is aware of any drug reactions that you
have experienced.
Special warnings about Capoten
If you develop swelling of the face around your lips, tongue or throat
(or of your arms and legs) or have difficulty swallowing, you should
stop taking Capoten and contact your doctor immediately. You may need
emergency treatment.
If you are receiving bee or wasp venom to prevent an allergic reaction
to stings, use of Capoten at the same time may cause a severe allergic
reaction.
If you are taking Capoten, a complete assessment of your kidney function
should be done; and your kidney function should continue to be monitored.
If you have kidney disease, Capoten should be used only if you have
taken other blood pressure medications and your doctor has determined
that the results were unsatisfactory.
Some people taking Capoten have had a severe allergic reaction during
kidney dialysis.
If you are taking Capoten for your heart, be careful not to increase
physical activity too quickly. Check with your doctor as to how much
exercise is safe for you.
If you are taking Capoten for congestive heart failure, your blood
pressure may drop temporarily after the first few doses and you may
feel light-headed for a time. Your doctor should monitor you closely
when you start taking Capoten or when your dosage is increased.
If you are taking high doses of diuretics and Capoten, you may develop
excessively low blood pressure. Your doctor may reduce your diuretic
dose so that your blood pressure doesn't drop too far.
If you notice a yellow coloring to your skin or the whites of your
eyes, stop taking the drug and notify your doctor immediately. You
could be developing a liver problem.
Capoten may cause you to become drowsy or less alert, especially if
you are also taking a diuretic at the same time. If it has this effect
on you, driving or participating in any potentially hazardous activity
is not recommended.
Dehydration may cause a drop in blood pressure. If you experience
symptoms such as excessive perspiration, vomiting, and/or diarrhea,
notify your doctor immediately.
If you develop a sore throat or fever you should contact your doctor
immediately. It could indicate a more serious illness.
If you develop a persistent, dry cough, tell your doctor. It may be
due to Capoten and, if so, will disappear if you stop taking Capoten.
Possible food and drug interactions when taking Capoten
If Capoten is taken with certain other drugs, the effects of either
could be increased, decreased, or altered. It is especially important
to check with your doctor before combining Capoten with the following:
Allopurinol (Zyloprim)
Aspirin
Blood pressure drugs known as beta blockers, such as Inderal and Tenormin
Cyclosporine (Sandimmune)
Digoxin (Lanoxin)
Diuretics such as HydroDIURIL
Lithium (Lithonate)
Nitroglycerin and similar heart medicines (Nitro-Dur, Transderm-Nitro,
others)
Nonsteroidal anti-inflammatory drugs such as Indocin and Feldene
Potassium preparations such as Micro-K and Slow-K
Potassium-sparing diuretics such as Aldactone and Midamor
Do not use potassium-containing salt substitutes while taking Capoten.
Special information if you are pregnant or breastfeeding
ACE inhibitors such as Capoten have been shown to cause injury and
even death to the developing baby when used in pregnancy during the
second and third trimesters. If you are pregnant or plan to become
pregnant, contact your doctor immediately. Capoten appears in breast
milk and could affect a nursing infant. If Capoten is essential to
your health, your doctor may advise you to discontinue breastfeeding
until your treatment is finished.
Recommended dosage for Capoten
ADULTS
Overdosage
Any medication taken in excess can cause symptoms of overdose. If
you suspect an overdose of Capoten, seek medical attention immediately.
