- Product info
Quinapril hydrochloride + Hydrochlorothiazide
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about ACCURETIC.
It does not contain all the available information.
It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed
the risks of you taking ACCURETIC against the benefits he/she expects it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with your
You may need to read it again.
What ACCURETIC is used for
ACCURETIC is a combination of a medicine called angiotensin converting enzyme (ACE) inhibitor and a water tablet (diuretic).
ACCURETIC is used to lower high blood pressure (hypertension). Everyone has blood pressure. This pressure helps get your blood all around your body. Your blood pressure may be different at different times of the day, depending on how busy or worried you are. You have hypertension (high blood pressure) when your blood pressure stays
higher than is needed, even when you are calm and relaxed.
There are usually no symptoms of hypertension. The only way of knowing that you have hypertension
is to have your blood pressure checked on a regular basis. If high blood pressure is not treated it can lead to serious health problems, including stroke, heart disease and kidney failure.
How ACCURETIC works
ACCURETIC works by widening your blood vessels, which reduces pressure in the vessels, making it easier for your heart to pump blood around your body.
ACCURETIC also works by making your kidneys pass more water and salt and retain more potassium. This helps reduce high blood pressure.
Your doctor may have prescribed ACCURETIC for another reason. Ask your doctor if you have any questions about why ACCURETIC has been prescribed for you.
ACCURETIC is not addictive.
This medicine is available only with a doctor's prescription.
Before you take
When you must not take it
Do not take ACCURETIC if:
• you have an allergy to ACCURETIC or any other medicine containing quinapril, hydrochlorothiazide, or any of the ingredients listed at the end of this leaflet
• you have an allergy to any sulfonamide or sulfur medicines.
One of the active ingredients of ACCURETIC, hydrochlorothiazide, is a sulfur- containing medicine (a sulfonamide). Therefore, if you are allergic to sulfur medicines, such as some antibiotics, you are likely to be allergic to ACCURETIC. Check with your doctor or pharmacist if you are not sure whether you are allergic to sulfur medicines.
Symptoms of an allergic reaction to ACCURETIC may include skin rash, itchiness, shortness of breath, swelling of the face, lips or tongue, muscle pain or tenderness or joint pain.
• you have taken any other 'ACE inhibitor' medicine before, which caused your face, lips, tongue, throat, hands or feet to swell up, or made it hard for you to breathe.
If you have had an allergic reaction to an ACE inhibitor before, you may be allergic to ACCURETIC.
• you or your family have a history of swelling of the face, lips, tongue, throat, hands or feet for no apparent reason.
• you have kidney problems or a condition called 'renal artery stenosis'.
• you have regular dialysis for blood filtration.
You may experience an allergic reaction.
Do not take ACCURETIC if you are diabetic or have kidney problems and are currently taking a medicine called aliskiren. This
medicine is used to treat high blood pressure.
You may experience severe side effects.
Do not take ACCURETIC if you are pregnant or breastfeeding.
ACCURETIC may enter your womb or it may pass into the breast milk and there is the possibility that your baby may be affected.
Do not take ACCURETIC after
the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.
If you are not sure whether you should start taking ACCURETIC, talk to your doctor.
Before you start to take it
Tell your doctor if you have allergies to:
• any other medicines
• any other substances, such as foods, preservatives or dyes.
Tell your doctor if you have or have had any medical conditions, especially the following:
• kidney problems, or are having dialysis
• liver problems
• heart problems
• low blood pressure, which you may notice as dizziness or light- headedness
• high levels of potassium in your blood
• high cholesterol
• Systemic Lupus Erythematosus (SLE), scleroderma or other autoimmune diseases.
You must also tell your doctor if you:
• are following a very low salt diet
• are about to receive desensitisation therapy for an allergy
• are about to undergo dialysis or lipoprotein apheresis
• are about to have surgery or a general anaesthetic
• plan to become pregnant or breastfeed.
If you have not told your doctor about any of the above, tell him/ her before you start taking ACCURETIC.
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and ACCURETIC may interfere with each other. These include:
• other medicines used to treat high blood pressure
• other medicines that work in a similar fashion to ACE inhibitors, such as Angiotensin Receptor Blockers (these are used to treat high blood pressure and/or heart failure).
• other diuretics, also known as fluid or water tablets
• non-steroidal anti-inflammatory drugs (NSAIDs) or Cox 2 inhibiting medicines used to relieve pain, swelling and other symptoms of inflammation, including arthritis
• potassium supplements or potassium-containing salt substitutes
• lithium, a medicine used to treat mood swings and some types of depression
• tetracycline antibiotics
• steroid medicines such as cortisone, prednisone
• insulin and tablets used to treat diabetes
• barbiturates, used to treat epilepsy, such as phenobarbitone
• strong pain killers such as codeine, morphine, dextropropoxyphene
• cholestyramine and colestipol, used to treat high cholesterol
• medicines used to relax muscles before and during surgery
• medicines used in emergency situations such as adrenaline
These medicines may be affected by ACCURETIC, or may affect how well it works. You may need different amounts of your medicine, or you may need to take different medicines. Your doctor will advise you.
Tell your doctor if you are taking any of the following medicines:
• mTOR inhibitors (e.g. temsirolimus), used in the treatment of kidney cancer
• DPP-IV inhibitors (e.g. vildagliptin), used in the treatment of diabetes.
Taking ACCURETIC in combination with these medicines may increase your risk of having an allergic reaction.
If you are not sure if you are taking any of the medicines mentioned in this leaflet, check with your doctor or pharmacist.
Your doctor and pharmacist may have more information on medicines to be careful with or avoid while taking ACCURETIC.
Use in children
The safety and effectiveness of ACCURETIC in children has not been established.
How to take
Follow all directions given to you by your doctor or pharmacist carefully.
They may differ from the information contained in this leaflet.
Your doctor or pharmacist will tell you which ACCURETIC tablet you will need to take each day. This
depends on your condition and whether or not you are taking any other medicines.
If you do not understand the instructions on the box, ask your doctor or pharmacist for help.
How much to take
For most patients, the usual starting dose of ACCURETIC is 10/12.5 mg a day. The dose may need to be increased to one ACCURETIC
20/12.5 tablet a day, then two ACCURETIC 10/12.5 tablets a day if necessary. Most patients take
between 10/12.5 to 20/12.5 mg daily. Each dose may be taken once a day.
How to take it
Swallow ACCURETIC whole with a full glass of water.
Do not chew the tablets.
When to take it
Take ACCURETIC at about the same time each day, with or without food.
Taking your tablets at the same time each day will have the best effect. It will also help you remember when to take the tablets. It does not matter whether you take it with or without food.
How long to take it
ACCURETIC helps control your condition, but does not cure it. Therefore you must take ACCURETIC every day. Continue taking your medicine for as long as your doctor tells you.
If you forget to take it
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.
Otherwise, take it as soon as you remember and then go back to taking your medicine as you would normally.
Do not take a double dose to make up for the dose that you missed.
This may increase the chance of you getting an unwanted side effect.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
If you take too much
Immediately telephone your doctor or the Australian Poisons Information Centre (telephone 13
11 26) or the New Zealand National Poisons Information Centre (telephone 0800 POISON
or 0800 764 766), or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else may have taken too much ACCURETIC. Do this even if there are no signs of discomfort or poisoning.
Keep telephone numbers for these places handy.
If you take too much ACCURETIC, you may feel light-headed, dizzy or you may faint. You may also become thirsty, confused, have a change in
the amount of urine passed or have a fast heart beat.
While you are taking
Things you must do
If you are about to be started on any new medicine, tell your doctor, dentist or pharmacist that you are taking ACCURETIC.
Make sure you drink enough water during exercise and hot weather when you are taking
ACCURETIC, especially if you sweat a lot.
If you do not drink enough water while taking ACCURETIC, you may feel faint, light-headed or sick. This
is because your blood pressure is dropping suddenly. If you continue to feel unwell, tell your doctor.
If you have excess vomiting and/or diarrhoea while taking ACCURETIC, or you have any of the following symptoms, tell your doctor:
• dry mouth, thirst
• weakness, tiredness, drowsiness
• muscle pains or cramps
• fast heart beat
• passing less urine than normal. You may be dehydrated because you
are losing too much water.
If you feel light-headed or dizzy after taking your first dose of ACCURETIC, or when your dose is increased, tell your doctor immediately.
If you plan to have surgery that needs a general anaesthetic, tell your doctor or dentist that you are taking ACCURETIC.
Your blood pressure may drop suddenly.
If you become pregnant while taking ACCURETIC, tell your doctor immediately.
If you are about to have any blood tests, tell your doctor that you are taking ACCURETIC.
ACCURETIC may interfere with the results of some tests.
Have your blood pressure checked when your doctor says, to make sure ACCURETIC is working.
Go to your doctor regularly for a check-up.
Your doctor may occasionally do a blood test to check your potassium levels and see how your kidneys are working.
Things you must not do
Do not give ACCURETIC to anyone else, even if they have the same condition as you.
Do not take ACCURETIC to treat any other complaints unless your doctor or pharmacist tells you to.
Do not stop taking ACCURETIC, or lower the dosage, without checking with your doctor.
Things to be careful of
If you feel light-headed, dizzy or faint when getting out of bed or standing up, get up slowly.
Standing up slowly, especially when you get up from bed or chairs, will help your body get used to the change in position and blood
pressure. If this problem continues or gets worse, talk to your doctor.
Be careful driving or operating machinery until you know how ACCURETIC affects you.
As with other medicines in this class, ACCURETIC may cause dizziness, light-headedness or tiredness in some people. Make sure you know how
you react to ACCURETIC before you drive a car, operate machinery, or do anything else that could be dangerous if you are dizzy or light-
headed. If this occurs do not drive. If you drink alcohol, dizziness or light- headedness may be worse.
Things that would be helpful for your blood pressure
Some self help measures suggested below may help your condition. Talk to your doctor or pharmacist about these measures and for more information.
- your doctor may advise you to limit your alcohol intake.
- your doctor may suggest losing some weight to help lower your blood pressure and help lessen the amount of work your heart has to do. Some people may need a dietician's help to lose weight.
- eat a healthy diet which includes plenty of fresh vegetables, fruit, bread (preferably wholegrain), cereals and fish. Also eat less sugar and fat (especially saturated fat) which includes sausages,
fatty meats, full cream dairy products, biscuits, cakes, pastries, chocolates, chips and coconut.
polyunsaturated fats from olive oil, canola oil, avocado and nuts are beneficial in small quantities.
- your doctor may advise you to watch the amount of salt in your diet. To reduce your salt intake you should avoid using salt in cooking or at the table and avoid cooked or processed foods containing high sodium (salt) levels.
- regular exercise, maintained over the long term, helps to reduce blood pressure and helps get the heart fitter. Regular exercise also improves your blood cholesterol levels, helps reduce your weight and stress levels, and improves your sleep, mood and ability to concentrate. However, it is important not to overdo it. Before starting any exercise, ask your doctor about the best kind of programme for you.
- your doctor may advise you to
stop smoking or at least cut down. Ask your doctor or pharmacist for further information and advice.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking ACCURETIC.
ACCURETIC helps most people with high blood pressure, but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.
If you are over 65 years of age you may have an increased chance of getting side effects.
Ask your doctor or pharmacist to answer any questions you may have.
Following is a list of possible side effects. Do not be alarmed by this list. You may not experience any of them.
Tell your doctor or pharmacist if you notice any of the following and they worry you:
• feeling light-headed, dizzy or faint
• dry cough
• feeling sick (nausea) or vomiting
• stomach pain
• aching, tender or weak joints or muscles not caused by exercise
• unusual tiredness or weakness, fatigue
• sleepiness or drowsiness
• difficulty in getting or maintaining an erection (impotence)
• runny or blocked nose, or sneezing
• taste disturbances or loss of taste
• confusion or nervousness
• back pain
• sore throat and discomfort when swallowing
• blurred vision or yellow vision. These side effects are usually mild.
Tell your doctor as soon as possible if you notice any of the following:
• itchy or raised skin rash, hives or nettle rash
• muscle cramps
• symptoms of sunburn (such as redness, itching, swelling, blistering) which may occur more quickly than normal
• signs of anaemia such as tiredness, being short of breath and looking pale
• fast or irregular heart beat
• shortness of breath or tightness in the chest
• tingling or numbness in the hands, feet or ankles
• severe upper stomach pain, often with nausea and vomiting
• signs of worrying or frequent infections such as fever, severe chills, sore throat or mouth ulcers
• passing little or no urine
• swelling of the hands, feet or ankles
• bleeding or bruising more easily than normal
• yellowing of the skin and/or eyes.
These may be serious side effects. You may need medical attention. Serious side effects are rare.
If any of the following happen, stop taking ACCURETIC and either
tell your doctor immediately or go to Accident and Emergency at your nearest hospital:
• fainting within a few hours of taking a dose
• collapse, numbness or weakness in the arms or legs
• swelling of the face, lips, mouth, tongue or throat which may cause difficulty in swallowing or breathing
• sudden onset of stomach pains or cramps with or without nausea or vomiting
• pink or red itchy spots on the skin which may blister and progress to form raised, red, pale-centred marks
• severe flaking or peeling of the skin
• severe blisters and bleeding in the lips, eyes, mouth, nose and genitals
• severe skin reaction which starts with painful red areas, then large blisters and ends with peeling of layers of skin. This may be accompanied by fever and chills, aching muscles and generally feeling unwell
• chest pain
• loss of vision; may be temporary or more gradual.
These are very serious side effects. You may need urgent medical attention or hospitalisation. These side effects are very rare.
Other side effects not listed above may occur in some patients. Tell your doctor or pharmacist if you notice anything that is making you feel unwell.
Keep your tablets in the box until it is time to take them.
If you take the tablets out of the box they will not keep well.
Keep your tablets in a cool dry place where the temperature stays below 25°C.
Do not store ACCURETIC or any other medicine in the bathroom or near a sink.
Do not leave it on a windowsill or in the car on hot days.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and- a-half metres above the ground is a good place to store medicines.
If your doctor or pharmacist tells you to stop taking ACCURETIC or the tablets have passed their expiry date, ask your pharmacist what to do with any that are left over.
What it looks like
ACCURETIC tablets come in two strengths and each has a different appearance:
• ACCURETIC 10/12.5 - Pink, oval, biconvex, film-coated tablets, scored on both sides
• ACCURETIC 20/12.5 - Pink, triangular, biconvex, film-coated tablets, scored on one side
A box of ACCURETIC contains 30 tablets.
• ACCURETIC 10/12.5 - 10 mg quinapril hydrochloride and 12.5 mg hydrochlorothiazide per tablet
• ACCURETIC 20/12.5 - 20 mg quinapril hydrochloride and 12.5 mg hydrochlorothiazide per tablet
• Magnesium carbonate
• Magnesium stearate
• Candelilla wax
• Opadry Pink OY-S-6937. ACCURETIC does not contain
sucrose, gluten, tartrazine or any other azo dyes.
ACCURETIC is supplied in
Pfizer Australia Pty Ltd
ABN 50 008 422 348
38-42 Wharf Road
West Ryde NSW 2114
Toll Free Number: 1800 675 229
ACCURETIC is supplied in
New Zealand by:
Pfizer New Zealand Ltd
PO Box 3998
Toll Free Number: 0800 736 363
ACCURETIC 10/12.5 - AUST R
ACCURETIC 20/12.5 - AUST R
This leaflet was prepared in April
© Pfizer Australia Pty Ltd 2013.
®Registered Trade Mark
- Delivery info
SUPERPHARMACY Orders will be packaged in plain impervious packaging that is unmarked for security and privacy reasons. Orders will be dispatched as soon as possible once payment is received. For Orders containing prescription items please see the prescription processing procedure. Orders for both prescription and non-prescription items will most likely be delivered separately, unless otherwise directed, where we do not hold the prescription paperwork at the time of placing the order.
PRESCRIPTION PROCESSING PROCEDURE
Orders for prescription items can only be processed once we physically receive your prescription paperwork. Prescription product orders will be dispensed and dispatched on the business day the prescription or valid repeat authorisation is received at the SUPERPHARMACY registered premises.Please send your prescription paperwork to the appropriate store
NSW, NT and TAS: SUPERPHARMACY PO Box 1877 Hornsby Westfield 1635
QLD: Superpharmacy 187 Days Road Grange Qld 4051
SA: Superpharmacy 41 Hindley street Adelaide, SA 5000
VIC: Superpharmacy 92 Lygon Street East Brunswick NSW 3057
WA: Superpharmacy 259 Walcott St, North Perth WA 6006
Ensure to allow sufficient time for the delivery of your prescription or repeat authorisation paperwork to us and the subsequent order delivery via our specialised delivery network. We recommend considering a total of up to 7 days for metro areas or 10 days in remote areas. If we do not already hold your prescription paperwork, it will be necessary for you to send the prescription paperwork to us before we can dispatch your order. Please also allow appropriate time for the prescription to reach us and for the order to be sent back so as to avoid running out of your ongoing prescription medicine.
SUPERPHARMACY uses various means of delivery to minimise delivery wait times, the services of: Star Track Couriers, localised contract Courier services and Australia Post are contracted for all deliveries. All Orders will be delivered to the stated address and will require a recipient photo identification and a signature confirming receipt. Due to security procedures and legal requirements all Order goods will not be left unattended. Where no one is present at the delivery address to sign for the parcel, a card will be left detailing how the Order will be subsequently delivered, details of the delivery process and conditions are included in the SUPERPHARMACY Terms and Conditions found on the Site.
SUPERPHARMACY will dispatch most orders within ONE business day on Monday to Friday assuming all items are in stock. All other orders will be dispatched as quickly as possible thereafter. It may be necessary for some orders to be shipped in more than one box from different distribution sites and therefore you may obtain these parcels at different times. We will notify you via email if there is a delay in the delivery of an item in your Order and what action we have taken. Please contact our Customer Service on 1300 4MEDICINE if you would like an alternative product or an alternative arrangement. Order processing and delivery times may vary in peak times with special arrangements during peak volume times such as Christmas, Mother's Day and SUPERPHARMACY promotions. Contact our Customer Service on 1300 4MEDICINE or more information.
Australia Wide shipment details
Standard Australia Post shipping within Australia
Please allow between 1-8 working days from the date we ship your order (by location in Australia).
FLAT RATE SHIPPING - Australian Orders
Less than $75.00: $8.95
ORDER VALUE of $75.00 or greater, FREE Delivery (Delivery Waiver)
PBS Concession Card Holders who Order a prescription item will receive FREE Delivery (Delivery Waiver) regardless of Order value
Anticipated Delivery Times by location
Standard Parcel Delivery Times in business days
NEW SOUTH WALES / AUSTRALIAN CAPITAL TERRITORY
Sydney metropolitan 1 day
NSW country 1-2 days
Canberra Metro Areas 1-3 days
Melbourne Metro areas 1 day
VIC country 2-3 days
Brisbane Metro Areas 1-2 days
South East QLD 1-2 days
Central QLD 2-3 days
Far North QLD2-4 days
Far North QLD (Remote Islands) 8-10 days
Hobart/ Launceston Metro Areas 1-2 days
Regional Tasmania 3-4 days
Adelaide Metro Areas 1-2 days
SA country 3-4 days
Darwin Metro Areas 3-4 days
Alice Springs 4-5 days
NT country 8-12 days
Perth metropolitan 1-2 days
WA country 1-4 days
Postage and handling for international orders
We do not currently deliver outside of Australia
- Returns & exchanges
The SUPERPHARMACY Returns Policy applies to all purchases of Products using the Site and forms part of the terms and conditions. If you wish to return a Product in accordance with our Returns Policy, then you must:
(a) Check your Goods as soon as they are delivered to you in order to ensure that: (i) they are what you ordered; and (ii) they are not damaged or faulty. If this is not the case you should contact Customer Service by telephone 13004MEDICINE to make arrangements to return that Product. The return of a Product must be authorised by the appointed SUPERPHARMACY
Customer Service officer prior to taking any action to return the Product. We will provide a
Return Authorisation Number which must be quoted when authorised to return a Product.
Damaged or Defective Goods
We will replace or refund (at our discretion) any items delivered to you that are damaged or defective at no charge.
A Product refund will be arranged as follows:
(1) You may return the Product to us at the time we deliver your next Order. Upon confirmation from the driver that the goods have been received in the condition supplied, we will refund your card of purchase with the funds being available within 3-5 business days.
(2) You may return the Product to a “Click & Collect” location as arranged with you, by our Customer Service Officer, for return back to SUPERPHARMACY, or
(3) By using a Free Post Postal Address provided by the Customer Service officer where there is no nearby “Click & Collect” location. The Product returned must include details of the Order and the Return Authorisation Number. Upon receipt of the returned Product we will refund your card of purchase with the funds being available within 3-5 business days.
A Product replacement will be arranged as follows:
(1) We may replace the Product at the time we are able to facilitate the next delivery. Upon confirmation from the driver that the goods have been received in the condition supplied, we will replace the Product.
(2) You may return the Product to a “Click & Collect” location as arranged with you by our Customer Service Officer for replacement by SUPERPHARMACY.
Incorrect Items Ordered
We will issue a full refund for items you ordered incorrectly if you notify us within 7 days of placing the order on the Site, this Product return refund is conditional on all item(s) being returned to SUPERPHARMACY unopened and in the original packaging. Postage costs will not be refunded. Please send the Product by registered mail as no item will be refunded until received by us. If we have sent you the incorrect product from what you ordered please contact our Customer Service on 13004MEDICINE.
When you return a Product please ensure it is packed to avoid damage in transit. We highly recommend you photograph the Product inside the packing prior to sending.
Due to NSW Health Regulations, prescription items cannot be returned for refund.
The SUPERPHARMACY Returns Policy applies in addition to any other rights to which you may be entitled under the consumer guarantees provisions of the Australian Consumer Law.