Monopril

Common Name: fosinopril

How does Monopril work?

Fosinopril belongs to the class of medications called ACE inhibitors. It is used for the treatment of high blood pressure and congestive heart failure. It works by relaxing blood vessels and by helping the heart to pump blood that carries oxygen to the different parts of the body more efficiently. Fosinopril may be used in addition to digoxin or a thiazide diuretic or both in the treatment of congestive heart failure. Your doctor may choose to use a medication for conditions other than the ones listed here. If you're unsure why you are taking this medication, contact your doctor.

How should I use Monopril?

The recommended adult dose of fosinopril ranges from 10 mg to 40 mg daily in a single daily dose, with or without meals. The dose of the medication usually begins at 10 mg daily, with increases in dose as directed by your doctor occurring approximately every two weeks as needed. It may take up to two weeks to see the full effects of the medication. Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones above, do not change the way that you are taking the medication without consulting your doctor. It is very important that this medication be taken on a regular schedule as prescribed by the doctor. If you miss a dose of this medication, take it as soon as you remember it. If it is almost time for your next dose, skip the missed dose and carry on with your regular schedule. Do not double-up on doses.

What form(s) does Monopril come in?

Monopril® is available in strengths of 10 mg and 20 mg. 10 mg: Each white-to-off-white, diamond-shaped, compressed tablet, with a partial bisect bar and engraved with "BMS" on one side and "MONOPRIL 10" on the other, contains fosinopril sodium 10 mg. 20 mg: Each white-to-off-white, oval-shaped, compressed tablet, engraved with "BMS" on one side and "MONOPRIL 20" on the other, contains fosinopril sodium 20 mg. Nonmedicinal ingredients: crospovidone, lactose, microcrystalline cellulose, povidone, and sodium stearyl fumarate.

What should I NOT take with Monopril?

This medication should not be taken by anyone who has: an allergy to fosinopril or any ingredients of this medication a history of angioedema (a serious allergic reaction which causes the area around the throat and tongue to swell) after taking any ACE inhibitors (e.g., captopril, enalapril, lisinopril, ramipril)

Are there any other precautions or warnings for Monopril?

Angioedema: Angioedema (a serious allergic reaction which causes the area around the throat and tongue to swell) may occur with use of fosinopril. If you experience swelling of the face, tongue, or throat, stop taking fosinopril at once and get immediate medical attention. Other medications in the class of medications known as ACE inhibitors should not be taken in the future. People who have had angioedema caused by other substances may be at increased risk of angioedema while receiving an ACE inhibitor. Fluid and electrolyte balance: In very few cases, people who take fosinopril experience an increase in blood levels of potassium. This rarely causes problems, but potassium levels should be monitored by your doctor. Kidney function: Changes in kidney function have been seen for certain people who take this medication (e.g., people with narrowed blood vessels in their kidneys, or those with severe congestive heart failure). The use of diuretics (water pills) or nonsteroidal anti-inflammatory drugs (NSAIDs) may further increase risk of kidney problems for people already at risk for this problem. Low blood pressure: Occasionally, blood pressure drops too low after taking fosinopril. This usually happens after the first or second dose or when the dose is increased. It is more likely to occur for those who take water pills, have a salt restricted diet, are on dialysis, are suffering from diarrhea or vomiting, or have been sweating excessively and not drinking enough liquids. If low blood pressure causes you to faint or feel lightheaded, contact your doctor. Pregnancy: Fosinopril should not be taken by pregnant women. If you discover you are pregnant, stop taking fosinopril at once and contact your doctor. Breast-feeding: Fosinopril passes into breast milk. It should not be taken by nursing mothers. Children: The safety and effectiveness of fosinopril for children have not been established. Its use by this age group is not recommended.