USE IN PREGNANCY
When used in pregnancy during the second and third trimesters, ACE inhibitors can cause injury and even death to the developing fetus. When pregnancy is detected, MONOPRIL-HCT should be discontinued as soon as possible. See WARNINGS: Fetal/Neonatal Morbidity and Mortality.
Fosinopril is converted to fosinoprilat by hepatic cleavage of the ester group. Fosinoprilat, the active metabolite of fosinopril, is a non-sulfhydryl angiotensin-converting enzyme inhibitor. Hydrochlorothiazide is a diuretic.
MONOPRIL-HCT (fosinopril sodium-hydrochlorothiazide tablets) is indicated for the treatment of hypertension.
These fixed dose combinations are not indicated for initial therapy. (See DOSAGE AND ADMINISTRATION.)
In using MONOPRIL-HCT, consideration should be given to the fact that another angiotensin-converting enzyme inhibitor, captopril, has caused agranulocytosis, particularly in patients with renal impairment or collagen-vascular disease. Available data are insufficient to show that fosinopril does not have a similar risk (see WARNINGS: Neutropenia/Agranulocytosis).
ACE inhibitors (for which adequate data are available) cause a higher rate of angioedema in black than in non-black patients (see WARNINGS: Head and Neck Angioedema and Intestinal Angioedema).
Media Articles Related to Monopril-HCT (Fosinopril / Hydrochlorothiazide)
ESH/ESC Publish Hypertension Guidelines
Source: Medscape Medical News Headlines [2013.06.15]
The new guidelines make <140 mm Hg the treatment target for all individuals, with a few minor exceptions, and say that all the drug classes have a role in reducing blood pressure. In addition, the ESH/ESC guidelines emphasize a role for ABPM and reiterate their emphasis on combination therapy.
Vitamin D Can Help Prevent Hypertension
Source: Health News from Medical News Today [2013.06.15]
The world's largest study to examine the link between vitamin D levels and hypertension has found that low levels of Vitamin D can be a major cause of hypertension. Researchers presented their findings at the annual conference of the European Society of Human Genetics (ESHG). Data were gathered from 35 studies, which included more than 155,000 participants from different parts of Europe and North America. Dr. Vimal Karani S, from the Institute of Child Health, University College London, London, UK, led the study...
Hypertension Risk Drops with Volunteer Work (CME/CE)
Source: MedPageToday.com - medical news plus CME for physicians [2013.06.14]
(MedPage Today) -- Older adults had a significantly lower risk of developing hypertension if they performed at least 200 hours of volunteer service in the previous year, a longitudinal survey showed.
Link Clarified Between Hypertension And Vitamin D Deficiency
Source: Hypertension News From Medical News Today [2013.06.12]
Low levels of vitamin D can trigger hypertension, according to the world's largest study to examine the causal association between the two. Although observational studies have already shown this link, a large-scale genetic study was necessary before the cause and effect could be proven, the annual conference of the European Society of Human Genetics (ESHG) heard. Dr...
Source: MedicineNet Cirrhosis Specialty [2013.06.10]
Title: Portal Hypertension
Category: Diseases and Conditions
Created: 1/31/2005 8:20:00 AM
Last Editorial Review: 6/10/2013 12:00:00 AM
Page last updated: 2013-06-15