Imidapril helps to keep your blood pressure under control.
This medicine may be used to treat other conditions as decided by your doctor.
Take Imidapril exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
Take it on an empty stomach, at least 15 minutes before meals. Try to take it at the same time each day.
The dose of this medicine will be decided by your doctor. Your doctor will advise you on the treatment timeframe depending on your response to the medication.
Imidapril must be taken regularly for it to be effective. Continue taking this medicine even when you feel better. Do not stop taking it unless instructed by the doctor.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
Alert your doctor if you have the following conditions:
- previously experienced angioedema (swelling of the face, eyes, lips, tongue or throat) after taking similar medicines such as captopril
- angioedema due to family history or an unknown reason
- severe kidney disease or undergoing dialysis
- are undergoing certain treatment known as LDL apheresis (a nonsurgical therapy that removes bad cholesterol in the blood)
as Imidapril may not be suitable for you.
Do not take this medicine if you are pregnant or planning to have a baby soon. If you become pregnant while being treated with Imidapril, alert your doctor immediately. This medicine may cause harm to your unborn child.
Do not take Imidapril with aliskiren (medicine for high blood pressure) if you have diabetes or kidney disease.
Inform your doctor if you have the following conditions:
- heart disease e.g. heart failure, narrowing of the valves of the heart, chest pain, abnormally thick heart muscle
- disease of the blood vessels supplying the brain
- immune system disease affecting collagen e.g. systemic lupus erythematosus (an autoimmune disease that causes inflammation)
- diabetes
- high potassium levels in the blood
- low volume of circulating fluids in the body
- mild to moderate kidney disease
- liver disease
Let your doctor know if you are breastfeeding.
Be sure to check with your doctor or pharmacist before giving Imidapril to the elderly. Elderly people may be more sensitive to the side effects.
If you are going to have an operation, including minor surgery and dental work, inform your doctor or dentist that you are taking this medicine.
If you are of a Black race, Imidapril may be less effective. Inform your doctor if you are taking this medicine.
For as long as you are taking Imidapril, you may need to have regular blood tests to check your body's response to the medicine. Your doctor will advise you about how often you need to have blood tests.
What lifestyle changes can I make to improve my blood pressure?
Regular exercise and eating a healthy diet will help control your blood pressure and improve your overall health. Engage in physical activity like walking for at least 30 to 60 minutes on most days of the week. If you have not exercised for a long time, start with light exercises such as slow walks. Speak to your doctor about what type of exercise would be suitable for you. Follow a healthy diet plan by eating more fruits, vegetables, whole grains, and low-fat dairy products and reduce your intake of foods high in saturated fat, cholesterol, and sodium. Cutting down on deep-fried foods and using less salt when cooking can kick-start your healthy diet.
If you smoke, you should try to quit. Smoking is harmful to your blood pressure, heart, and overall health. Speak to your doctor or pharmacist about ways to stop your smoking habit.
Imidapril may cause dizziness. If affected, do not drive or take part in any activity in which you need to be alert.
You may experience dizziness when getting up from a sitting or lying down position, especially if you are taking this medicine for the first time. This is common and should disappear gradually as you get used to Imidapril. It will help if you get up slowly from a sitting or lying position. If you are taking this medicine for the very first time, you may take the first dose of Imidapril at bedtime to minimise dizziness.
Other side effects include any of the following: headache, drowsiness, nausea, vomiting, indigestion, pain in the limbs, and dry cough.
Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:
- rashes, breathlessness, swelling of the face, eyes, mouth or throat
- unable to pass urine, change in the amount of urine passed, blood in the urine
- unusual bleeding or bruising, frequent and persistent sore throat with fever
- yellowing of the skin or eyes, abdominal pain, dark coloured urine, tiredness, swelling in the legs and ankles
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Do not take Imidapril with aliskiren (medicine for high blood pressure) if you have diabetes or kidney disease.
Inform your doctor and pharmacist if you are taking any of these medicines:
- other medicines for high blood pressure e.g. losartan, valsartan
- water pills or medicines for water retention e.g. spironolactone, triamterene, hydrochlorothiazide
- NSAIDs (medicines for pain and inflammation) e.g. aspirin, indometacin
- medicines for diabetes e.g. insulin, pioglitazone
- medicines for chest pain e.g. glyceryl trinitrate
- procainamide (medicine for irregular heartbeat)
- allopurinol (medicine for gout or high uric acid level in the blood)
- lithium (medicine for mood disorders)
- rifampicin (medicine to treat TB, a lung infection known as tuberculosis)
- potassium supplements
This list does not include all medicines that may interact with Imidapril.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements and medicines that you buy without a prescription.
Avoid alcohol.
Cut down on your salt intake. This may help lower your blood pressure and improve your overall health. Discuss with your doctor or dietitian about ways to cut down on your salt intake.
Do not take salt substitutes that contain potassium.
Avoid taking too much food that is high in potassium, such as orange juice, bananas, or prunes.
Store in a cool, dry place away from the reach of children.
Medicines must not be used past the expiry date.
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