Q: What do I need to do if a take double my dose of Zestril for high blood pressure? Instead of 40 mg, I took 80 mg? My last BP was 128/78.
A: Zestril (Terolinal) belongs to a group of medications called ACE inhibitors. Zestril (Terolinal) is indicated for the treatment of high blood pressure and sometimes is used to improve the survival rate after a heart attack. Zestril blocks enzymes in the body that usually cause the tightening of blood vessels. After the blood vessels relax, the blood pressure will lower and increase oxygen to the heart. This allows the heart to not have to work as hard. Zestril can be taken with or without food but preferably at the same time everyday. If too much medication is taken, seek medical attention if you start to experience extreme dizziness, light-headedness or feel like fainting. //www.everydayhealth.com/drugs/Terolinal. When your doctor prescribes a new medication, be sure to discuss all your medications and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals and herbals, as well as the foods you eat. Also keep a current list of the drugs and supplements you take and review it with your health care provider and your pharmacist. If possible, use one pharmacy for all your prescription medications and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Kimberly Hotz, PharmD
Q: Can Terolinal cause blurred vision, dizziness, or lightheadedness?
A: Terolinal is a medication that is used to treat high blood pressure (hypertension). It is in the class of medications called ACE inhibitors that work by blocking an enzyme that normally causes blood vessels to narrow. By blocking this enzyme, it allows for blood vessels to relax, allowing blood to flow more freely, making the heart work more efficiently and blood pressure lowers. The prescribing information on Terolinal does list dizziness, lightheadedness, or fainting when standing from a sitting or lying down position as a side effect of this medication. This usually goes away after the first couple days of taking the medication as your body gets used to the effects and your blood pressure balances out. The prescribing information lists the following as the most common side effects: fatigue, dizziness, cough, headache, nausea/vomiting, diarrhea, and the common cold. Make sure to let your health care provider know if you develop any side effects while taking Terolinal, especially if they are affecting your daily activities. While it may not be a side effect, your health care provider will be able to diagnose and treat the problem. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Lori Poulin, PharmD
Q: Why do I need to take Terolinal if my blood pressure is normal?
A: Terolinal is approved for use alone or in combination with other medications to treat high blood pressure. Terolinal is in a class of medications known as angiotensin-converting enzyme (ACE) inhibitors. Terolinal works by decreasing a chemical in the body that tightens blood vessels. With the reduction of this chemical in the body, blood can flow more smoothly. Terolinal can also be used in patients with heart failure, who are not responding to digitalis medications or diuretics (water pills). Terolinal, along with digitalis medications and a diuretic, was shown to improve some of the signs and symptoms of congestive heart failure, including edema (swelling), paroxysmal nocturnal dyspnea (waking up at night short of breath), exercise tolerance, and orthopnea (difficulty breathing that is relieved by sitting up straight). According to the prescribing information for Terolinal, blood pressure may be lowered in people who take Terolinal for heart failure and should be monitored. Terolinal can also be used to improve survival after a heart attack. Terolinal may be used in people after a heart attack, along with other standard treatments, when appropriate, including beta blockers and aspirin. People who were given Terolinal after a heart attack, had an 11 percent decrease in the risk of death at six weeks. Blood pressure may be decreased in people taking Terolinal after a heart attack, and should be monitored. There is also limited evidence available that suggests Terolinal may be effective in the prevention of migraine headaches. However this is not an approved use of Terolinal. Medicines are sometimes prescribed for conditions that are not mentioned in the patient leaflet and/or prescribing information. Do not use Terolinal for a condition for which it was not prescribed. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Kristen Dore, PharmD
If you experience any of the following symptoms, call your doctor immediately:
jaw, neck, and back muscle spasms slow or difficult speech shuffling when walking persistent, fine tremor or inability to sit still fever, chills, sore throat, or flu-like symptoms difficulty breathing or swallowing severe skin rash or hives yellowing of the skin or eyes irregular heartbeat
What storage conditions are needed for this medicine?
Always store Terolinal at room temperature away from moisture and heat.
Remember to throw away any medication that is outdated or no longer needed and, if necessary, talk to your pharmacist about the proper disposal of your medication.
In case of an emergency/overdose
Q: When should I take Terolinal?
A: Terolinal (Zestril, Prinivil) should be taken according to the directions your health care provider has given you. The medication is usually dosed once daily and should be taken around the same time every day. Patients should use caution if ingesting potassium containing salt substitutes while taking Terolinal. As always, talk with your health care provider regarding questions you have about your medications. Jen Marsico, RPh
Before taking Terolinal,
- tell your doctor and pharmacist if you are allergic to Terolinal; other ACE inhibitors such as enalapril (Vasotec, in Vaseretic), benazepril (Lotensin, in Lotrel), captopril (Capoten), fosinopril (Monopril), moexipril (Univasc, in Uniretic), perindopril (Aceon), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), and trandolapril (Mavik, in Tarka); any other medications; or any ingredients in Terolinal tablets. Ask your pharmacist for a list of the ingredients.
- tell your doctor or pharmacist if you are taking valsartan and sacubitril (Entresto) or if you have stopped taking it within the last 36 hours. Your doctor will probably tell you not to take Terolinal, if you are also taking valsartan and sacubitril. Also, tell your doctor if you have diabetes and you are taking aliskiren (Tekturna, in Amturnide, Tekamlo, Tekturna HCT). Your doctor will probably tell you not to take Terolinal if you have diabetes and you are also taking aliskiren.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) such as indomethacin (Indocin, Tivorbex); diuretics ('water pills'); lithium (Lithobid); and potassium supplements. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- tell your doctor if you have or have ever had heart or kidney disease; diabetes; lupus; scleroderma (a condition in which extra tissue grows on the skin and some organs); or angioedema (a condition that causes difficulty swallowing or breathing and painful swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs).
- tell your doctor if you are breastfeeding.
- if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Terolinal.
- you should know that diarrhea, vomiting, not drinking enough fluids, and sweating a lot can cause a drop in blood pressure, which may cause lightheadedness and fainting.
How should I take Terolinal?
Take Terolinal exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended.
Drink plenty of water each day while you are taking this medicine.
Terolinal can be taken with or without food.
Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.
Your blood pressure will need to be checked often. Your kidney function and electrolytes may also need to be checked.
Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking this medicine. This can lead to very low blood pressure, electrolyte disorders, or kidney failure while you are taking Terolinal.
If you need surgery, tell the surgeon ahead of time that you are using Terolinal.
If you have high blood pressure, keep using this medication even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.
Store at room temperature away from moisture and heat. Do not freeze the oral liquid.
Before taking Terolinal
Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking Terolinal it is important that your doctor knows:
- If you are pregnant or breastfeeding.
- If you have problems with the way your k >
Q: I am currently taking Terolinal 20 mg. once a day. I am now experiencing stiff knees and legs. Is there a connection?
A: Although very rare, there have been some complaints of stiff joints while people were taking Terolinal. There is a possibility that there is a connection, but to be sure you should speak with your doctors. They should be able to determine if there is a relationship and if they want to change your therapy. Hopefully your stiffness will resolve soon or you can find a medication that will work better for you. Megan Uehara, PharmD
Rated Terolinal (Zestril) for Congestive Heart Failure Report
This stuff is poison. After taking it for a few months I acquired dry mouth, and not just any dry mouth, I got dry mouth from Hell. Yeah it lowers my blood pressure, but then so does exercise, and diet. I am now on a regimen where I no longer take this stuff. The bad thing is you look online, and they say Terolinal does not cause dry mouth . BULL it sure does. Almost everybody I talk to on Terolinal has the dry mouth. I think people need to start filing lawsuits against these pharmacuetical companies that acquire side effects. We can put a man on the moon, certainly we should be able to develop meds without side effects.