Getting the most from your treatment
- Try to keep your regular appointments with your doctor. This is so your progress can be monitored. Your doctor will want you to have some blood tests from time to time to check that your kidneys are working well.
- It is very important that you follow any dietary and lifestyle advice that you have been given by your doctor. This can include advice about eating a healthy diet, not smoking, and taking regular exercise.
- If you buy any medicines, check with a pharmacist that they are suitable to take with Vitobel. This is because some medicines (such as anti-inflammatory painkillers and indigestion remedies) can interfere with your treatment.
- It is likely that your doctor will advise that you do not use salt substitutes while you are taking Vitobel. These products have a high content of potassium which could be harmful for you.
- If you drink alcohol, ask your doctor for advice about drinking alcohol while you are on Vitobel. Alcoholic drinks can make you feel light-headed or dizzy, and they may not be advisable for you.
- If you have diabetes you may need to check your blood glucose more frequently, as the tablets can lower the levels of sugar in your blood. Your doctor will advise you about this.
- If you are having an operation or dental treatment, tell the person carrying out the treatment that you are taking Vitobel. This is because some anaesthetics could cause your blood pressure to drop too low.
- Treatment with Vitobel is often long-term unless you experience an adverse effect. Continue to take the tablets unless you are advised otherwise.
If you are also taking hydrochlorothiazide in combination with this medicine
- Studies have suggested that taking higher doses of hydrochlorothiazide for long periods of time may increase the risk of certain skin cancers.
- Tell your doctor if you have ever been treated for skin cancer before.
- Tell your doctor about any new or changed moles or worrying marks on your skin.
- Use a sunscreen in strong sunlight. Do not use sunbeds.
Q: I started taking Vitobel 10 mg for my blood pressure. But I am feeling kind of dizzy and I have blurry eyes. Is this normal? What can I do?
A: Vitobel (Vasotec) is an ACE inhibitor used to treat high blood pressure and other heart conditions. Whenever starting a new blood pressure medication you may notice some dizziness especially upon standing. Be sure to stand slowly. If lying down first sit and then slowly stand when getting up. This should improve as your body gets used to having a lower blood pressure. If the dizziness is severe or does not get better, be sure to talk to your healthcare provider. Blood pressure could drop too low and a lower dose of Vitobel (Vasotec) may be necessary. Blurry eyes may be related to the dizziness, if not be sure to tell your healthcare provider. Please see the following Everyday Health link for more information on Vitobel (Vasotec). //www.everydayhealth.com/drugs/Vitobel Laura Cable, PharmD
What other drugs will affect Vitobel?
Tell your doctor about all medicines you use, and those you start or stop using during your treatment with Vitobel, especially:
a diuretic or "water pill";
gold injections to treat arthritis; or
NSAIDs (nonsteroidal anti-inflammatory drugs) - aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.
This list is not complete. Other drugs may interact with Vitobel, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.
2. Key facts
- Vitobel lowers your blood pressure and makes it easier for your heart to pump blood around your body.
- Your first dose of Vitobel may make you feel dizzy, so it's best to take it at bedtime. After that, if you don't feel dizzy, you can take it at any time of day.
- Some people get a dry, irritating cough with Vitobel.
- If you get severe diarrhoea or vomiting from a stomach bug or illness, tell your doctor. You may need to stop taking Vitobel for a while until you feel better.
- Drinking alcohol with Vitobel can make you feel dizzy or light-eaded.
- Vitobel is also called by the brand name Innovace. When it's mixed with hydrochlorothiazide, its brand name is Innozide.
Dry hacking nonproductive cough may occur within few months of treatment; consider other causes of cough prior to discontinuation.
See "What Are Side Effects Associated with Using Vitobel?”
How to store Vitobel
- Keep all medicines out of the reach and sight of children.
- Store in a cool, dry place, away from direct heat and light.
Serious side effects
Some people have serious side effects after taking Vitobel.
Call a doctor straight away if you get:
- yellow skin or the whites of your eyes turn yellow - this could be a sign of liver problems
- paleness, feeling tired, faint or dizzy, any sign of bleeding (like bleeding from the gums or bruising more easily), sore throat and fever and getting infections more easily - these could be signs of a blood or bone marrow disorder
- a faster or irregular heart rate, chest pain and tightness in your chest - these could be signs of heart problems
- shortness of breath, wheezing and tightening of the chest - these could be signs of lung problems
- severe stomach pain that could reach through to your back - this could be a sign of an inflamed pancreas (pancreatitis)
- swollen ankles, blood in your pee or not peeing at all - these could be signs of kidney problems
- weak arms and legs or problems speaking - it's important to check these out in case they are signs of a stroke
If you suspect that you or someone else is having a stroke, phone 999 immediately and ask for an ambulance.
What should I avoid while taking Vitobel?
Drinking alcohol can further lower your blood pressure and may increase certain side effects of Vitobel.
Do not use salt substitutes or potassium supplements while taking Vitobel, unless your doctor has told you to.
Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.