Proper Use
Your doctor will tell you how much of this medicine to use and how often. Your dose may need to be changed several times in order to find out what works best for you. Do not use more medicine or use it more often than your doctor tells you to.
In addition to the use of this medicine, treatment for your high blood pressure may include weight control and changes in the types of foods you eat, especially foods high in sodium (salt). Your doctor will tell you which of these are most important for you. You should check with your doctor before changing your diet.
Many patients who have high blood pressure will not notice any signs of the problem. In fact, many patients feel normal. It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well.
Remember that this medicine will not cure your high blood pressure but it does help control it. Therefore, you must continue to take it as directed if you expect to lower your blood pressure and keep it down. You may have to take high blood pressure medicine for the rest of your life. If high blood pressure is not treated, it can cause serious problems such as heart failure, blood vessel disease, stroke, or kidney disease.
The capsule or tablet is usually swallowed whole. If you cannot swallow the capsule, you may open it and sprinkle the contents on a small amount (4 ounces) of applesauce or mix it in 4 ounces of water or apple juice. Eat all of the food or drink all of the liquid to make sure you get the correct amount of medicine.
Dosing
The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
- For oral dosage forms (capsules or tablets):
- For preventing heart attacks, strokes, or death:
- Adults—At first, 2.5 milligrams (mg) once a day for one week. For the next three weeks, the dose is 5 mg per day as a single dose. Then, your doctor may increase your dose as needed. However, the dose is usually not more than 10 mg per day taken as a single dose or divided into two doses.
- Children—Use and dose must be determined by your doctor.
- For high blood pressure:
- Adults—At first, 2.5 milligrams (mg) once a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 20 mg per day taken as a single dose or divided into two doses.
- Children—Use and dose must be determined by your doctor.
- For treatment after a heart attack:
- Adults—At first, 2.5 milligrams (mg) two times a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 5 mg two times a day.
- Children—Use and dose must be determined by your doctor.
- For preventing heart attacks, strokes, or death:
Missed Dose
If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
Storage
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
Ask your healthcare professional how you should dispose of any medicine you do not use.


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