Flumarc may be available in the countries listed below.
Terazosin hydrochloride (a derivative of Terazosin) is reported as an ingredient of Flumarc in the following countries:
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Sal Dietetica may be available in the countries listed below.
Potassium Chloride is reported as an ingredient of Sal Dietetica in the following countries:
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Rowenopril may be available in the countries listed below.
Lisinopril is reported as an ingredient of Rowenopril in the following countries:
Lisinopril dihydrate (a derivative of Lisinopril) is reported as an ingredient of Rowenopril in the following countries:
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Heparina may be available in the countries listed below.
Heparin sodium salt (a derivative of Heparin) is reported as an ingredient of Heparina in the following countries:
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Symitec may be available in the countries listed below.
Cetirizine dihydrochloride (a derivative of Cetirizine) is reported as an ingredient of Symitec in the following countries:
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Generic Name: hydralazine/hydrochlorothiazide/reserpine (hye DRAL a zeen/hye droe klor oh THYE a zide/re SER peen)
Brand Names: Diuretic Ap-Es, Hydrap-ES, Ser-Ap-Es, Serpazide, Tri-Hydroserpine, Uni Serp
Hydralazine is a vasodilator. It lowers blood pressure by relaxing (widening) blood vessels (veins and arteries) and making it easier for your heart to pump.
Hydrochlorothiazide is a thiazide diuretic (water pill). It helps to lower your blood pressure and decrease edema (swelling or water retention) by increasing the amount of salt and water you lose in your urine.
Reserpine lowers blood pressure by decreasing the levels of certain chemicals in your blood. This allows your blood vessels (veins and arteries) to relax and your heart to beat more slowly and easily.
The combination, hydralazine/hydrochlorothiazide/reserpine, is used to lower high blood pressure.
Hydralazine/hydrochlorothiazide/reserpine may also be used for purposes other than those listed in this medication guide.
have an allergy to sulfa-based drugs such as sulfa antibiotics;
have coronary heart disease or mitral valvular rheumatic heart disease;
have peptic ulcer disease (stomach ulcers);
have ulcerative colitis;
are suffering from depression (especially if you have suicidal thoughts);
are receiving electroconvulsive shock therapy; or
have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days.
You may not be able to take hydralazine/hydrochlorothiazide/reserpine if you have any of the conditions listed above.
Before taking this medication, tell your doctor if you
have gallstones,
have diabetes,
have gout,
have a collagen vascular disease such as systemic lupus erythematosus,
have pancreatitis,
have asthma,
have any type of heart disease,
have had a stroke or a transient ischemic attack (mini-stroke),
have high cholesterol or high levels of fat in your blood, or
have pulmonary hypertension (a type of lung disease).
You may require a dosage adjustment or special monitoring during therapy with hydralazine/hydrochlorothiazide/reserpine if you have any of the conditions listed above.
Take the medication exactly as directed. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
Do not suddenly stop taking hydralazine/hydrochlorothiazide/reserpine. Stopping suddenly could make your condition much worse or cause very serious side effects. Talk to your doctor before you stop taking this medication.
Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the dose you missed and take only your next regularly scheduled dose. Do not take a double dose of this medication.
Symptoms of an overdose include low blood pressure (fainting, dizziness, weakness), slow pulse or an irregular heartbeat, low body temperature, diarrhea, increased urination, vomiting, headache, flushing of the skin, and slow breathing.
Do not let yourself become overheated in hot weather or during exercise, and use caution if you have a fever. Dehydration may increase the effects of hydralazine/hydrochlorothiazide/reserpine, and you may become very dizzy.
an allergic reaction (difficulty breathing, closing of your throat, swelling of your lips, tongue or face, hives);
irregular or fast heartbeats or a fluttering feeling in your chest;
new or worsening chest pain;
heart failure (shortness of breath, swelling of ankles or legs, sudden weight gain of 2 pounds in one day or 5 pounds in one week);
unusual fatigue or confusion;
abnormal bleeding or bruising;
yellow skin or eyes;
blood in your urine or stools;
little or no urine;
numbness, tingling, pain, or weakness of your arms or legs; or
fainting.
Other, less serious side effects are more likely to occur. Continue to take hydralazine/hydrochlorothiazide/reserpine and talk to your doctor if you experience
mild fatigue, drowsiness, or dizziness;
headache;
water retention (swelling of the hands, feet, or ankles);
anxiety, depression, or nightmares;
diarrhea, nausea, vomiting , abdominal pain;
stuffy nose or a dry mouth;
muscle weakness or cramps;
increased hunger, thirst, or urination;
a rash;
sensitivity to sunlight; or
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
Do not take this medication if you have taken a monoamine oxidase inhibitor (MAOI), such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate), in the last 14 days.
Before taking this medication, tell your doctor if you are taking any of the following drugs:
digoxin (Lanoxin, Lanoxicaps);
quinidine (Cardioquin, others);
lithium (Lithobid, Eskalith, others);
an antidiabetic medicine such as glipizide (Glucotrol), glyburide (Micronase, Glynase, Diabeta), and others; or
a steroid medicine such as prednisone (Orasone, Deltasone), prednisolone (Delta Cortef, Prelone), methylprednisolone (Medrol), and others.
You may not be able to take hydralazine/hydrochlorothiazide/reserpine, or you may require a dosage adjustment or special monitoring during your treatment if you are taking any of the medicines listed above.
Also, before taking hydralazine/hydrochlorothiazide/reserpine, tell your doctor if you are taking any medicine to treat high blood pressure, water retention, heart problems, prostate problems, or another condition. Some medicines used to treat these conditions may interact with hydralazine/hydrochlorothiazide/reserpine, and the interaction may increase the effects on your heart.
Hydralazine/hydrochlorothiazide/reserpine may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine unless your doctor approves.
Drugs other than those listed here may also interact with hydralazine/hydrochlorothiazide/reserpine or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.
Hydralazine/hydrochlorothiazide/reserpine is available with a prescription under the brand name Ser-Ap-Es. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.
Hydralazine/hydrochlorothiazide/reserpine strengths are as follows:
Ser-Ap-Es (25 mg/15 mg/0.1mg)--round, salmon-pink, dry-coated tablets
See also: Diuretic Ap-Es side effects (in more detail)
Sélégiline may be available in the countries listed below.
Sélégiline (DCF) is known as Selegiline in the US.
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Glossary
| DCF | Dénomination Commune Française |
