Health Topics

• Give this medicine only as directed, and do not stop unless directed to stop by your child's doctor.
• It is best to give this medicine on an empty stomach one hour before or two hours after meals.
• Tell your doctor about any allergies, especially prescription allergies, and allergies to insect venom (such as bees) since this reaction may be worse with ACE inhibitors.
• Tell your doctor about your child’s other conditions, especially heart and kidney disease, diabetes, lupus, scleroderma or angioedema.
• Tell your doctor what prescription and nonprescription medicines, vitamins and supplements your child is taking.   Be sure to mention any of the following:  aliskiren (for diabetes), NSAIDS (such as Motrin, ibuprofen), lithium, diuretics, and any medication raising potassium or decreasing kidney function.
• Do not use a salt substitute, or potassium supplement without your doctor's advice, since ACE inhibitors may also increase potassium.
• Limit or avoid natural licorice, which can cause the body to retain sodium and water.
• Follow up with your doctor regularly.   Your doctor may do blood tests to make sure the medicine is working properly, and may make changes to your child’s dose as needed.
• Do not take ACE inhibitors if you are pregnant or actively trying to become pregnant, since ACE inhibitors may be harmful to the fetus, especially in early pregnancy.
• You may feel lightheaded when you first start taking this medicine, or if your doctor increases the dose.   Standing up slowly and drinking plenty of fluids may help.    If you have a fainting spell, call your doctor right away.
• Plan ahead so you do not run out of medication since this may cause swings in blood pressure.
• Tell your doctor if your child is having surgery, or a sedated procedure, since he or she may want to adjust the medication around the procedure time.
• This medication may have a slight sulfur odor (like rotten eggs).
• Do not use this medicine after the expiration date on the bottle or package.
• Keep this medication out of the reach of children. 
• If too much medicine is taken by accident, call the Drug and Poison Information Center (DPIC), 513-636-5111 or 1-800-222-1222, or call your child's doctor right away.

• Dizziness
• Rash
• Dry cough
• Headache
• Fatigue
• Upset stomach
• Changes in taste
• Chest pain, fast heart beat
• Changes in lab / blood work

There may be other side effects, so call your doctor if any concerns develop.

Call if your child is having any side effects, especially:

• Trouble breathing or swallowing
• Swelling of the lips, tongue, throat, face, hands, feet or ankles
• Vomiting, diarrhea, or other condition causing dehydration, since this may lower blood pressure
• Excessive sweating
• Persistent cough
• Fainting
• Yellowing of the skin or eyes
• Fever, or other signs of infection