Fosinopril is a medication a doctor may prescribe to a patient with high blood pressure or heart failure. This medication is an angiotensin-converting enzyme (ACE) inhibitor, and works by preventing constriction of the blood vessels. It is available by prescription only and patients should carefully review the safety information associated with this medication before they start taking it. It is also important to discuss medical history with a doctor before starting therapy with any ACE inhibitor, as there may be contraindications.
When patients start taking fosinopril, they can experience an adjustment period where the blood pressure drops rapidly and causes discomfort before it levels off and the patient reaches a stable state. During this period, side effects like dizziness, fatigue, and feeling lightheaded can occur. If these symptoms persist, they are signs of an adverse reaction to the medication. Patients may also notice changes in their heart rate along with symptoms like stomach upset.
There is a chance of liver or kidney damage from fosinopril. Patients should make sure they drink enough water and eat a varied diet to avoid electrolyte imbalances. Dehydration can occur in patients without adequate fluid in their diets; things like dark urine or decreased urine production are a cause for concern. Patients may find it helpful to set a daily water goal with their doctors and use a water bottle to keep track of fluid intake.
Like other ACE inhibitors, this medication can be dangerous in pregnancy. Pregnant women with high blood pressure can discuss a number of options for managing their hypertension during pregnancy. While on fosinopril, women should make sure they use birth control if they are sexually active, and if they become pregnant while on the medication, they should immediately discuss the situation with a doctor. The risks of not treating hypertension can be higher than taking medications, but the situation will need careful evaluation to decide on the best treatment options.
In addition to taking fosinopril, the patient may also make some diet and lifestyle changes with the goal of controlling blood pressure more effectively. These can include exercising more and avoiding certain foods. A doctor can discuss measures a patient may take to improve blood pressure. If the patient does not tolerate fosinopril well, the patient can try a different blood pressure medication to see if it is easier to tolerate.