What are the common side effects of indapamide. How should indapamide be taken. What precautions should be followed when using indapamide. What dietary instructions are recommended for indapamide users. How to store and dispose of indapamide properly.

Understanding Indapamide: A Comprehensive Guide

Indapamide is a medication that belongs to the class of drugs known as diuretics, often referred to as “water pills.” It’s primarily prescribed to treat high blood pressure and reduce swelling and fluid retention caused by heart disease. This medication works by affecting the function of your kidneys, promoting the elimination of excess water and salt from your body.

Key Uses of Indapamide

• Treatment of hypertension (high blood pressure)
• Reduction of edema (swelling) associated with heart conditions
• Management of fluid retention

Understanding the proper use and potential side effects of indapamide is crucial for patients to ensure safe and effective treatment. Let’s delve deeper into the essential aspects of this medication.

Common Side Effects of Indapamide: What to Expect

While indapamide is generally well-tolerated, it’s important to be aware of potential side effects that may occur in more than 1 in 100 people. These common side effects include:

• Mild skin rash
• Nausea or vomiting
• Dizziness or feeling faint

Can these side effects be managed? Yes, there are several strategies to cope with these common side effects:

For mild skin rash: Consult your doctor promptly, as your treatment may need adjustment.

To manage nausea or vomiting:

1. Take indapamide after a meal
2. Stick to simple foods, avoiding rich or spicy meals
3. Stay hydrated by drinking water or squash in small, frequent sips

To address dizziness or feeling faint:

1. Sit or lie down until you feel better
2. If dizziness occurs, lie down to prevent fainting, then sit until you recover
3. Avoid driving, cycling, or operating machinery while feeling dizzy

Is it necessary to seek medical advice for persistent side effects? Indeed, if these coping strategies don’t help and a side effect continues to bother you or doesn’t go away, it’s advisable to speak with your doctor or pharmacist.

Serious Side Effects: When to Seek Immediate Medical Attention

While rare, serious side effects can occur in less than 1 in 1,000 people taking indapamide. It’s crucial to be aware of these potentially severe reactions and know when to seek immediate medical help.

When should you contact your doctor or call 111 immediately? Alert medical professionals if you experience:

• Irregular heartbeat (arrhythmia)
• Sudden, severe stomach pain accompanied by nausea, vomiting, diarrhoea, indigestion, high temperature, and abdominal tenderness or swelling – these could indicate pancreatitis
• Symptoms of liver disease, including:
  • Yellow eyes or skin (may be less noticeable on darker skin tones)
  • Dark urine
  • Pale stools
  • Fatigue
  • Loss of appetite

In rare cases, indapamide may trigger a severe allergic reaction (anaphylaxis). This is a medical emergency requiring immediate attention. Call 999 if you experience:

• Sudden swelling of lips, mouth, throat, or tongue
• Rapid or labored breathing
• Throat tightness or difficulty swallowing
• Skin, tongue, or lips turning blue, grey, or pale (may be more noticeable on lighter skin tones)
• Sudden confusion, drowsiness, or dizziness
• Fainting that doesn’t respond to attempts to wake
• In children: limpness, unresponsiveness, or difficulty focusing

A swollen, raised, itchy, blistered, or peeling rash may also indicate a serious allergic reaction requiring immediate hospital treatment.

Long-Term Use of Indapamide: Monitoring and Precautions

For patients on long-term indapamide therapy, regular medical check-ups are essential. These visits typically involve:

• Blood pressure checks
• Blood tests to assess electrolyte balance (calcium, sodium, and potassium)
• Urine tests to evaluate kidney function

How often should these tests be conducted? The frequency of these check-ups depends on several factors:

• The reason for taking indapamide
• Recent changes in dosage
• Presence of side effects
• Other health conditions or medications

Your healthcare provider will determine the appropriate schedule for your monitoring based on your individual circumstances.

Proper Usage and Dosage Guidelines for Indapamide

To ensure the safe and effective use of indapamide, it’s crucial to follow your doctor’s instructions carefully. Here are some general guidelines:

• Take indapamide exactly as prescribed, usually once daily in the morning
• Swallow the tablet whole with a glass of water
• You can take indapamide with or without food, but consistency is key
• If you miss a dose, take it as soon as you remember, unless it’s almost time for your next dose
• Never double up on doses to make up for a missed one

What should you do if you forget a dose? If it’s almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Avoid taking two doses to compensate for a missed one.

Special Precautions and Dietary Considerations

When taking indapamide, certain precautions and dietary considerations can help optimize your treatment and minimize potential risks:

Precautions:

• Inform your doctor about all medications, supplements, and herbal products you’re taking
• Discuss any history of liver or kidney disease, gout, or diabetes with your healthcare provider
• Be cautious when exercising or in hot weather, as indapamide can cause dehydration
• Avoid alcohol, as it can increase the risk of side effects

Dietary Considerations:

• Follow a balanced diet as recommended by your doctor
• Be mindful of your potassium intake, as indapamide can affect potassium levels
• Stay well-hydrated, but avoid excessive fluid intake unless directed by your doctor
• Limit salt consumption, as indapamide is often used to treat conditions exacerbated by high sodium intake

Should you make any drastic changes to your diet while on indapamide? It’s best to consult with your healthcare provider before making significant dietary changes, as they may affect your medication’s efficacy or your overall health.

Storage, Disposal, and Additional Information

Proper storage and disposal of indapamide are important for maintaining its effectiveness and ensuring safety:

Storage:

• Keep indapamide at room temperature, away from heat and moisture
• Store in a tightly closed container
• Keep out of reach of children and pets

Disposal:

• Do not flush indapamide down the toilet or pour it into drains
• Use medication take-back programs or consult your pharmacist for proper disposal methods

Additional Information:

• Keep all appointments with your doctor and laboratory
• Do not let anyone else take your medication
• Ask your pharmacist any questions you have about refilling your prescription

How can you report suspected side effects of indapamide? In the UK, you can use the Yellow Card safety scheme to report any suspected side effects. Visit the Yellow Card website for more information and to submit a report.

By following these guidelines and maintaining open communication with your healthcare provider, you can maximize the benefits of indapamide while minimizing potential risks. Remember, your doctor is your best resource for personalized advice regarding your medication regimen.

Side effects of indapamide – NHS

Common side effects

These common side effects of indapamide happen in more than 1 in 100 people. There are things you can do to help cope with them:

Mild skin rash

If you get a mild rash, speak to your doctor for advice as your treatment may need to be changed.

Feeling or being sick (nausea or vomiting)

Try taking indapamide after a meal. Try to stick to simple foods and avoid rich or spicy meals. Drink water or squash in small, frequent sips so you do not get dehydrated.

Speak to your doctor if you feel sick or are being sick frequently, or are unable to drink properly for more than a week.

If you take contraceptive pills and you’re being sick (vomit) your contraception may not protect you from pregnancy. Look on the pill packet to find out what to do.

Feeling dizzy or faint

Try sitting or lying down until you feel better. If you begin to feel dizzy, lie down so that you do not faint, then sit until you feel better. Do not drive, ride a bike or use tools or machinery while you’re feeling dizzy.

Speak to a doctor or pharmacist if the advice on how to cope does not help and a side effect is still bothering you or does not go away.

Serious side effects

Serious side effects are usually rare and happen in less than 1 in 1,000 people.

Tell your doctor or call 111 straight away if you:

• get an irregular heartbeat (arrhythmia)
• get a severe stomach pain that develops suddenly, along with feeling or being sick, diarrhoea, indigestion, a high temperature, and tenderness or swelling of your stomach – these could be signs of pancreatitis
• feel or start being sick, get yellow eyes or skin, although this may be less obvious on brown or black skin, have dark pee, pale poo, tiredness and loss of appetite – these could be signs of liver disease

Serious allergic reaction

In rare cases, indapamide may cause a serious allergic reaction (anaphylaxis).

Immediate action required: Call 999 now if:

• your lips, mouth, throat or tongue suddenly become swollen
• you’re breathing very fast or struggling to breathe (you may become very wheezy or feel like you’re choking or gasping for air)
• your throat feels tight or you’re struggling to swallow
• your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
• you suddenly become very confused, drowsy or dizzy
• someone faints and cannot be woken up
• a child is limp, floppy or not responding like they normally do (their head may fall to the side, backwards or forwards, or they may find it difficult to lift their head or focus on your face)

You or the person who’s unwell may also have a rash that’s swollen, raised, itchy, blistered or peeling.

These can be signs of a serious allergic reaction and may need immediate treatment in hospital.

Long-term side effects

If you are taking indapamide for a long time, you will occasionally have to see your doctor or nurse to get your blood pressure checked and have blood and urine tests. This is to make sure the salts (calcium, sodium and potassium) in your blood are balanced properly and your kidneys are working well.

How often you’ll need these tests will depend on the reason you’re taking indapamide, whether your dose has changed recently, whether you get side effects from indapamide, or if you have any other health problems or are taking other medicines.

Other side effects

These are not all the side effects of indapamide. For a full list, see the leaflet inside your medicine packet.

Information:

You can report any suspected side effect using the Yellow Card safety scheme.

Visit Yellow Card for further information.

Page last reviewed: 4 March 2022

Next review due: 4 March 2025

Indapamide: MedlinePlus Drug Information

pronounced as (in dap’ a mide)

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Indapamide, a ‘water pill,’ is used to reduce the swelling and fluid retention caused by heart disease. It also is used to treat high blood pressure. It causes the kidneys to get rid of unneeded water and salt from the body into the urine.

This medicine is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

Indapamide comes as a tablet to take by mouth. It usually is taken once a day, in the morning. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take indapamide exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Indapamide controls high blood pressure but does not cure it. Continue to take indapamide even if you feel well. Do not stop taking indapamide without talking to your doctor.

Indapamide also is used to treat swelling and fluid retention caused by various medical conditions other than heart disease. Talk to your doctor about the possible risks of using this medicine for your condition.

Before taking indapamide,

• tell your doctor and pharmacist if you are allergic to indapamide, sulfa drugs, or any other drugs.
• tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially other medications for high blood pressure, corticosteroids (e.g., prednisone), digoxin (Lanoxin), indomethacin (Indocin), lithium (Eskalith, Lithobid), probenecid (Benemid), and vitamins.
• tell your doctor if you have or have ever had heart rhythm problems, diabetes, gout, or kidney, liver, thyroid, or parathyroid disease.
• tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. Do not breast-feed while taking this medicine. If you become pregnant while taking indapamide, call your doctor.
• if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking indapamide.
• you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.
• remember that alcohol can add to the drowsiness caused by this drug.

Follow your doctor’s directions. They may include a daily exercise program and a low-sodium or low-salt diet, potassium supplements, and increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice) in your diet.

Take the missed dose as soon as you remember it. However, if it is almost time for your next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Frequent urination may last for up to 6 hours after a dose and should decrease after you take indapamide for a few weeks. Tell your doctor if any of these symptoms are severe or do not go away:

• muscle cramps
• drowsiness
• dizziness
• confusion
• thirst
• upset stomach
• vomiting
• stomach cramps
• decreased sexual ability
• blurred vision

If you have any of the following symptoms, call your doctor immediately:

• rapid, excessive weight loss
• severe skin rash with itching
• difficulty breathing or swallowing

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting program online (http://www. fda.gov/Safety/MedWatch) or by phone (1-800-332-1088).

Keep this medicine in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).

It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. http://www.upandaway.org

Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.

In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at https://www.poisonhelp.org/help. If the victim has collapsed, had a seizure, has trouble breathing, or can’t be awakened, immediately call emergency services at 911.

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^¶ This branded product is no longer on the market. Generic alternatives may be available.

Last Revised – 10/15/2017

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What helps, side effects, contraindications

THERE ARE CONTRAINDICATIONS. POSSIBLE SIDE EFFECTS. A SPECIALIST’S CONSULTATION IS REQUIRED. number 31917

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Contents of the article

• Indapamide: dosage
• Indapamide: mechanism of action
• Indapamide: before meals or after meals
• Indapamide: how long can you take it without interruption
• Indapamide: contraindications
• Indapamide: side effects for women
• Indap or Indapamide: which is better
• Summary
• Ask an expert on the topic of the article

Diuretics are medicines with a diuretic effect. Diuretic drugs began to be used for long-term treatment of arterial hypertension in the late 1950s. Medicines from the group of thiazide diuretics are prescribed for the treatment of hypertension in patients with osteoporosis. Often osteoporosis occurs in women during menopause. In this case, drugs of the thiazide group are the drugs of choice in the treatment of arterial hypertension in combination with osteoporosis.

Let’s talk about one of the drugs, its use – Indapamide.

Indapamide: dosage

Preparation with the same active ingredient.

Indapamide is available in two strengths – Indapamide 2.5 mg and Indapamide retard 1.5 mg. The prefix retard means that the drug is of moderate strength and long duration.

All products Indapamide

12 reviews

Indapamide: mechanism of action

The drug belongs to sulfonamide derivatives, inhibits the absorption of sodium ions in the kidneys. This increases the release of sodium, potassium, magnesium and chlorine ions, which leads to an increase in the volume of urine formed over a certain period of time. Does indapamide help with pressure? Yes, the drug has a hypotensive effect by improving the elastic properties of the arteries and reducing vascular resistance.

Indapamide before meals or after meals

Indapamide tablets can be taken with or without food, preferably in the morning.

Indapamide: how long can I take it without interruption

Can I take Indapamide continuously? To treat hypertension, doctors prescribe Indapamide to be taken on a regular basis. If within 4-8 weeks there is no desired therapeutic effect, it is necessary to tell the doctor about it.

Indapamide: contraindications

The drug has the following contraindications:

• individual intolerance to the drug components
• renal insufficiency
• liver disorders
• hypokalemia
• galactose and lactase intolerance, glucose-galactose malabsorption
• pregnancy and lactation
• children under 18 years of age

Indapamide: side effects for women

Patients most often report such adverse reactions as:

• allergic rash
• abdominal and chest pain
• edema
• constipation, nausea, diarrhea
• cough, pharyngitis, sinusitis

Seek medical attention if adverse reactions occur.

Indap or Indapamide: which is better

The drugs have identical active ingredients. Accordingly, the pharmacological action, contraindications and side effects are similar.

Indapamide and Indap are available in tablets and capsules.

Indap is produced in the Czech Republic, Indapamide is produced by many Russian manufacturers.

It is impossible to draw a conclusion about which drug is better. The drug can be selected from your own preferences and pricing policy.

All products Indap

10 reviews

Summary

• Indapamide is produced in two dosages – Indapamide 2.5 mg and Indapamide retard 1.5 mg.
• The drug belongs to sulfonamide derivatives, inhibits the absorption of sodium ions in the kidneys.
• Indapamide tablets can be taken with or without food, preferably in the morning.
• To treat hypertension, doctors prescribe Indapamide to be taken on a regular basis.
• The drug has contraindications.
• Seek medical attention if adverse reactions occur.
• Indap is produced in the Czech Republic, Indapamide is produced by many Russian manufacturers.

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Indapamide: instruction, price, analogues | Hemofarm 9 film-coated tablets0001

• Pharmacological properties
• Indications Indapamide
• Application of Indapamide
• Contraindications
• Side effects
• Special instructions
• Interactions
• Overdose
• Storage conditions
• Diagnosis
• Recommended alternatives
• Trade names

indapamide ((RS)-4-chloro-3-sulfamol-N-(2-methyl-2,3 dihydro-1H-indol-1-yl)benzamide) is a diuretic, antihypertensive agent of the group of nonthiazide sulfonamides. Indapamide causes a decrease in the tone of the smooth muscles of the arteries due to a change in the transmembrane current of calcium ions, a decrease in the sensitivity of the vascular wall to noradrenaline and angiotensin, which leads to a decrease in OPSS. Indapamide stimulates the synthesis of prostaglandin E ₂ , which has a vasodilating and hypotensive effect. It exhibits a moderately pronounced diuretic effect, which is associated with blocking the reabsorption of sodium, chlorine, water and, to a lesser extent, potassium and magnesium ions. Indapamide does not disrupt lipid metabolism and does not adversely affect carbohydrate metabolism, does not affect the level of total cholesterol and TG, and reduces the level of phosphates in the blood serum. The therapeutic effect develops after 7-8 days, the maximum effect – after 4 weeks.

After oral administration, indapamide is rapidly absorbed, the maximum serum concentration is reached after 2-2.5 hours and is 230-260 ng / ml. Approximately 71-79% of indapamide binds to plasma proteins, mainly to α ₁ -glycoprotein. Widely distributed in body tissues. The half-life is 14 hours. It is metabolized in the liver. It is excreted in the urine (7% – unchanged for 48 hours, 70% – in the form of metabolites) and bile (about 23%).

Mild to moderate hypertension.

adults – 2.5 mg 1 time per day, preferably in the morning. In case of insufficient hypotensive effect, the dose is increased to 5 mg per day (in one dose in the morning). Increasing the dose of the drug enhances the diuretic effect.

hypersensitivity to indapamide and other components of the drug, as well as to sulfonamides, acute cerebrovascular accidents, hyperaldosteronism, severe liver and kidney dysfunction, hypokalemia.

headache, fatigue, convulsions, diarrhea, skin rash, frequent urination, in isolated cases orthostatic hypotension.

with are prescribed with special care to patients with impaired liver and kidney function. During treatment with the drug, periodic monitoring of the level of electrolytes in the blood serum is necessary due to the possibility of developing hypokalemia and disturbed water and electrolyte balance. Patients with hyperuricemia and gout who use indapamide need periodic monitoring of the level of uric acid in the blood serum.

During treatment with the drug, clinical manifestations of latent diabetes mellitus, as well as a change in the need for insulin, are possible. By lowering blood pressure, the drug may affect the ability to drive vehicles and mechanisms. Indapamide should not be prescribed during pregnancy and lactation.

it is possible to potentiate the action of other antihypertensive agents when used simultaneously with Indapamide. Do not prescribe simultaneously with lithium preparations, as this increases the risk of developing the toxic effects of the latter (due to a decrease in the renal clearance of lithium and an increase in its concentration in the blood plasma).