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Fosinopril / HCTZ Coupon - Fosinopril / HCTZ 20mg/12.5mg tablet

fosinopril / HCTZ

Generic Monopril HCT
Used for Hypertension
Used for Hypertension

Fosinopril/hydrochlorothiazide is a combination medication that includes two first-choice options for treating high blood pressure. It's taken once per day, but it might be more expensive than some other alternatives.

Last reviewed on January 20, 2022
basics-icon

What is Fosinopril/hydrochlorothiazide?

What is Fosinopril/hydrochlorothiazide used for?

  • High blood pressure

How Fosinopril/hydrochlorothiazide works

Fosinopril/hydrochlorothiazide is a combination of two medications that work together to lower blood pressure.

  • Fosinopril is an angiotensin-converting enzyme (ACE) inhibitor. It relaxes your blood vessels by blocking a protein (ACE) that normally squeezes your blood vessels.

  • Hydrochlorothiazide is a thiazide diuretic (water pill). It works in your kidneys to remove extra water and certain electrolytes (like sodium and potassium). This helps lower blood pressure.

Drug Facts

Common BrandsMonopril HCT (brand no longer available)
Drug ClassACE inhibitor / Diuretic (water pill)
Controlled Substance ClassificationNot a controlled medication
Generic StatusLower-cost generic available
AvailabilityPrescription only
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Avg retail price
$136.25(save 73.02%)
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$36.76
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What are the side effects of Fosinopril/hydrochlorothiazide?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Headache (7%)
  • Cough (6%)
  • Tiredness (4%)
  • Dizziness (3%)
  • Upper respiratory infection (e.g., common cold; 2%)
  • Muscle, bone, or joint pain (2%)

Other Side Effects

  • Gout
  • Dry mouth
  • Weakness
  • Swelling of the hands or ankles
  • Flushing
  • Nausea or vomiting
  • Diarrhea
  • Indigestion or heartburn
  • Stomach pain
  • Feeling the need to urinate more often
  • Electrolyte disturbances

Serious Side Effects

Contact your healthcare provider immediately if you experience any of the following.
  • Angioedema (severe swelling): swelling of the face, arms or legs, lips, tongue, or throat
  • Allergic reactions: hives, rash, blisters, swelling of the lips or tongue, difficulty breathing, skin reddening
  • Low blood pressure: dizziness, tiredness, feeling faint, confusion
  • Kidney problems: urinating less often than usual
  • Liver problems: yellowing of the skin or eyes, stomach pain, nausea, vomiting, confusion

Source: DailyMed

The following side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Less common

Blurred vision

chest pain or discomfort

chills

cold sweats

confusion

decreased urination

dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly

dry mouth

fainting

fast, slow, or irregular heartbeat

muscle cramps or pain

numbness, tingling, pain, or weakness in the hands or feet

rapid breathing

seizures

sunken eyes

sweating

thirst

trembling

unusual tiredness or weakness

weakness and heaviness of legs

wrinkled skin

Incidence not known

Persistent non-healing sore

pink growth

reddish patch or irritated area

shiny bump

white, yellow or waxy scar-like area

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Cough

Less common

Body aches or pain

diarrhea

difficult breathing

ear congestion

fever

headache

loss of voice

muscle or bone pain

nausea and vomiting

runny or stuffy nose

sneezing

sore throat

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

pros-and-cons

Pros and cons of Fosinopril/hydrochlorothiazide

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Pros

Taken once per day

More convenient to take one pill with two medications in it

Combination of two medications that are both first-choice options for lowering blood pressure

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Cons

More difficult to customize the dose, since it's a combination of two medications

Can make you urinate more often

Can't be used in women who are pregnant

Might not be the best choice for people with kidney problems

pharmacist-tips

Pharmacist tips for Fosinopril/hydrochlorothiazide

pharmacist
  • Don't take fosinopril/hydrochlorothiazide if you're allergic to sulfa-containing medications.

    • It's recommended to check your blood pressure every day and record your readings in a journal so your provider can monitor your progress and make sure fosinopril/hydrochlorothiazide is working for you.

      • Stand up slowly and carefully from a sitting or lying down position to avoid a sudden drop in your blood pressure and falling. If you feel dizzy, lightheaded, feeling like you're going to faint, tired, or confused while taking fosinopril/hydrochlorothiazide, your blood pressure might be too low. Make sure to hold onto something when standing and slowly sit or lie down if you can. Call your provider if this happens because your dose might need to be changed.

        • Fosinopril/hydrochlorothiazide can cause a dry cough, which usually happens during the first few months of taking the medication. Once it happens, it's not something that will go away with time. If it bothers you too much, tell your provider so you can switch to another medication.

          • Fosinopril/hydrochlorothiazide can affect the potassium levels in your blood. Don't take any potassium supplements or salt substitutes containing potassium with this medication before talking to your provider. Otherwise, this can raise your risk of high potassium levels, leading to heart rhythm problems.

            faqs

            Frequently asked questions about Fosinopril/hydrochlorothiazide

            I was just diagnosed with high blood pressure. Should I ask my provider about starting fosinopril/hydrochlorothiazide?
            Fosinopril/hydrochlorothiazide is usually started for more convenience in people who've already been taking fosinopril, hydrochlorothiazide, or another blood pressure medication. Fosinopril/hydrochlorothiazide isn't recommended for people who are newly diagnosed with high blood pressure, because it's difficult to customize the dose since it's a combination of two medications.
            When's the best time to take fosinopril/hydrochlorothiazide?
            In general, you should take fosinopril/hydrochlorothiazide at the same time every day. Fosinopril/hydrochlorothiazide contains hydrochlorothiazide, which can make you urinate to get rid of extra fluid and lower your blood pressure. Some people prefer to take fosinopril/hydrochlorothiazide in the morning rather than at night so they can avoid waking up several times throughout the night to go to the bathroom.
            Can I take fosinopril/hydrochlorothiazide if I'm pregnant?
            No. Fosinopril/hydrochlorothiazide contains fosinopril, which can't be used in women who are pregnant. Fosinopril can cause significant harm to unborn babies, including death. If you're pregnant or thinking of becoming pregnant, ask your provider for other options to treat your high blood pressure.
            Can fosinopril/hydrochlorothiazide be used in children?
            It's not known if fosinopril/hydrochlorothiazide is safe or works well in children younger than 18 years old. Ask your child's provider about what options are available for your child.
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            What are the risks and warnings for Fosinopril/hydrochlorothiazide?

            Fosinopril/hydrochlorothiazide can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

            risk-warning

            Harm to unborn babies

            Fosinopril/hydrochlorothiazide shouldn't be used in pregnant women because it can cause severe harm and even death to an unborn baby. If you find out that you're pregnant while taking this medication, stop fosinopril/hydrochlorothiazide and let your provider know as soon as possible. If you're pregnant before starting fosinopril/hydrochlorothiazide or thinking of becoming pregnant during treatment, contact your provider immediately so you can switch to another medication.

            risk-warning

            Angioedema (swelling)

            • Risk factors: Black people

              Angioedema, or swelling in the face, lips, tongue, throat, or even your stomach, can happen at any time when taking medications containing ACE inhibitors like fosinopril/hydrochlorothiazide. This risk is higher in Black people than in non-Black people. Swelling of the tongue or throat area can be potentially life-threatening, since it can make it difficult to breathe. Get medical attention immediately if you experience swelling in any of the areas mentioned above, stomach pain, or difficulty breathing. You'll have to stop taking fosinopril/hydrochlorothiazide if this happens.

              risk-warning

              Low blood pressure

              • Risk factors: Dehydration | Having diarrhea or vomiting for a long time | Taking other medications that lower blood pressure | Heart failure | Dialysis

                It's possible for fosinopril/hydrochlorothiazide to lower your blood pressure too much. Your risk is higher if you're dehydrated or have any conditions that cause you to become dehydrated, such as diarrhea, vomiting, heart failure, or if you're on dialysis. Make sure to stay well-hydrated. If you feel dizzy, lightheaded, faint, tired, or confused while taking fosinopril/hydrochlorothiazide, contact your provider right away.

                risk-warning

                Kidney or liver damage

                • Risk factors: Heart failure | History of kidney or liver problems

                  Fosinopril/hydrochlorothiazide can affect your kidneys and cause them to not work as well. This can happen to anyone, but the effects can be more severe in people with heart failure or people who already have other kidney problems. Your provider will order lab tests every so often to make sure your kidneys are healthy and working properly. If your kidney function worsens while taking fosinopril/hydrochlorothiazide, you'll have to stop taking it. Typically, your kidneys will go back to normal after you stop taking the medication. Let your provider know if you're urinating less often than usual, as this could be a sign that your kidneys aren't working as well.

                  Rarely, fosinopril/hydrochlorothiazide can cause damage to your liver. If you notice yellowing of the skin or eyes, stomach pain, nausea, vomiting, or confusion, stop taking fosinopril/hydrochlorothiazide and contact your provider right away.

                  risk-warning

                  Electrolyte disturbances

                  Fosinopril/hydrochlorothiazide can affect the level of certain electrolytes in your body, including sodium, potassium, magnesium, calcium, and chloride. You might need bloodwork done regularly while taking this medication to make sure your electrolyte levels are in the normal range. Let your provider know if you experience fast heart beat, weakness, low energy, muscle pain or cramps, less urination than usual, nausea, or vomiting. These can be signs of electrolyte changes in your body.

                  risk-warning

                  Low blood cell counts

                  • Risk factors: Kidney problems | History of systemic lupus erythematosus (SLE) or scleroderma

                    Though rare, ACE inhibitors and thiazide diuretics can cause low blood cell counts. It's important to note that this effect hasn't been studied specifically in people taking fosinopril/hydrochlorothiazide. The risk is higher in people with kidney disease who also have systemic lupus erythematosus (SLE) or scleroderma. Your provider might regularly monitor your blood cell counts while you're taking fosinopril/hydrochlorothiazide.

                    dosage

                    Fosinopril/hydrochlorothiazide dosage forms

                    The average cost for 90 tablets of 20mg/12.5mg of Fosinopril/hydrochlorothiazide is $45.61 with a free GoodRx coupon. This is 66.53% off the average retail price of $136.25.
                    tablet
                    Tablet
                    DosageQuantityPrice as low asPrice per unit
                    10mg/12.5mg90 tablets$36.76$0.41
                    20mg/12.5mg90 tablets$45.61$0.51

                    Typical dosing for Fosinopril/hydrochlorothiazide

                    The typical dose is 1 to 4 tablets by mouth once per day. Your dose will depend on how you respond to the medication.

                    This medication comes as 10 mg/12.5 mg and 20 mg/12.5 mg (fosinopril/hydrochlorothiazide) tablets.

                    interactions

                    Interactions between Fosinopril/hydrochlorothiazide and other drugs

                    Fosinopril/hydrochlorothiazide may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Fosinopril/hydrochlorothiazide. Please note that only the generic name of each medication is listed below.

                    Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

                    Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                    Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

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                    How much does Fosinopril/hydrochlorothiazide cost?

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                    contraindications-icon

                    Fosinopril/hydrochlorothiazide contraindications

                    Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Fosinopril/hydrochlorothiazide will not be safe for you to take.
                    • Anuric (don't produce urine)

                    • Sulfa allergy

                    alternatives

                    What are alternatives to Fosinopril/hydrochlorothiazide?

                    There are a number of medications that your doctor can prescribe in place of Fosinopril/hydrochlorothiazide. Compare a few possible alternatives below.
                    Fosinopril/hydrochlorothiazide
                    Used for:
                    • High blood pressure

                    $36.76 Lowest GoodRx priceView Prices
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                    Fosinopril/hydrochlorothiazide images

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