Tablets: 5 milligrams,
Tablets: 10 milligrams,
Tablets: 20 milligrams,
Tablets: 40 milligrams.
Lotensin is prescribed alone in treating high blood pressure. Its blood pressure lowering effect can be
further enhanced by the addition of a diuretic medication. Lotensin HCT is an
example of a medication which combines the effect of Lotensin with a
thiazide type diuretic (water pill) in treating hypertension.
Lotensin is prescribed in the treatment of high blood pressure in adults and children 7 to 17 years old. It is effective when prescribed alone or in combination with thiazide diuretics. Lotensin is in a family of drugs called ACE (angiotensin-converting enzyme) inhibitors. It works by preventing a chemical in your blood called angiotensin I from converting into a more potent form that increases salt and water retention in your body. Lotensin also enhances blood flow throughout your blood vessels.
Lotensin is generally well tolerated and side effects are usually mild and transient.
A dry, persistent cough has been reported with the use of Lotensin and other ACE inhibitors.
Coughing resolves after discontinuing the medication.
Other side effects are:
- A sore or swollen throat;
- Chest pain;
- Difficulty breathing;
- Easy bruising;
- Loss of appetite;
- Loss of taste;
- Numbness or tingling in the hands or feet;
- Rare and include abdominal pain;
- Severe dizziness or fainting;
In rare instances, liver dysfunction and skin yellowing (jaundice) have been reported with ACE inhibitors.
Lotensin side effects that you should report to your health care professional or doctor as soon as possible:
For people not taking a diuretic drug, the usual starting dose is 10 mg, once a day. Regular total dosages range from 20 to 40 mg per day either taken in a single dose or divided into 2 equal doses. The maximum dose is 80 mg per day. Your doctor will closely monitor the effect of this drug and adjust it according to your individual needs.
For people already taking a diuretic, the diuretic should be stopped, if possible, 2 to 3 days before taking Lotensin. This reduces the possibility of fainting or light-headedness. If blood pressure cannot be controlled by Lotensin alone, then diuretic use should begin again. If the diuretic cannot be discontinued, the starting dosage of Lotensin should be 5 mg.
For people with reduced kidney function, the dosages should be individualized according to the amount of reduced function. The usual starting dose in these instances is 5 mg per day, adjusted upwards to a maximum of 40 mg per day.
CHILDREN 7 TO 16 YEARS OLD
The starting dose of Lotensin alone is 0.2 mg per 2.2 pounds of body weight, once daily.
The safety and effectiveness of Lotensin have not been established in children 6 years old and younger or children with kidney disease.