Accuzide Forte 20/25 mg Tablet

Accuzide Forte 20/25 mg Tablet is a prescription blood pressure medicine that combines quinapril 20 mg and hydrochlorothiazide 25 mg in each tablet. It belongs to the ACE inhibitor plus diuretic class and is used to help lower high blood pressure, which can reduce strain on the heart and lower the risk of complications over time. This exact tablet strength is intended for adults whose blood pressure has not been controlled well enough with lower-strength treatment or who need a stronger combination selected by a clinician. It is made by Pfizer, India and supplied as a pack of 14 tablets.

How it works: Quinapril helps relax and widen blood vessels by blocking a body chemical that tightens them, which makes it easier for blood to flow. Hydrochlorothiazide helps your body remove extra salt and water through the urine, and in this tablet the two actions work together to lower blood pressure.

Accuzide Forte 20/25 mg Tablet is the stronger diuretic version compared with Accuzide Forte 20/12.5 mg Tablet because it contains hydrochlorothiazide 25 mg instead of 12.5 mg, while quinapril stays at 20 mg. Doctors may choose this higher-strength tablet when a lower-strength combo is not enough to control blood pressure, but it is not meant to be a starter strength for everyone. Because the diuretic component is higher, it may cause a more noticeable increase in urination and a greater chance of dizziness or low electrolytes.

• Treatment of high blood pressure
• Helps reduce cardiovascular strain
• May lower the risk of hypertension-related complications
• Used when a single medicine is not enough
• Combination therapy for adults with hypertension

• Swallow the Accuzide Forte 20/25 mg Tablet whole with water; do not crush or chew it.
• Take it at the same time each day to help you remember your dose.
• Because it contains hydrochlorothiazide, many people take it earlier in the day to reduce nighttime urination.
• You can take it with or without food, but take it the same way each day if possible.
• Stand up slowly after taking it, especially when starting treatment or after a dose increase.
• Follow your prescriber’s instructions exactly; do not change the dose on your own.

Each Accuzide Forte 20/25 mg Tablet provides quinapril 20 mg plus hydrochlorothiazide 25 mg. The dose and how often it is taken are decided by the doctor, and many patients take it once daily, but the regimen may vary based on blood pressure response and lab results. Do not take more than prescribed; the exact maximum daily amount should be set by the prescriber for this strength.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Quinapril + Hydrochlorothiazide may include:

• Dizziness, especially when standing up
• More frequent urination
• Headache
• Tiredness or weakness
• Nausea or upset stomach
• Dry cough
• Low blood pressure symptoms, which may be more noticeable with this 25 mg strength

• Accuzide Forte 20/25 mg Tablet is a higher-strength combination, so it should only be used when a doctor has judged that this dose is appropriate.
• It can cause dizziness or lightheadedness, especially when you first start or after a dose increase; avoid driving until you know how it affects you.
• Dehydration, vomiting, diarrhea, or heavy sweating can make blood pressure drop too low and may worsen kidney problems.
• People with a history of angioedema, severe kidney disease, liver disease, gout, or electrolyte imbalance need special caution.
• Do not use during pregnancy; ACE inhibitors can seriously harm an unborn baby.
• Alcohol may increase dizziness and low blood pressure.
• Tell your clinician if you take salt substitutes or potassium supplements, because this medicine can raise potassium in some people.

• Potassium supplements or potassium-sparing diuretics
• NSAIDs such as ibuprofen or naproxen
• Lithium
• Other blood pressure medicines, including diuretics or ACE inhibitors
• Alcohol

Store Accuzide Forte 20/25 mg Tablet in its original strip/box at room temperature, away from moisture, heat, and direct light.