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Indapamide

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Indapamide Description
Indapamide is a tablet you take each day to help reduce your blood pressure.
You can take it on its own or with other medicines that manage high blood pressure.
The usual dose is one 2.5mg tablet a day, which can be raised to 5mg.

What is Indapamide?

Indapamide is an antihypertensive medication, part of a group known as diuretics or water tablets. It's used to manage high blood pressure (hypertension), heart failure, and oedema, a condition where excess fluid causes swelling in your body's tissues.

Indapamide works by widening blood vessels, which makes it easier for blood to circulate around your body, helping to reduce blood pressure. It's a tablet you take once a day and also comes in a slow-release form that lasts longer. Sometimes, your doctor might prescribe another blood pressure tablet to take with Indapamide to better control your high blood pressure.

How does Indapamide work?

Indapamide is a type of diuretic, often called a "water tablet." These tablets help your kidneys produce more urine, which means you'll need to pee more frequently. This process helps remove excess water and salt from your body, reducing fluid build-up. With less fluid in your body and bloodstream, your blood pressure decreases. Indapamide can also alleviate symptoms of heart failure, such as swelling (oedema). Unlike some other diuretics, Indapamide only slightly increases urine output. Its primary function is to widen your blood vessels, which lowers the pressure inside them and helps manage high blood pressure.

Who is Indapamide for?

Indapamide is mainly used for those with high blood pressure, but it can also aid in preventing heart failure and oedema. Oedema happens when there's too much salt and fluid in your blood, raising the risk of heart failure. This medication helps reduce swelling, manages fluid retention, and is used over the long term to prevent heart issues.

What doses does Indapamide come in?

Indapamide comes in both regular tablets and slow-release tablets, which gradually release the medicine into your body. If you have heart failure, you might be given a dose of 2.5 mg to 5 mg to take once daily. It can also be combined with perindopril, an ACE inhibitor, to help manage high blood pressure. For high blood pressure, you might be prescribed 2.5 mg in regular tablets or 1.5 mg once daily in slow-release tablets.

How long does Indapamide take to work?

Treatments for high blood pressure are generally needed for life, so continue taking your medication until your doctor advises otherwise. Indapamide is quickly absorbed after you take it, reaching peak levels in your blood within one to two hours. However, it may take two to four weeks to notice an impact on your blood pressure, and several months to experience the full benefits of Indapamide.

What happens if I make a mistake taking Indapamide?

If you normally take your tablet in the morning and it's now past 4 p.m., just skip the missed dose and take your usual one the next morning. Avoid taking two doses to make up for the one you missed. If you've taken more than you should, you might feel nauseous, have cramps, feel dizzy or drowsy, become confused, or get dehydrated. If this happens, seek medical help straight away.

What are the side effects of Indapamide?

As with any medication, Indapamide can cause side effects, although not everyone will experience them. The most frequent side effect is a red skin rash that resembles an allergic reaction, especially if you're already susceptible to allergy-related skin issues. Another common side effect is low potassium levels in your blood, which your clinician will monitor regularly.

Can I drink alcohol whilst taking Indapamide?

Yes, you can drink alcohol while taking Indapamide. However, it's wise to drink in moderation, as excessive alcohol can lower your blood pressure and make you feel dizzy and light-headed.

Will Indapamide cause changes to my weight?

Indapamide can lead to a slight weight loss. This happens because the medication helps reduce fluid retention and swelling (oedema). So, if you notice a drop in weight while taking Indapamide, it's due to losing fluids, not body fat. It's important to use diuretics like Indapamide only as prescribed, as using them solely for weight loss can harm your kidneys.

Are there alternatives to Indapamide for high blood pressure?

There are many choices available to help you manage your high blood pressure. You might also be prescribed another antihypertensive medication alongside Indapamide as part of your treatment. The most common medicine paired with Indapamide is perindopril, which is a long-acting ACE (angiotensin-converting enzyme) inhibitor.

There are various ACE inhibitors and calcium channel blockers (CCBs) available to help reduce blood pressure. CCBs function by stopping calcium from entering the arteries and cells of your heart, as calcium can make them contract forcefully. ACE inhibitors, on the other hand, help by relaxing your blood vessels. If you experience significant side effects from ACE inhibitors, you might be switched to angiotensin-2 receptor blockers, or ARBs, which work similarly to ACE inhibitors.

Beta-blockers help by blocking adrenaline and noradrenaline, which slows the heart rate and makes it beat more gently. This helps to lower blood pressure and improve blood circulation. You can also take them alongside Indapamide.

How effective is Indapamide?

Numerous studies have demonstrated that treating hypertension with Indapamide, whether used alone or alongside another blood pressure medication like perindopril, is effective for many patients. In one study focusing on individuals over 80, it was found that after two years, their average blood pressure dropped by 15.0/6.1 mm Hg compared to those given a placebo. Additionally, there was a 30% to 39% decrease in strokes, a 21% reduction in deaths, and a 64% drop in heart failure cases.

A study examining the combined use of Indapamide and perindopril found that blood pressure dropped by 12/5 mm Hg, and the risk of stroke was reduced by 43%.

This indicates that Indapamide is very effective for treating high blood pressure, and it also helps with symptoms of heart failure and reduces the risk of stroke.

Do I need a prescription for Indapamide?

Yes, you'll need a prescription for Indapamide. A clinician will need to check your blood pressure to ensure it's a safe and appropriate treatment for you.

Important Information

Pravastatin isn't suitable for everyone, and there are a few things you should be mindful of when using it.

Here's all the official information on it. If anything isn't clear, please let our clinician know, and they can discuss it with you.

Always Read The Patient Information Leaflet

Medicines can cause side effects. Always read the leaflet that comes with your medication and report any side effects to your pharmacist. Stay informed—order safely today!

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