Monograph Details

Cardiovascular System > Hypertension
LOTENSIN HCT 20/12.5
Manufacturer
Novartis Pharmaceuticals Corp
Legal Classification
Rx
Generic Name
Benazepril (as HCl) 20mg, hydrochlorothiazide 12.5mg; scored tabs.
Also
LOTENSIN HCT 10/12.5
LOTENSIN HCT 20/25
LOTENSIN HCT 5/6.25
Indications
Hypertension.
Children
Not recommended.
Adults
To switch from benazepril monotherapy: see literature. Or, titrate individual components.
Contraindications
History of ACEI-associated or other angioedema. Anuria. Sulfonamide allergy. Renal dysfunction. Pregnancy (Cat.D in 2nd and 3rd trimesters).
Precautions
Discontinue if angioedema or laryngeal edema occurs. Salt/volume depletion. Renal or hepatic impairment. Electrolyte abnormalities (esp. hyper- or hypokalemia). Monitor WBCs in renal or collagen vascular disease. CHF. Dialysis (esp. high-flux membrane). Renal artery stenosis. Surgery. Postsympathectomy. SLE. Diabetes. Gout. Maintain adequate fluid intake. Pregnancy (Cat.C in 1st trimester). Nursing mothers: not recommended.
Interactions
Potassium or potassium-sparing diuretics may cause hyperkalemia. May increase lithium levels. Potentiated by antihypertensives. Potentiates tubocurarine. May be antagonized by NSAIDs. Antagonizes norepinephrine. Anion exchange resins. Orthostatic hypotension potentiated by alcohol, CNS depressants. May interfere with parathyroid test. Hypokalemia with ACTH, corticosteroids.
Adverse Reactions
Dizziness, fatigue, orthostatic hypotension, headache, cough, GI disturbances, impotence, somnolence, electrolyte imbalance, rash, Stevens-Johnson syndrome.
How Supplied
Tabs—100
Additional Resources
Related Prescribing Note