The wording of leaflets is regularly updated. This electronic text is the most up-to-date version and may differ from the leaflet in your pack. If you have any questions about the information provided, please ask your doctor or pharmacist.
STARIL TABLETS
Fosinopril Sodium
Read all of this leaflet carefully before you start taking this medicine.
Keep this leaflet. You may need to read it again.
If you have any further questions, ask your doctor or pharmacist.
This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
If any of the side effects become serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
In this leaflet:
- 1. About STARIL
- 2. Before you take STARIL
- 3. How to take STARIL
- 4. Possible side effects
- 5. How to store STARIL
- 6. Further information
About Staril
Staril belongs to a group of medicines called Angiotensin Converting Enzyme Inhibitors, or ACE Inhibitors for short. Staril is used to lower high blood pressure. You may feel quite well but high blood pressure is one of the causes of heart attacks and strokes.
In addition, Staril can make it easier for the heart to pump blood around the body and is used in the treatment of heart failure.
Before You Take Staril
Do not take STARIL
- if you are allergic (hypersensitive) to fosinopril or any of the other ingredients of STARIL.
- if you are pregnant.
- if you are breastfeeding.
Take special care with STARIL
- if you have recently lost a lot of fluid, e.g. if you have been experiencing severe vomiting or diarrhoea
- if you suffer from systemic lupus erythematosus (SLE, "Lupus") or other collagen vascular disease
- if you suffer from heart disease, diabetes or kidney disease that your doctor does not know about
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. Tell your doctor you are taking Staril before surgery or any emergency treatment where you may need an anaesthetic.
Do not take any other medicines unless they have been discussed with your doctor or pharmacist. These include medicines from pharmacies for colds, coughs, hayfever or sinus problems as these may increase your blood pressure. If you take non-steroidal anti-inflammatory drugs such as aspirin or ibuprofen, your dose of Staril may need to be adjusted.
Some medicines which are used to treat indigestion may reduce the absorption of Staril and so administraton of Staril and antacids should be separated by 2 hours. If you are also taking lithium, potassium supplements or salt substitutes containing potassium, or any other treatment for high blood pressure, remind your doctor before taking Staril.
Taking STARIL with food and drink
It does not matter whether you take STARIL before or after food.
There is no interaction between Staril and moderate amounts of alcohol. However, you should check with your doctor whether drinking is advisable for you.
Pregnancy and breast-feeding
You should not take Staril if you are pregnant unless you have discussed this with your doctor. Breast-feeding mothers should not take Staril.
Be sure to tell your doctor immediately if you are breastfeeding, pregnant, think you may be pregnant or if you are planning to become pregnant. Ask your doctor or pharmacist for advice before taking any medicine.
Driving and using machines
Staril Tablets do not usually affect your ability to drive or to use any tools or machines. However, if you feel light-headed or dizzy, check with your doctor.
Important information about some of the ingredients of STARIL
If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.
How To Take Staril
Always take STARIL exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
The usual starting dose for adults, including the elderly, is 10mg once a day. This dose may be increased by your doctor up to 40mg daily.
Tablets should be swallowed with a glass of water.
This product is not for use in children.
Staril may be taken alone or in combination with a diuretic. If you are already taking diuretics (water tablets), your doctor may tell you to reduce the dose of the diuretic or to stop taking them for several days before you start taking Staril.
If you take too many STARIL tablets or if a child swallows some
Go to your nearest Casualty Department or tell your doctor immediately. If you are going to hospital, take the empty container and any remaining tablets with you. If the person has fainted, lay them down and raise their feet higher than their head.
If you forget to take STARIL
If you miss a dose, do not worry. Just carry on taking your normal dose when the next one is due. DO NOT take a double dose to make up for the one you missed.
If you stop taking STARIL
It is important that you take Staril Tablets until your doctor tells you to stop. Keep your doctor’s appointments even if you feel well.
When you are on treatment, the doctor will need to examine you from time to time and may need to perform a blood test to check how your kidneys are working.
How much exercise should I take?
As you start feeling better you may try to do too much and feel faint, especially in hot weather. Make sure you discuss with your doctor a safe amount of exercise for you.
Staril Tablets Side Effects
Like all medicines, STARIL can cause side effects, although not everybody gets them.
Any medicine may cause some unwanted or ‘side’ effects in a few patients. Tell your doctor immediately if you notice any of these:
- swelling of the hands, lips or tongue
- difficulty in breathing
- sore throat or fever
- persistent skin rash
- persistent cough
- abdominal pain; which can be severe or a specific penetrating pain in the upper area which may spread to the back
- unusually fast or irregular heart beat
- temporary changes to the blood may occur, which will be noticed if you have a blood test
- severe fainting or dizziness particularly when standing up.
Sometimes Staril causes nausea, vomiting, diarrhoea, chest pain, pains in the bones and muscles, pins and needles, tiredness, itching or taste impairment. Very rarely, people taking ACE inhibitors can develop jaundice (yellow skin/eyes).
Tell your doctor or pharmacist if any of these become serious or if you notice any other troublesome side effects.
How To Store Staril
Keep out of the reach and sight of children.
You will see an ‘EXPIRY DATE’ on the outer packaging of Staril Tablets. Do not use after this date. Keep Staril Tablets in a dry place and do not store above 30°C. They should not get too hot or damp; so do not leave your tablets near a radiator, on a window sill, or in a bathroom.
If your doctor decides to stop the tablets, take the remainder back to a pharmacy. Medicines should not be disposed of via wastewater or household waste.
Further Information
What STARIL contains
- The active substance is fosinopril sodium.
- The other ingredients are crospovidone, lactose, microcrystalline cellulose, povidone and sodium stearyl fumarate.
What STARIL looks like and contents of the pack
The tablets come in two different strengths: 10mg and 20mg.
Staril 10mg tablets are white and diamond shaped. They are marked with 'SQUIBB 158' on one side and a star on the other.
Staril 20mg tablets are white and round. They are marked with 'SQUIBB 609' on one side and a star on the other.
Staril tablets are supplied in blister strips of 28 or 84 tablets per carton or in bottles of 28 tablets.
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder:
Manufacturer:
This leaflet was last approved in: February 2008
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