Zimpril 4 Tablet belongs to a group of medicines known as angiotensin-converting enzyme (ACE) inhibitors. It is widely used to treat high blood pressure and heart failure and may be prescribed after a heart attack. It also lowers the chances of having a heart attack or stroke.

Zimpril 4 Tablet can be prescribed either alone or in combination with other medicines. It should be taken on an empty stomach. This medicine should be taken at the same time each day to get the most benefit. It is important to continue taking it regularly even if you feel well or even if your blood pressure is controlled. Most people with high blood pressure do not feel ill, but if you stop taking this medicine, your condition could get worse. This medicine is considered safe for long-term use.

Making some changes in your lifestyle will also help lower your blood pressure. These may include regular exercise, losing weight, smoking cessation, reducing alcohol intake, and reducing the amount of salt in your diet as advised by your doctor. The most common side effects of this medicine include decreased blood pressure, cough, the increased potassium level in blood, fatigue, weakness, and dizziness. Most of these are temporary and resolve with time. Talk to your doctor if any of the side effects bother you or do not go away.

Before taking this medicine, let your doctor know if you have any kidney or liver problems. Pregnant or breastfeeding mothers should also consult their doctor before taking it. Your doctor may check your kidney function, blood pressure, and potassium levels in your blood at regular intervals while you are taking this medicine.

Uses of Zimpril Tablet

Hypertension (high blood pressure)
Prevention of heart attack and stroke
Heart failure

Side effects of Zimpril Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Zimpril

Cough
Dizziness
Hypotension (low blood pressure)
Headache
Back pain

How to use Zimpril Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Zimpril 4 Tablet is to be taken empty stomach.

How Zimpril Tablet works

Zimpril 4 Tablet is an angiotensin converting enzyme (ACE) inhibitor. It works by reducing stress on the heart and relaxing blood vessel so that blood flows more smoothly and the heart can pump blood more efficiently.

Safety advice

Alcohol

UNSAFE

Zimpril 4 Tablet may cause excessive drowsiness with alcohol.

Pregnancy

CONSULT YOUR DOCTOR

Zimpril 4 Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.

Breast feeding

SAFE IF PRESCRIBED

Zimpril 4 Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.

Driving

UNSAFE

Zimpril 4 Tablet may cause side effects which could affect your ability to drive.
Zimpril 4 Tablet usually does not affect alertness but dizziness or weakness due to low blood pressure may occur in some patients. This may affect your driving ability.

Kidney

CAUTION

Zimpril 4 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Zimpril 4 Tablet may be needed. Please consult your doctor.
Caution should be advised in patients with renal impairment.

Liver

CAUTION

Zimpril 4 Tablet should be used with caution in patients with liver disease. Dose adjustment of Zimpril 4 Tablet may be needed. Please consult your doctor.
Inform your doctor if you develop any signs and symptoms of jaundice while taking this medicine.

What if you forget to take Zimpril Tablet?

If you miss a dose of Zimpril 4 Tablet, skip it and continue with your normal schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Zimpril 4 Tablet

₹8.4/Tablet

Coversyl 4mg Tablet

Servier India Private Limited

₹19.5/tablet

132% costlier

Eviper 4mg Tablet

Torrent Pharmaceuticals Ltd

₹6.42/tablet

24% cheaper

Perigard 4mg Tablet

Glenmark Pharmaceuticals Ltd

₹12.9/tablet

54% costlier

Perihart 4mg Tablet

Franco-Indian Pharmaceuticals Pvt Ltd

₹11.3/tablet

35% costlier

Periace 4mg Tablet

East West Pharma

₹10.1/tablet

20% costlier

View all substitutes

Quick tips

Zimpril 4 Tablet can make you feel dizzy for the first few days, so rise slowly if you have been sitting or lying down. You can also prefer taking it at bedtime to avoid dizziness throughout the day.
Let your doctor know about any cough, or throat irritation that does not go away.
It may increase the level of potassium in blood. Avoid taking potassium supplements and potassium-rich foods such as banana and broccoli.
Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.
You have been prescribed Zimpril 4 Tablet to improve blood pressure.
Lowering blood pressure reduces the chance of future heart attack & strokes.
It may also be used to treat chronic (long-standing) heart failure.
It protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney diseases.
Zimpril 4 Tablet can make you feel dizzy for the first few days, so rise slowly if you have been sitting or lying down. You can also prefer taking it at bedtime to avoid dizziness throughout the day.
Let your doctor know about any cough, or throat irritation that does not go away.
It may increase the level of potassium in blood. Avoid taking potassium supplements and potassium-rich foods such as banana and broccoli.
Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.

Fact Box

Chemical Class

Dipeptides

Habit Forming

Therapeutic Class

CARDIAC

Action Class

Angiotensin-Converting Enzyme (ACE) Inhibitors

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FAQs

What is Zimpril 4 Tablet? What is it used for?

Zimpril 4 Tablet belongs to a group of medicines known as angiotensin-converting enzyme (ACE) inhibitors. It relaxes and widens the blood vessels, making it easier for the blood to pass through the vessels. As a result of this, the heart does not have to work more to push the blood. Since the workload on the heart is reduced, it helps to lower the blood pressure and thus reduces the risk of heart attack and stroke. It is also used for the treatment and prevention of congestive heart failure.

What other lifestyle changes should I make while taking Zimpril 4 Tablet?

Lifestyle changes play a major role in keeping you healthy if you are taking Zimpril 4 Tablet. Avoid taking excess salt in your diet and find ways to reduce or manage stress in your life. Practise yoga or meditation or take up a hobby. Ensure that you have a sound sleep every night as this also reduces your stress and hence helps in keeping your blood pressure normal. Stop smoking and taking alcohol as this helps in lowering your blood pressure and helps to prevent heart problems. Exercise regularly and take a balanced diet that includes whole grains, fresh fruits, vegetables and fat-free products. You should consult your doctor if you need any further help to get maximum benefit of Zimpril 4 Tablet and to keep healthy.

I feel better after taking Zimpril 4 Tablet, can I stop taking it?

No, continue taking Zimpril 4 Tablet even if you feel better and your blood pressure is under control. Stopping Zimpril 4 Tablet suddenly may cause your blood pressure to increase and your chances of stroke or heart attack may rise. Usually once you start taking any medicine for controlling blood pressure, you have to continue taking it life long unless you cannot tolerate it.

Will Zimpril 4 Tablet make me feel dizzy? What should I do about it?

Yes, Zimpril 4 Tablet may make you feel dizzy or lightheaded. If Zimpril 4 Tablet makes you feel dizzy when you stand up, try getting up very slowly or stay seated until you feel better. If you begin to feel dizzy, lie down so that you don't faint, then sit until you feel better. Don’t drive, do not use tools or machines and avoid anything requiring concentration while you're feeling dizzy or shaky.

What time of the day should I take Zimpril 4 Tablet?

Zimpril 4 Tablet should be taken at the same time each day to reduce the chances of a missed dose. Take it in the dose and duration prescribed by the doctor. Your doctor may advise you to take your first dose before bedtime, because it can make you dizzy. After the first dose, if you do not feel dizzy, you may take Zimpril 4 Tablet at any time of the day. Your dose will depend on the condition you are being treated for and therefore, it will vary from person to person. If you experience any side effects while taking Zimpril 4 Tablet, please consult your doctor.

Can Zimpril 4 Tablet increase potassium levels? If so, what should be done?

Zimpril 4 Tablet may increase potassium levels in the blood, especially if you have uncontrolled diabetes mellitus, kidney problems and dehydration. Potassium levels may also increase in patients using potassium salts or medicines which increase potassium levels or are aged more than 70 years of age. If you have any of these conditions and are using Zimpril 4 Tablet, you need to be careful and get regular blood tests done to monitor potassium levels.

After starting Zimpril 4 Tablet, I have developed dry cough which is very irritating and is not getting better with any medicine. What should I do now?

Zimpril 4 Tablet may cause dry cough, as a side effect in some people. This can be persistent and may not be relieved by any medicine. Talk to your doctor if it bothers you or if you have trouble sleeping. Your doctor may suggest ways of managing the cough or may prescribe another medicine. Remember, do not stop taking Zimpril 4 Tablet without consulting your doctor as it may increase your blood pressure and put you at a risk of developing a heart attack or stroke. Even if you stop taking Zimpril 4 Tablet, the cough may take a few days to a month to resolve completely.

Can Zimpril 4 Tablet affect my fertility?

There is no evidence that Zimpril 4 Tablet has any effect on fertility in both men and women. However, if you are planning to get pregnant, talk to your doctor first because Zimpril 4 Tablet is not recommended in pregnancy.

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Pfeffer MA, Opie LH. Inhibitors of the Renin-Angiotensin-Aldosterone System. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. pp. 143.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1091-92.
Perindopril erbumin. Cincinnati, Ohio: Patheon Pharmaceuticals, Inc.; 2005. [Accessed 20 Mar. 2019] (online) Available from:
Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Perindopril. [Updated 2019 Feb 28]. [Accessed 19 Feb. 2020] (online) Available from:
Central Drugs Standard Control Organisation. Perindopril erbumine. [Accessed 05 Aug. 2023] (online) Available from:
Simpson D, Noble S, Goa KL. Perindopril: in congestive heart failure. Drugs. 2002;62(9):1367-77; discussion 1378-9. [Accessed 05 Aug. 2023] (online) Available from:
Perindopril erbumine [Prescribing Information]. Hyderabad, India: Aurobindo Pharma Limited; 2023. [Accessed 25 Jul. 2023] (online) Available from:

Marketer details

Name: Zim Laboratories Limited

Address: Ground Floor, Sadoday Gyan, Nelson Square, Chhindwara Road, Nagpur - 440013, India

Country of origin: India

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