Product image of Inibace Plus (Cilazapril, Hydrochlorothiazide) supplied by GNH India

Inibace Plus

Active Ingredient:
Cilazapril, Hydrochlorothiazide
Origin:
EU

Inibace Plus (Cilazapril, Hydrochlorothiazide)

Cilazapril/Hydrochlorothiazide, the active ingredients in Inibace Plus, constitute an ACE inhibitor combined with a thiazide diuretic presented as a tablet for oral use. This combination therapy is indicated for the management of hypertension in adult patients, helping to lower elevated blood pressure and reduce cardiovascular risk.

GNH India supplies Inibace Plus as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable sourcing for regulated markets across multiple continents.

Manufacturer / TM Owner

Cheplapharm Arzneimittel Gmbh

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Indications & Clinical Uses

  • Inibace Plus, containing cilazapril and hydrochlorothiazide, is used in the management of hypertension, a condition characterized by elevated arterial pressure.
  • Hypertension: lowers elevated blood pressure and helps reduce the risk of cardiovascular events.

How It Works

  • Cilazapril inhibits the angiotensin‑converting enzyme, decreasing the formation of angiotensin II and leading to vasodilation and reduced aldosterone secretion. Hydrochlorothiazide acts on the distal convoluted tubule, blocking NaCl reabsorption, which promotes diuresis and further lowers blood volume, together producing an additive antihypertensive effect.

Side Effects

Common Side Effects

  • Dizziness or light‑headedness
  • Persistent dry cough
  • Headache
  • Increased urination or electrolyte disturbances (e.g., low potassium)

Serious or Rare Side Effects

  • Severe hypotension or syncope
  • Angioedema involving face, lips, tongue, or airway
  • Acute renal impairment or rise in serum creatinine
  • Hyperuricemia or gout flare
  • Pancreatitis or severe skin reactions

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety aspects.

  • Blood pressure monitoring: ensure adequate control and avoid excessive drops.
  • Renal function assessment: evaluate serum creatinine and eGFR, especially in patients with pre‑existing kidney disease.
  • Electrolyte balance: monitor potassium and sodium levels due to thiazide effect.
  • Pregnancy: contraindicated in pregnancy (Category D) because of fetal risk.
  • Elderly patients: start at lower doses and watch for orthostatic hypotension.
  • Store at below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Inibace Plus may interact with several medicines that affect blood pressure, renal function, or electrolyte balance.

Major Interactions (Avoid)

  • Co‑administration with other ACE inhibitors, ARBs, or aliskiren in diabetic patients can cause severe renal dysfunction.
  • Concurrent use of potassium‑sparing diuretics or supplements may lead to hyperkalaemia.
  • NSAIDs (e.g., ibuprofen, naproxen) can diminish antihypertensive efficacy and worsen renal function.

Moderate Interactions (Monitor Closely)

  • Other antihypertensives (beta‑blockers, calcium channel blockers) may increase the risk of hypotension; dose adjustments may be needed.
  • Lithium therapy can have increased serum lithium levels, requiring close monitoring.

Frequently Asked Questions

Inibace Plus is a prescription medication that combines the ACE inhibitor cilazapril with the thiazide diuretic hydrochlorothiazide. It is used to treat hypertension, helping to lower high blood pressure and reduce the risk of cardiovascular complications in adult patients.

Cilazapril blocks the angiotensin‑converting enzyme, which reduces the production of angiotensin II, a potent vasoconstrictor. Lower angiotensin II levels lead to relaxation of blood vessels, decreased aldosterone secretion, and ultimately a reduction in blood pressure.

The appropriate dose of Inibace Plus is determined by the prescribing healthcare professional based on the patient’s clinical condition, response to therapy, and other individual factors. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

Inibace Plus is classified as Pregnancy Category D, indicating evidence of risk to the fetus. It should not be used during pregnancy. Limited data are available for breastfeeding; therefore, the medication is generally avoided unless the potential benefit justifies the potential risk.

To request Inibace Plus, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide, and will verify trade or institutional credentials before providing pricing, availability, shipping details, and any necessary import documentation.

Inibace Plus offers a dual mechanism by combining an ACE inhibitor with a thiazide diuretic, providing additive blood‑pressure reduction. Compared with monotherapy agents, the combination can achieve better control with a single pill, but individual tolerability and patient comorbidities must be considered when selecting therapy.

Inibace Plus tablets should be stored at temperatures below 25 °C, in their original packaging, protected from moisture and direct sunlight. Do not store in bathrooms or near heat sources to maintain product stability.

Inibace Plus is taken orally, usually once daily, with or without food, as directed by the prescriber. Swallow the tablet whole with a glass of water; do not crush or chew unless specifically instructed.

Serious adverse reactions can include severe hypotension, angioedema (swelling of the face, lips, tongue, or airway), acute renal impairment, and hyperkalaemia. Patients should seek immediate medical attention if they experience swelling, difficulty breathing, sudden loss of blood pressure, or marked changes in kidney function.

Inibace Plus should be avoided in patients with known hypersensitivity to cilazapril, hydrochlorothiazide, or any component of the formulation, in those with a history of angioedema related to ACE inhibitors, and in pregnant women. Caution is also advised for individuals with severe renal impairment or electrolyte disturbances.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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