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quinapril

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Brand names: Accupril

ACE Inhibitor Rx

Quinapril is a medicine that lowers blood pressure. It can also help manage heart failure when used with other treatments.

Drug Shortage Alert

quinapril is currently listed as in shortage by the FDA. Affected manufacturer: Solco Healthcare US, LLC. Status: Unavailable.

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Drug Pricing (NADAC)

Generic Price

$0.10/unit

Generic Available

Yes (8 manufacturers)

Pricing data from NADAC (CMS), effective January 18, 2023. Compare all drug costs →

What it does

Quinapril is used to treat high blood pressure (hypertension).

Common side effects

Headache, Dizziness, Fatigue

Key warnings

You should not take quinapril if you are allergic to it or any other ACE inhibitor.

How It Works

Quinapril belongs to a class of drugs called ACE inhibitors. It works by blocking a substance in your body that tightens blood vessels. This helps your blood vessels relax and widens them, which lowers your blood pressure and makes it easier for your heart to pump.

How to Take It

If you are not taking a diuretic, the usual starting dose for high blood pressure is 10 or 20 mg once a day. Your doctor may change your dose every 2 weeks based on your blood pressure. Most people need 20, 40, or 80 mg per day, taken as one dose or two equal doses. If you have kidney problems, your doctor will adjust your dose.

Pregnancy & Breastfeeding

Tell your doctor if you are pregnant or plan to become pregnant. Quinapril can harm your unborn baby, especially if you take it during the second or third trimester. It is not known if quinapril passes into breast milk, so talk to your doctor before breastfeeding.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule.

Storage

Store quinapril tablets at room temperature (68°F to 77°F) in a closed container, away from light.

Side Effects (from patient reports)

Based on 3,620 FDA adverse event reports.

The medicine is not working
465
Falling down
420
Feeling sick to your stomach
407
Difficulty breathing
405
Aches and pains
386
Loose stool
350
Feeling tired
346
Low blood pressure
293
Difficulty pooping
284
Feeling lightheaded
264

FDA Adverse Event Report Analysis

Detailed analysis of 6,775 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

6,775

Death-Related Reports

545

Hospitalization Reports

2,126

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 3,286 (53%)
Male 2,961 (47%)

Age Distribution

0–17 30
18–44 133
45–64 1,469
65–74 1,360
75+ 1,329

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DRUG INEFFECTIVE 465
2 FALL 420
3 NAUSEA 407
4 DYSPNOEA 404
5 PAIN 385
6 DIARRHOEA 350
7 FATIGUE 345
8 HYPOTENSION 293
9 CONSTIPATION 284
10 DIZZINESS 264
11 ASTHENIA 252
12 MALAISE 217
13 VOMITING 217
14 BALANCE DISORDER 216
15 HEADACHE 215

Reactions in Death Reports

DEATH 188
PNEUMONIA 51
DYSPNOEA 48
NAUSEA 39
ACUTE KIDNEY INJURY 38
FATIGUE 36
SEPSIS 36
RENAL FAILURE 34
CARDIAC FAILURE 33
ARRHYTHMIA 32

Reactions in Hospitalization Reports

FALL 300
HYPOTENSION 239
PAIN 219
CONSTIPATION 204
BALANCE DISORDER 183
COGNITIVE DISORDER 183
ORTHOSTATIC HYPOTENSION 181
DYSPNOEA 177
SEDATION COMPLICATION 169
TOXICITY TO VARIOUS AGENTS 167

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

You should not take quinapril if you are allergic to it or any other ACE inhibitor. You should not take quinapril if you have a history of angioedema (swelling) related to ACE inhibitors. Do not take quinapril with a neprilysin inhibitor like sacubitril. If you have diabetes, do not take quinapril with aliskiren.

Known Drug Interactions

Monitor renal function periodically in patients receiving quinapril and NSAID therapy.

Mechanism: Both of these drugs belong to the same class, and using them together can put extra stress on your kidneys.

What to do: Your doctor should monitor your kidney function and potassium levels closely if these are used together.

Common Questions

Can I take quinapril with other medications?
Tell your doctor about all the medicines you take, including prescription and over-the-counter drugs, vitamins, and herbal supplements.
How long does it take for quinapril to start working?
Quinapril starts working quickly to lower blood pressure, but it may take several weeks to see the full effect.
Can I stop taking quinapril if I feel better?
Do not stop taking quinapril without talking to your doctor, even if you feel better. Stopping suddenly can cause your blood pressure to rise.
What should I avoid while taking quinapril?
Avoid getting up too fast from a sitting or lying position, as this can cause dizziness. Limit alcohol intake, as it can lower blood pressure further.
Does quinapril have any effect on kidney function?
Quinapril can affect kidney function, especially if you have kidney problems. Your doctor will monitor your kidney function while you are taking this medicine.
Can quinapril cause a cough?
Yes, quinapril can cause a dry cough in some people. If you develop a cough, talk to your doctor.
What are the symptoms of angioedema?
Symptoms of angioedema include swelling of the face, lips, tongue, or throat. If you experience these symptoms, seek immediate medical attention.
Can I take quinapril if I have diabetes?
If you have diabetes, do not take quinapril with aliskiren. Talk to your doctor about the best treatment options for you.
How often will my blood pressure be checked?
Your doctor will check your blood pressure regularly to see how well the medicine is working.
What should I do if I have side effects?
If you have any side effects, talk to your doctor or pharmacist.
What are the common side effects of quinapril?
The most commonly reported side effects of quinapril include Headache, Dizziness, Fatigue, Coughing, Nausea. Based on 3,620 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does quinapril interact with other medications?
Yes, quinapril has 1 known drug interactions. Notable interactions include fosinopril. Always inform your doctor about all medications you are taking.
What drug class is quinapril?
quinapril belongs to the ACE Inhibitor drug class. It requires a prescription (Rx). Quinapril is used to treat high blood pressure (hypertension).
Is quinapril safe during pregnancy?
Tell your doctor if you are pregnant or plan to become pregnant. Quinapril can harm your unborn baby, especially if you take it during the second or third trimester. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.
Is quinapril currently in shortage?
Yes, quinapril is currently listed as in shortage by the FDA. Affected manufacturer: Solco Healthcare US, LLC. Status: Unavailable. Visit the FDA Drug Shortages database for the latest updates.

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Medication Guides

Related Health & Safety Data

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What the FDA Data Shows for quinapril

The FDA label for quinapril (sold under brand names such as Accupril) classifies it as a prescription-only medication in the ACE Inhibitor class. Quinapril is used to treat high blood pressure (hypertension). Official labeling lists 6 commonly reported side effects, including Headache, Dizziness, Fatigue.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 3,620 voluntary reports. The database also lists 1 documented drug interaction derived from FDA labeling, with the top-flagged interaction rated minor severity. NADAC pricing from CMS shows a generic unit cost of $0.10.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC). Shortage status: FDA Drug Shortages Database.

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: November 1, 2022

All federal data sources used on this page