MYLAN-CILAZAPRIL

Serious Warnings and Precautions - Pregnancy Mylan-Cilazapril should not be used during pregnancy. If you discover that you are pregnant while taking Mylan- Cilazapril, stop the medication and contact your doctor, nurse, or pharmacist as soon as possible.

BEFORE you use Mylan-Cilazapril talk to your doctor, nurse or pharmacist if you:  Are allergic to any drug used to lower blood pressure.  Have narrowing of an artery or a heart valve.  Have/had a heart attack or a stroke.  Have heart failure.

 Have diabetes, liver or kidney disease.  Are on dialysis.  Are on LDL apheresis (a treatment to lower the LDL cholesterol in the blood).  Are dehydrated or recently suffered from excessive vomiting, diarrhea or sweating.  Are on a low salt diet.

 Are receiving gold (sodium aurothiomalate) injections.  Have recently received or are planning to have allergy shots for bee or wasp stings.  Have a collagen disease (skin disease) such as lupus (systemic lupus erythematosus) or scleroderma (a skin condition leading to hardening or thickening of the skin).

 Are less than 18 years old. Mylan- Cilazapril is not recommended for use in children.  Are taking a medicine that contains aliskiren, such as RASILEZ, used to lower high blood pressure. The combination with Mylan-Cilazapril is not recommended.

g. temsirolimus, sirolimus, everolimus). , trimethoprim-containing products).  Are taking an angiotensin receptor blocker (ARB). You can recognize an ARB because its medicinal ingredient ends in “-SARTAN”. If any of the above apply to you, or if you are not sure, talk to your doctor or pharmacist before you take Mylan-Cilazapril.

You may become sensitive to the sun while taking Mylan- Cilazapril. Exposure to sunlight should be minimized until you know how you respond. If you are going to have surgery and will be given an anesthetic, be sure to tell your doctor or dentist that you are taking Mylan-Cilazapril.

Driving and using machines You may feel dizzy while taking Mylan-Cilazapril. This is more likely to happen when you first start treatment or when the dose is increased. If you feel dizzy, do not drive or use any tools or machines. INTERACTIONS WITH THIS MEDICATION As with most medicines, interactions with other drugs are possible.

Tell your doctor, nurse, or pharmacist about all the medicines you take, including drugs prescribed by other doctors, vitamins, minerals, natural supplements, or alternative medicines. g. g trimethoprim-containing products and co- trimoxazole for infections caused by bacteria; cyclosporine, an immunosuppressant medicine used to prevent organ transplant rejection; and heparin, a medicine used to thin blood to prevent clots).