Ramipril: functions, dosage, side effects, how to use it

What medicine is Ramipril?

What's Ramipril for?

Ramipril is a drug with a function to treat high blood pressure (hypertension). Lowering high blood pressure can prevent strokes, heart attacks, and kidney problems. Ramipril is also used to increase post-cardiac endurance. This drug can also be used in patients with high medical risks such as patients with heart disease or diabetes to help prevent heart attacks and strokes. This medication is also used to treat heart failure in patients who have recently had a heart attack.

Ramipril is an ACE inhibitor and works by blocking blood vessels so that blood can flow easily.

OTHER USES: This section lists uses for this drug that are not listed on approved labels, but may be prescribed by your healthcare professional. Use this medication for the conditions listed below only if it has been prescribed by your doctor and health care professional.

This medication is also used to protect the kidneys from harm caused by diabetes.

Ramipril dosage and ramipril side effects are detailed below.

How to use Ramipril?

Take this medication by mouth before or after meals as directed by your doctor, usually once or twice a day.

If you are taking this medication in capsule form, swallow it completely. If you have difficulty swallowing the capsules, they can be opened and mixed with a little cold water (4 ounces) or mixed into a 4 ounce / 120 ml glass of water or apple juice). Swallow or drink whole.

To reduce the risk of side effects, your doctor will start with a small dose which is then increased gradually, according to the doctor's instructions.

Use this remedy regularly to get the best efficacy. To help you remember your dose, take the medication at the same time each day. It is important to continue this treatment until it heals Most people with high blood pressure don't feel sick.

For the treatment of high blood pressure, it takes several weeks before getting the efficacy of this treatment.

Consult your doctor if your condition does not improve, or gets worse.

How to store Ramipril?

This medication is best stored at room temperature, away from direct light and damp places. Don't keep it in the bathroom. Don't freeze it. Other brands of this drug may have different storage rules. Observe the storage instructions on the product package or ask your pharmacist. Keep all medicines away from children and pets.

Do not flush medicines down the toilet or down the drain unless instructed to do so. Discard this product when it has expired or when it is no longer needed. Consult your pharmacist or local waste disposal company about how to safely dispose of your product.

Ramipril dosage

The information provided is not a substitute for medical advice. ALWAYS consult your doctor or pharmacist before starting treatment.

What is the dosage of Ramipril for adults?

Dosage for adults with Diabetes Nephropathy

Initial dose: 2.5 mg orally once a day for patients

Follow-up dose: 2.5-20 mg / day orally in 1-2 divided doses

Dosage for adults with hypertension

Initial dose: 2.5 mg orally once a day for patients

Follow-up dose: 2.5-20 mg / day orally in 1-2 divided doses

Dosage for adults with heart failure

Initial dose: 2.5 mg orally twice a day

Follow-up dose: 5 mg orally twice a day

Dosage for adults with verticular dysfunction

Initial dose: 2.5 mg orally twice a day

continued dose: 5 mg orally twice a day

Dosage for adults with Myocardial Infarction

Initial dose: 2.5 mg orally twice a day

Follow-up dose: 5 mg orally twice a day

What is the dosage of Ramipril for children?

Safety and efficacy have not been proven in pediatric patients (under 18 years).

In what dosage is Ramipril available?

Capsules: 1.25 mg; 2.5 mg; 5 mg; 10 mg

Ramipril side effects

What side effects can be experienced due to Ramipril?

Call emergency medical help if you experience any symptoms of an allergic reaction such as hives, stomach pain, difficulty breathing, swelling of the face, lips, tongue, and throat.

Stop using ramipril and contact your doctor if there are serious side effects such as:

• Feel like passing out
• High potassium levels (slowed heart rate, weakened pulse, muscle weakness, and tingling feeling
• Dry lips, thirst, confusion, swelling, infrequent urination
• Pale face, black urine, bruises and bleeding easily
• Yellow skin and eyes
• Fever, chills, body aches, flu symptoms, and sore throat

Other side effects include:

• Cough
• Feeling tired, headache
• Dizziness, head spinning
• Nauseous vomit

Not everyone experiences this side effect. There may be some side effects not listed above. If you are concerned about the side effects please consult your doctor or pharmacist.

Ramipril Drug Warnings and Cautions

What should be known before using Ramipril?

Before using certain drugs, consider the risks and benefits first. This is a decision you and your doctor will have to make. For this drug, pay attention to the following:

Allergy

Tell your doctor if you have any unusual or allergic reactions to this or any other medicine. Also tell your doctor if you have any other types of allergies such as to food, coloring, preservatives, or animal allergies. For over-the-counter products, read the labels on the packaging carefully.

Children

Appropriate studies have not been carried out on the relationship of age to the effects of ramipril in the pediatric population. The safety and efficacy of these drugs have not been proven

Elderly

The precise studies carried out to date have not demonstrated a geriatric-specific problem that will limit the usefulness of ramipril in the elderly. However, elderly patients are more likely to have age-related kidney problems, which may require adjusting the dose for the patient while taking ramipril.

Is Ramipril safe for pregnant and lactating women?

There is no adequate research on the risks of using this drug in pregnant or breastfeeding women. Always consult your doctor to weigh the potential benefits and risks before using this medication. This drug is included in the risk of pregnancy category D according to the US Food and Drug Administration (FDA).

The following references the pregnancy risk categories according to the FDA:

• A = Not at risk
• B = No risk in several studies
• C = May be risky
• D = There is positive evidence of risk
• X = Contraindicated
• N = Unknown

Ramipril Drug Interactions

What medicines may interact with Ramipril?

Taking this drug with any of the following medicines is not recommended. Your doctor may not prescribe this medicine to you or will replace some of the drugs you are already taking.

• Aliskiren

Using this medication with some of the medicines below is not usually recommended, but in some cases it may be necessary. If both drugs are prescribed for you, your doctor will usually change the dosage or determine how often you should take them.

• Alteplase, Recombinant
• Amiloride
• Azathioprine
• Azilsartan
• Candesartan Cilexetil
• Canrenoate
• Eplerenone
• Eprosartan
• Irbesartan
• Losartan
• OlmesartanMedoxomil
• Potassium
• Spironolactone
• Telmisartan
• Triamterene
• Trimethoprim
• Valsartan

Taking this medication with the drugs below may increase your risk of side effects, but in some cases, a combination of these two drugs may be the best treatment. If both drugs are prescribed for you, your doctor will usually change the dosage or determine how often you should take them.

• Aceclofenac
• Acemetacin
• AmtolmetinGuacil
• Aspirin
• Azosemide
• Bemetizide
• Cyclopenthiazide
• Benzthiazide
• Bromfenac
• Bufexamac
• Bumetanide
• Bupivacaine
• Bupivacaine Liposome
• Buthiazide
• Capsaicin
• Celecoxib
• Chlorothiazide
• Chlorthalidone
• Choline Salicylate
• Clonixin
• Clopamide
• Cyclopenthiazide
• Cyclothiazide
• Dexibuprofen
• Dexketoprofen
• Diclofenac
• Dislunisal
• Dipyrone
• Ethacrynic Acid
• Etodolac
• Etofenamate
• Etoricoxib
• Felbinac
• Fenoprofen
• Fepradinol
• Feprazone
• Floctafenine
• Flufenamic Acid
• Flurbiprofen
• Furosemide
• Gold Sodium Thiomalate
• Hydrochlorothiazide
• Hydroflumethiazide
• Ibuprofen
• Ibuprofen Lysine
• Indapamide
• Indomethacin
• Ketoprofen
• Ketorolac
• Lornoxicam
• Loxoprofen
• Lumiracoxib
• Meclofenamate
• Mefenamic Acid
• Meloxicam
• Methyclothiazide
• Metolazone
• Morniflumate
• Nabumetone
• Naproxen
• Nepafenac
• Nesiritide
• Niflumic Acid
• Nimesulide
• Oxaprozin
• Oxyphenbutazone
• Parecoxib
• Phenylbutazone
• Piketoprofen
• Piretanide
• Piroxicam
• Polythiazide
• Pranoprofen
• Proglumetacin
• Propyphenazone
• Proquazone
• Quinethazone
• Rofecoxib
• Salicylic Acid
• Salsalate
• Sodium Salicylate
• Sulindac
• Tenoxicam
• Tiaprofenic Acid
• Tolfenamic Acid
• Tolmetin
• Torsemide
• Trichlormethiazide
• Valdecoxib
• Xipamide

Can food or alcohol interact with Ramipril?

Certain drugs should not be used with meals or when eating certain foods because drug interactions can occur. Consuming alcohol or tobacco with certain drugs can also cause interactions to occur. Discuss your use of drugs with food, alcohol, or tobacco with your health care provider.

What health conditions may interact with Ramipril?

Any other health conditions you have can affect the use of this drug. Always tell your doctor if you have other health problems, especially:

• Angioedema (swelling of the face, lips, tongue, or throat) - may increase the risk of this condition recurring
• Collagen vascular disease (autoimmune disease)
• Kidney disease - There may be an increased risk of blood problems
• Congestive heart failure - Use of the drug can cause kidney problems
• Diabetes
• Kidney problems. Increased risk of potassium levels in the body becoming too high
• Diabetic patients who are also taking Aliskiren (Tesorna®)
• Electrolyte imbalance (eg low sodium in the blood)
• Fluid imbalance (due to excessive sweating, vomiting, diarrhea)
• Heart or blood vessel disease
• Kidney illness
• Liver disease - Use with caution. It might make things worse
• Patients with severe kidney problems who are also taking Aliskiren (Tesorna) should avoid using ramipril

Ramipril overdose

What should I do in an emergency or overdose?

In case of an emergency or overdose, contact the local emergency services provider (112) or immediately to the nearest hospital emergency department.

Overdose symptoms include:

• Lightheaded (felt head spinning)
• Fainting

What should I do if I miss a dose?

If you forget a dose of this medicine, take it as soon as possible. However, when it is nearing the time of the next dose, skip the missed dose and return to the usual dosing schedule. Don't double the dose.