Learn how to monitor your own blood pressure at home, and share the results with your doctor. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up. Store at room temperature away from light and moisture.
Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. Selected from data included with permission and copyright by First DataBank, Inc. This copyrighted material has been downloaded from a licensed ata provider and is not for distribution, except as may be authorized by the applicable terms of use.
Conditions of use: The information in this database is intended to supplement, not substitute for the expertise and judgment of healthcare professionals. The information in not intend to cover all possible uses, directions, precautions, drug interactions or adverse effects nor should it be construed in indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.
This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use and Privacy Policy. Learn how we develop our content. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Top of the page.
Uses This medication is used to treat high blood pressure hypertension. Other Uses This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional.
This drug may also be used for heart failure. How To Use Take this medication by mouth with or without food, usually once daily or as directed by your doctor. The dosage is based on your medical condition and response to treatment.
Side Effects Dizziness or lightheadedness may occur as your body adjusts to the medication. In the US - Call your doctor for medical advice about side effects.
Precautions Before taking this product, tell your doctor or pharmacist if you are allergic to either ramipril or hydrochlorothiazide; or to other ACE inhibitors e. Before having surgery, tell your doctor or dentist that you are taking this medication. Drug Interactions See also Precautions section. Some products that may interact with this drug are: aliskiren alpha blockers e. Safety and efficacy have not been established. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of ramipril in the elderly.
However, elderly patients are more likely to have age-related heart, kidney, or liver problems, which may require an adjustment in the dose for patients receiving ramipril.
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below.
The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:. In addition to the use of this medicine, treatment for your high blood pressure may include weight control and changes in the types of foods you eat, especially foods high in sodium salt. Your doctor will tell you which of these are most important for you.
You should check with your doctor before changing your diet. Many patients who have high blood pressure will not notice any signs of the problem. In fact, many may feel normal. It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well.
Remember that this medicine will not cure your high blood pressure but it does help control it. Therefore, you must continue to take it as directed if you expect to lower your blood pressure and keep it down. You may have to take high blood pressure medicine for the rest of your life. If high blood pressure is not treated, it can cause serious problems such as heart failure, blood vessel disease, stroke, or kidney disease. Remember, by keeping your blood pressure low, you're protecting yourself against having a heart attack or stroke in the future.
Drinking alcohol can increase the blood pressure-lowering effect of ramipril, which can make you feel dizzy or lightheaded. During the first few days of taking ramipril or after a dose increase, it's best to stop drinking alcohol until you see how the medicine affects you.
If you find ramipril makes you feel dizzy, it's best to stop drinking alcohol. There are several other ACE inhibitor medicines that work in the same way as ramipril. They include enalapril , lisinopril and perindopril. If you cannot't take ramipril or other ACE inhibitor medicines because of side effects such as a dry cough, you may be able to switch to another type of blood pressure-lowering medicine.
This will usually be an angiotensin receptor blocker, such as candesartan , irbesartan , losartan or valsartan. Ramipril works as well as other ACE inhibitors when you take it to lower blood pressure and for heart failure. Ramipril is officially approved to be used for reducing the risk of having a heart attack or stroke, but other ACE inhibitors may not be. It's also approved for reducing or delaying kidney problems, but other ACE inhibitors may not be.
Tell your doctor that you're taking ramipril if you're going to be put to sleep for an operation or are going to have a major operation, such as a caesarean section, without a general anaesthetic. Ramipril can reduce your blood pressure when it's used with a general anaesthetic. But some types of hormonal methods of contraception, such as the combined pill and contraceptive patch , are not usually recommended for women with high blood pressure.
Talk to your doctor if you're taking a combined hormonal contraceptive. There's no clear evidence to suggest that taking ramipril will reduce fertility in either men or women. But if you're a woman and trying to get pregnant, talk to your doctor first.
Do not use salt substitutes such as Lo-Salt. This is because they're high in potassium. When mixed with ramipril, they may make the level of potassium in your blood too high.
Eating well can help if you have high blood pressure or heart failure. Ramipril can cause blurred vision and make some people feel dizzy, especially when you first start taking it or after taking a bigger dose.
If this happens to you, do not drive a car, ride a bike, or use tools or machinery. You can boost the health of your heart by making some key lifestyle changes. These will also help if you have high blood pressure or heart failure :. Page last reviewed: 13 December Next review due: 13 December Ramipril On this page About ramipril Key facts Who can and cannot take ramipril How and when to take ramipril Side effects How to cope with side effects Pregnancy and breastfeeding Cautions with other medicines Common questions.
About ramipril Ramipril is a medicine widely used to treat high blood pressure and heart failure. NHS coronavirus advice If you have coronavirus, or think you might have it, keep taking your blood pressure medicines as usual. Updated: 17 March Help us improve our website Can you answer a quick question about your visit today? Ramipril lowers your blood pressure and makes it easier for your heart to pump blood around your body.
Your very first dose of ramipril may make you feel dizzy, so it's best to take it at bedtime. After that you can take ramipril at any time of day. Some people get a dry, irritating cough with ramipril. If you get severe diarrhoea or vomiting from a stomach bug or illness, tell your doctor. You may need to stop taking ramipril for a while until you feel better.
Ramipril is also called by the brand name Tritace. Ramipril can be taken by adults aged 18 and over. This is because ramipril can lower the sugar level in your blood. Ramipril is not suitable for everyone. To make sure ramipril is safe for you, tell your doctor if you : have had an allergic reaction to ramipril or any other medicine in the past are trying to get pregnant, are already pregnant or you're breastfeeding are having dialysis or any other type of blood filtration have heart, liver or kidney problems have unstable or low blood pressure have diabetes are going to have a major operation surgery or general anaesthetic to put you to sleep have recently had any diarrhoea or vomiting are on a low-salt diet are going to have desensitisation treatment to reduce your allergy to insect stings have a blood problem such as low white blood cell count neutropenia or agranulocytosis.
It's usual to take ramipril once or twice a day. Try to take it at the same time every day. Dosage The dose of ramipril you take depends on why you need the medicine. This will be increased gradually over a few weeks to a usual dose of: 2. The maximum dose is 5mg twice a day or 10mg once a day. Will my dose go up or down? Important Take ramipril even if you feel well, as you will still be getting the benefits of the medicine.
Call your doctor right away if you have any of these serious side effects. Serious side effects and their symptoms can include the following:. The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you. As you age, your kidneys may not work as well as they used to. This can cause your body to process drugs more slowly.
As a result, more of this drug may stay in your body for a longer time. This increases your risk for side effects. Your doctor may start you on a lowered dose or a different schedule. This can help keep levels of this drug from building up too much in your body. Kidney problems: 1. Your doctor may increase your dose to 5 mg taken once per day if needed for blood pressure control. Renal artery stenosis or dehydration: The starting dose is 1. Your doctor may change your dose as needed.
Then 5 mg taken once per day for 3 weeks. Your doctor will increase your dose as tolerated to 10 mg taken once per day.
This increases your risk of side effects. Your doctor may increase your dose up to 1. The maximum dose is 2. Ramipril oral capsule is used for long-term treatment. Stopping this drug suddenly can cause your blood pressure to spike.
This may increase your chance for a heart attack or stroke. You may have a higher chance of a heart attack or stroke. What to do if you miss a dose: If you forget to take your dose, take it as soon as you remember. Never try to catch up by taking two doses at once. This could cause toxic side effects.
If you take too much: If you take too much ramipril, you could have dangerous levels of this drug in your body. You may have the following symptoms:. Call your doctor or local poison control center, or go to the nearest emergency room.
How to tell this drug is working: You can tell if ramipril is working because your blood pressure will be lower. This drug may cause an allergic reaction. You may have swelling angioedema of your face, arms, legs, lips, tongue, windpipe, and stomach.
Tell your doctor right away if you have swelling in these areas or have stomach pain. You may have low blood pressure especially during the first few days of treatment with this drug. You may feel lightheaded. Your risk for low blood pressure may be higher if you:. Ramipril may cause a persistent cough, but it should generally go away within 1 to 4 weeks after stopping ramipril.
0コメント