Piramil 2.5 mg (Tablet)

Unit Price: ৳ 7.00 (3 x 10: ৳ 210.00)
Strip Price: ৳ 70.00

Medicine Details

Category Details
Generic Ramipril
Company Sandoz a novartis division
Also available as

Indications

  • Hypertension
  • Congestive heart failure
  • Myocardial infarction
  • Nephropathy
  • Cardiovascular risk reduction

Pharmacology

  • ACE inhibitor
  • Vasopressor activity inhibition
  • Aldosterone secretion reduction
  • Antihypertensive activity
  • Long-acting

Dosage

  • Initial dose adjustment
  • Hypertension management
  • Heart failure therapy
  • Cardiovascular event prevention
  • Renal impairment dosage

Administration

  • Swallow whole with liquid
  • No chewing or crushing
  • Absorption unaffected by meals

Interaction

  • Concomitant diuretic risk
  • Potential hyperkalemia
  • Lithium concentration increase
  • Alcohol interaction
  • NSAID effect on antihypertensive effect

Contraindications

  • Hypersensitivity
  • History of angioedema
  • Sacubitril/valsartan concomitant use
  • Renal artery stenosis
  • Hypotensive states
  • Aliskiren-containing medicines with diabetes
  • Angiotensin II receptor antagonists in diabetic nephropathy
  • Pregnancy

Side Effects

  • Dizziness
  • Headache
  • Fatigue
  • Asthenia
  • Hypotension
  • Cough
  • Nausea
  • Vomiting
  • Diarrhoea
  • Rash
  • Urticaria
  • Oliguria
  • Anxiety
  • Amnesia

Pregnancy & Lactation

  • Contraindicated during pregnancy
  • Excluded in pregnancy test
  • Avoid during breastfeeding

Precautions & Warnings

  • Caution in impaired renal function
  • Caution in hyperkalaemia
  • Caution in hypotension
  • Caution in impaired hepatic function

Use in Special Populations

  • Elderly dose consideration
  • Hepatic impairment caution
  • Renal impairment dose adjustment
  • Diuretic pretreatment consideration

Overdose Effects

  • Peripheral vasodilatation
  • Hypotension
  • Bradycardia
  • Electrolyte disturbances
  • Renal failure

Therapeutic Class

  • ACE inhibitors

Storage Conditions

  • Store at 30°C or below
  • Protect from light
  • Keep out of the reach of children
  • Do not use after expiry date
  • Dispensed on prescription

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