Ramicard 5 mg (Tablet)
Unit Price: ৳ 8.05 (4 x 14: ৳ 450.80)
Strip Price: ৳ 112.70
Medicine Details
| Category | Details |
|---|---|
| Generic | Ramipril |
| Company | Drug international ltd |
| Also available as |
Indications
- Hypertension management
- Treatment of congestive heart failure
- Post-myocardial infarction care
- Nephropathy treatment
- Reduction of cardiovascular risks
Pharmacology
- ACE inhibitor
- Blocks angiotensin I conversion
- Decreases vasopressor activity
- Reduces aldosterone secretion
Dosage
- Initial dose of 1.25-2.5 mg
- Maintenance dosage of 2.5-20 mg daily
- Dosage adjustment for renal impairment
- Different dosages for different conditions
Administration
- Tablets to be swallowed whole
- Absorption unaffected by food
- Can be taken before, during, or after a meal
Interaction
- Contraindicated with diuretics
- Potential hyperkalemia with potassium-sparing diuretics
- Interacts with lithium, alcohol, NSAIDs
Contraindications
- Hypersensitivity to ramipril
- History of angioedema
- Renal artery stenosis
- Hypotensive states
- Contraindicated during pregnancy
- Avoid in certain renal conditions
Side Effects
- Dizziness
- Headache
- Fatigue
- Nausea
- Hypotension
- Cough
- Rarely angioedema, hyperkalemia
Pregnancy & Lactation
- Not to be used during pregnancy
- Pregnancy must be excluded before treatment
- Avoid in breastfeeding
Precautions & Warnings
- Use caution in renal impairment
- Monitor for hyperkalaemia and hypotension
Use in Special Populations
- Consider reduced dose in elderly
- Hepatic impairment requires close supervision
- Renal impairment dosing considerations
- Considerations for patients on diuretics
Overdose Effects
- Symptoms: hypotension, electrolyte disturbances
- Management: detoxification, cardiovascular support
Therapeutic Class
- Angiotensin-converting enzyme (ACE) inhibitors
Storage Conditions
- Store at or below 30°C
- Protect from light
- Keep out of reach of children
- Dispense only with a prescription