Ramil 1.25 mg (Tablet)
Unit Price: ৳ 2.50 (5 x 10: ৳ 125.00)
Strip Price: ৳ 25.00
Medicine Details
Category | Details |
---|---|
Generic | Ramipril |
Company | Popular pharmaceuticals ltd |
Also available as |
Indications
- Hypertension
- Congestive heart failure
- Myocardial infarction treatment
- Glomerular nephropathy treatment
- Cardiovascular risk reduction
Pharmacology
- ACE inhibitor
- Vasoconstrictor substance blocker
- Decreased vasopressor activity
- Long-acting
Dosage
- Adjustable according to tolerance and response
- Initial dose for hypertension: 1.25-2.5 mg once daily
- Initial dose for heart failure post-myocardial infarction: 2.5 mg twice daily
- Initial dose for prevention of cardiovascular events: 2.5 mg once daily
Administration
- Swallow with liquid
- Do not chew or crush
- Can be taken before, during, or after a meal
Interaction
- Contraindicated with diuretics
- May interact with lithium and NSAIDs
- Alcohol and hypotension interaction
Contraindications
- Hypersensitivity to ramipril or other ACE inhibitors
- History of angioedema
- Concomitant use with certain therapies or conditions
- Pregnancy
- Extracorporeal treatments
- Renal artery stenosis
Side Effects
- Dizziness
- Headache
- Fatigue
- Asthenia
- Hypotension
- Cough
- Nausea
- Vomiting
- Diarrhea
- Rash
- Urticaria
- Oliguria
- Anxiety
- Amnesia
- Angioneurotic edema
- Anaphylactic reactions
- Hyperkalemia
Pregnancy & Lactation
- Must not be taken during pregnancy
- Pregnancy must be avoided during treatment
- Not recommended during breastfeeding
Precautions & Warnings
- Caution in patients with impaired renal function, hyperkalemia, hypotension, and impaired hepatic function
- Reduced initial dose for the elderly and patients with hepatic impairment
Use in Special Populations
- Elderly: Reduced initial dose
- Hepatic impairment: Initiate treatment under close supervision
- Renal impairment: Adjusted initial dose based on creatinine clearance
- Patients pretreated with a diuretic: Consider discontinuation or dose reduction
Overdose Effects
- Excessive peripheral vasodilatation
- Bradycardia
- Electrolyte disturbances
- Renal failure
Therapeutic Class
- ACE inhibitors
Storage Conditions
- Store at 30°C or below
- Protect from light
- Keep out of reach of children
- Do not use later than expiry date
- Dispensed on physician's prescription