Ramil 1.25 mg (Tablet)

Unit Price: ৳ 2.50 (5 x 10: ৳ 125.00)
Strip Price: ৳ 25.00

Medicine Details

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

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