Ramicard Plus 2.5 mg+12.5 mg (Tablet)
Unit Price: ৳ 5.05 (4 x 14: ৳ 282.80)
Strip Price: ৳ 70.70
Medicine Details
Category | Details |
---|---|
Generic | Ramipril hydrochlorothiazide |
Company | Drug international ltd |
Also available as |
Indications
- Treatment of mild to moderate hypertension
- Combination therapy for stabilized patients
Pharmacology
- Ramipril is an ACE inhibitor
- Hydrochlorothiazide is a thiazide diuretic
- Decreased plasma angiotensin II
- Reduction of risk of stroke and myocardial infarction
Dosage & Administration
- Dose titration guided by clinical effect
- Maximum daily dose of 10 mg ramipril and 50 mg hydrochlorothiazide
Interaction
- Potentiation with diuretics or other antihypertensive agents
- Weakening of blood sugar lowering medications
- Attenuation with acetyl salicylic acid or indomethacin
- Potentiation with alcohol
Contraindications
- Hypersensitivity to ramipril or hydrochlorothiazide
- History of hereditary angioneurotic oedema
- Severe impairment of renal function
- Clinically relevant electrolyte disturbances
Side Effects
- Headache
- Dizziness
- Nausea
- Hypotension
- Cough
- Diarrhoea
- Electrolyte imbalance
- Hyperglycaemia
- Photosensitivity
Pregnancy & Lactation
- Risk of foetal or neonatal morbidity and death
- Crossing the placental barrier
- Excretion in breast milk
- Discontinuation in pregnancy
Precautions & Warnings
- Regular medical supervision
- Correction of dehydration before treatment
- Special caution in severe hypertension and heart failure
- Monitoring of white blood cell count
Use in Special Populations
- Dosage adjustment in renal impairment
- Safety and effectiveness not established in pediatric patients
Overdose Effects
- Ramipril overdosage treatment with normal saline solution
- Hydrochlorothiazide overdosage causing electrolyte depletion and dehydration
Therapeutic Class
- Combined antihypertensive preparations
Storage Conditions
- Store in a cool and dry place, protected from light