Ramicard Plus 2.5 mg+12.5 mg (Tablet)

Unit Price: ৳ 5.05 (4 x 14: ৳ 282.80)
Strip Price: ৳ 70.70

Medicine Details

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

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