Ramipril Sandoz 10 mg 20 tablets

Ramipril 10 mg tablets

What is ramipril and what is it used for?

• Ramipril can be used:
• To treat high blood pressure (hypertension).
• To reduce your risk of having a heart attack or stroke
• To reduce the risk or delay the worsening of kidney problems
• To treat your heart when it can't pump enough blood to the rest of your body (heart failure)
• As a treatment after a heart attack (myocardial infarction) with heart failure.

Do not take ramipril:

• If you are allergic to ramipril, any other ACE inhibitor, or any of the other ingredients of this medicine.
• If you have ever had a serious allergic reaction called "angioedema."
• If you have taken or are currently taking sacubitril/valsartan.
• If you are undergoing dialysis or any other type of blood filtration.
• If you have kidney problems where blood flow to your kidneys is reduced
• During the last six months of pregnancy.
• If your blood pressure is abnormally low or unstable, your doctor will need to perform this evaluation.
• If you have diabetes or impaired kidney function and are being treated with a blood pressure lowering medicine containing aliskiren.

Warnings and Precautions:

• Talk to your doctor or pharmacist before taking ramipril:
• If you have heart, liver or kidney problems
• If you lose a lot of body salts or body fluids through illness (vomiting), diarrhea, and sweating
• If you are receiving treatment to reduce your allergy to bee or wasp stings
• If you are going to get anesthesia.
• If you have high amounts of potassium in your blood (shown in blood test results)
• If you are taking medications or have conditions that may reduce sodium levels in your blood.
• If you are taking medications that may increase your risk of angioedema.
• If you have a collagen vascular disease such as scleroderma or systemic lupus erythematosus.
• You should tell your doctor if you think you are (or may become) pregnant. Ramipril is not recommended during the first 3 months of pregnancy and may cause serious harm to your baby after 3 months of pregnancy.
• If you are taking any of the following medications used to treat high blood pressure: angiotensin II receptor blockers, aliskiren.

Possible side effects of ramipril:

• These include headache or feeling tired, feeling dizzy, fainting, low blood pressure, dry cough, sinusitis (inflammation of the sinuses) or bronchitis, shortness of breath, stomach or bowel pain, diarrhea, indigestion, feeling or being sick, skin rash with or without a raised area, chest pain, cramps or pain in your muscles, blood tests showing more potassium than normal in your blood, balance problems (vertigo), itching and unusual skin sensations such as tingling.

Other medications and ramipril:

• Tell your doctor if you are taking any of the following medications.
• Medicines used to relieve pain and inflammation, such as ibuprofen or indomethacin
• Medicines used to treat low blood pressure, shock, heart failure, asthma, or allergies
• Sacubitril/Valsartan - used to treat a type of long-term (chronic) heart failure in adults.
• Medications used to relieve pain and inflammation
• Cancer drugs (chemotherapy)
• Medications to prevent organ rejection after transplantation, such as cyclosporine
• Diuretics (water pills) such as furosemide
• Medicines that can increase the amount of potassium in the blood
• Steroid medications used for improvement such as prednisolone
• Allopurinol (used to lower uric acid in the blood)
• Procainamide (for heart rhythm problems).

How to take ramipril:

• Treatment of high blood pressure
• The usual starting dose is 1.25 mg or 2.5 mg once daily. Your doctor will adjust the amount you take until your blood pressure is under control.
• Maximum dose is 10 mg once daily.
• If you are already taking diuretics (water pills), your doctor may stop or reduce the amount of diuretics you take before you start treatment with ramipril.
• To reduce your risk of having a heart attack or stroke
• The usual starting dose is 2.5 mg once daily. Your doctor may then decide to increase the amount you take.
• The usual dose is 10 mg once daily.
• Treatment to reduce or delay the progression of kidney problems
• You may start with a dose of 1.25 mg or 2.5 mg once daily. Your doctor will adjust the amount you take.
• The usual dose is 5 mg or 10 mg once daily.
• Heart failure treatment
• The usual starting dose is 1.25 mg once daily. Your doctor will adjust the amount you take.
• The maximum dose is 10 mg daily. Two doses per day are preferred.
• Treatment after a heart attack
• The usual starting dose is 1.25 mg once daily to 2.5 mg twice daily. Your doctor will adjust the amount you take.
• The usual dose is 10 mg daily. Two doses per day are preferred.

How to store ramipril:

• Keep this medicine out of the sight and reach of children.
• Do not use this medicine after the expiry date shown on the carton and blister packs.
• The expiration date refers to the last day of the same month.
• This medicine does not require any special storage conditions.