AMPRIL. 5 mg. 30 tablets

AMPRIL. 5 mg. 30 tablets
€ 9.00
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Ampril contains a medicine called ramipril. It belongs to a group of drugs called ACE inhibitors.

AMPRIL. 5 mg. 30 tablets

 
 
What Ampril and what it is used
Ampril contains a medicine called ramipril. It belongs to a group of drugs called ACE inhibitors.

Ampril acts as:
Reduce your body's production substances which can increase blood pressure;
Helps to relax and widen your blood vessels;
Helps the heart easier to pump blood around your body.
Ampril can be used:
For the treatment of high blood pressure (hypertension);
To reduce the risk of having a heart attack or stroke;
To reduce the risk or delay the worsening of kidney problems (whether or not you have diabetes);
For the treatment of heart when it can not pump enough blood (cardiac failure);
As a treatment after a heart attack (myocardial infarction) complicated with heart failure.

2. Before you take Ampril
Do not take Ampril:
if you are allergic (hypersensitive) to ramipril or any other medicine - an ACE inhibitor or any of the other ingredients of Ampril listed in section 6. signs of an allergic reaction may include rash, trouble breathing or swallowing, swelling of the lips, face, throat or tongue;
if you have ever had a serious allergic reaction called "angioedema." signs include itching, hives (urticaria), redness of the hands, feet and throat, swelling of the throat and tongue, swelling around the eyes and lips, difficulty breathing and swallowing;
if you are on dialysis or any other type of blood filtration. Depending on the equipment, Ampril may not be suitable for you;
if you have kidney problems where the blood supply to the kidneys is reduced (renal artery stenosis);
if you are pregnant after 3 months (it is also good to avoid taking Ampril in early pregnancy - see. chapter "Pregnancy");
If your blood pressure is abnormally low and unstable. Your doctor will need to make this judgment.
Take special care with Ampril:
Ask your doctor or pharmacist before taking your medicine:
if you have heart problems, liver or kidney;
If you have lost a lot of body fluids and salts (from vomiting, diarrhea, sweating more than usual, if you are on a diet low in salt, if you are taking diuretics (water) for a long time or were on dialysis;
if you are undergoing treatment for reducing allergy to stings from bees or wasps (desensitization);
If you are going anesthesia. It can be given for surgery or dental work. You may need to stop treatment with Ampril one day earlier - ask your doctor for advice;
if you have high amounts of potassium in the blood (shown in the results of blood tests);
if you have a collagen vascular disease such as scleroderma or systemic lupus erythematosus. You must tell your doctor if you think you are (or might become) pregnant. Ampril not recommended in early pregnancy and may cause serious harm to your baby after the third month of pregnancy (see section "Pregnancy and lactation").
Children
Ampril not recommended for use in children and adolescents under the age of 18 because the drug has never been used in these age groups. If any of the above applies to you (or not sure), ask your doctor before taking Ampril.

Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Ampril may affect the operation of some other medicines. As some medicines can affect the operation of Ampril.

Please consult your doctor if you are taking any of these medicines. They may weaken the effect of Ampril:
Medicines used for the relief of pain and inflammation (e.g., nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or indomethacin and aspirin);
Medicines used for the treatment of low blood pressure, shock, heart failure, asthma or allergies such as ephedrine, epinephrine, or norepinephrine. Your doctor will need to check your blood pressure.
Please tell your doctor if you are taking any of these medicines. They can increase the chance of getting side effects if you take them with Ampril:
Medicines used for the relief of pain and inflammation (e.g., nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or indomethacin and aspirin);
Medicines to treat cancer (chemotherapy);
Medicines used to prevent organ rejection after a transplant, such as cyclosporine;
Diuretics (water pills) such as furosemide;
Drugs that can increase the amount of potassium in the blood, such as spironolactone, triamterene, amiloride, potassium salts, and heparin (blood thinning);
Steroid medicines for inflammation such as prednisolone;
Allopurinol (used to lower the uric acid in your blood);
Procainamide (for heart rhythm disorders).
Please tell your doctor if you are taking any of these medicines. They can be influenced by Ampril:
Drugs for diabetes by oral glucose-lowering drugs and insulin. Ampril can lower your blood sugar. Check your blood sugar closely while taking Ampril;
Lithium (for mental health problems). Ampril can increase the amount of lithium in your blood. Amount of lithium should be closely monitored by your doctor.
AIS any of these circumstances apply to you (or you are not sure), talk to your doctor before taking Ampril.

Taking Ampril with food and drink
Alcohol with Ampril can make you feel dizzy or feel faint. If you are concerned about how much you should drink while taking Ampril discuss this with your doctor as medicines used to reduce blood pressure and alcohol can have additive effects.
Ampril can be taken with or without food.

Pregnancy and lactation
Ask your doctor or pharmacist before taking any medicine.

Pregnancy
You must tell your doctor if you think you are (or might become) pregnant. Your doctor will advise you to stop taking Ampril before you become pregnant or as soon as you know you are pregnant and will advise you to take another medicine instead Ampril. Ampril not recommended in early pregnancy, and must not be taken if you are pregnant more than 3 months, as it may cause serious harm to your baby if used after the third month of pregnancy.

Breastfeeding
Tell your doctor if you are breastfeeding or plan to breastfeed. Ampril not recommended for mothers who are breast feeding, and your doctor may choose another treatment for you if you wish to breast-feed, especially if your baby is newborn, or was born prematurely.

Driving and using machines
You may feel sleepy or dizzy after taking Ampril. This is more likely to happen when you start taking Ampril or start taking a higher dose. If this happens, do not drive or use any tools or machines.

Important information about some of the ingredients of Ampril
Ampril contains lactose. If you are told by your doctor that you have intolerance to some sugars, contact your doctor before taking this medicine.

3. How to take Ampril
Always take Ampril exactly as your doctor tells you. If you are not sure, ask your doctor or pharmacist.

Taking this medicine
Take this medicine by mouth at the same time each day;
Swallow the tablets whole with liquid;
Do not crush or chew the tablets.
How much to take
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 normal;
The maximum dose is 10 mg once daily;
If you are taking diuretics (water tablets increasing urine output), your doctor may stop or reduce the dose of the diuretic prior to initiation of treatment with Ampril.
To reduce risk, after you have had a heart attack or stroke:
The usual starting dose is 2,5 mg once daily;
Your doctor may decide to increase the dose you are taking;
The usual dose is 10 mg once daily.
Treatment to reduce or delay the worsening of kidney problems:
You can 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.
Treatment of heart failure:
The usual starting dose is 1,25 mg once a day;
Your doctor may adjust the dose you are taking;
The maximum dose is 10 mg daily. Twice per day being preferred.
Treatment after you have had a heart attack:
The usual starting dose is 1,25 mg once daily to 2,5 mg twice daily;
Your doctor may adjust the dose you are taking;
The usual dose is 10 mg daily. Twice per day being preferred.
Elderly
Your doctor will reduce the initial dose and adjust the dose slowly.
If you take more dose Ampril
Talk to a doctor or go to the nearest hospital casualty department. Do not drive to the hospital, get somebody else to take you or call an ambulance. Take the medicine pack with you to the doctor to find out what you have taken.

If you forget to take Ampril
If you miss a dose, take your normal dose when the next intake;
Do not take a double dose to make up for a forgotten tablet.
If you stop taking Ampril
Keep taking the medicine until your doctor tells you to stop. Do not stop taking Ampril just because you feel better. If you stop, your illness may return.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, Ampril can cause side effects, although not everybody gets them.

Stop taking Ampril and see a doctor immediately if you notice any of the following serious side effects - you may need urgent medical treatment:
Swelling of the face, lips or throat, difficult swallowing or breathing, and itching and rash. This may be a sign of a severe allergic reaction to Ampril;
Severe skin reactions including rash, mouth ulcers, worsening of skin disease, redness, blistering or peeling of the skin (eg, Stevens-Johnson syndrome, toxic epidermal necrolysis and erythema multiforme).
Immediately contact your doctor if you experience:
Increased heart rate, uneven or forceful heartbeat (palpitations), chest pain, chest tightness or more serious problems, including heart attack and stroke;
Shortness of breath or cough. These may be signs of lung problems;
In more easy bruising, prolonged bleeding or signs of bleeding (e.g., bleeding of the gums), purple spots covering the skin; more readily succumb to infection / sore throat and fever, fatigue, dizziness or pale skin. These can be signs of problems with blood or bone marrow;
Severe stomach pain that may spread to the back. This may be a sign of pancreatitis (inflammation of the pancreas)
Fever, chills, tiredness, loss of appetite, stomach pain, nausea, yellowing of the skin or eyes (jaundice). These may be signs of liver problems such as hepatitis (inflammation of the liver) or liver damage.
Other side effects include:
Tell your doctor if any of the side effects gets serious or lasts longer than a few days.
Very common: affects more than 1 user in 10;
Common: affects 1 to 10 users in 100;
Uncommon: affects 1 to 10 users in 1000;
Rare: affects 1 to 10 users in 10,000;
Very rare: affects less than 1 user in 10 000;
Not known: frequency can not be predicted from the available data.
Common:
Headache or fatigue;
Feeling dizzy. This is more likely to happen when you start taking Ampril or start taking a higher dose;
Fainting, hypotension (abnormally low blood pressure, especially when standing or sitting directly);
Dry tickly cough, inflammation of the sinuses (sinusitis) or bronchitis, shortness of breath;
Pain in the stomach or intestines, diarrhea, indigestion, nausea;
Skin rash with or without swelling;
Chest pain;
Cramps or muscle pain;
Blood tests showing more potassium than usual in the blood.
Uncommon:
Dizziness (vertigo);
Itching and unusual skin sensations such as numbness, tingling, pricking, burning or creeping on the skin (paresthesia);
Loss or change in taste;
Sleep problems;
Depression, anxiety, nervousness or anxiety than usual;
Nasal congestion, difficulty breathing or worsening of asthma;
Swelling of the intestines called "intestinal angioedema" with symptoms such as abdominal pain, vomiting and diarrhea;
Heartburn, constipation or dry mouth;
Passing more water (urine) during the day than usual;
Sweating more than usual;
Loss or reduction of appetite (anorexia);
Fast or irregular heartbeat;
Swelling of the hands and feet. This may be a sign that your body retains povechevoda than usual;
Redness;
Blurred vision;
Joint pain;
Fever;
Sexual inability in men, decreased sexual desire in men or women;
Increase in certain white blood cells (eosinophilia) found during a blood test;
Blood tests showing changes in the way work liver, pancreas and kidneys.
Rare:
Feelings of confusion or tremors;
Redness and swelling of the tongue;
Severe flaking or peeling of the skin, itchy, lumpy rash;
Nail problems (such as loss or separation of the nail from the nail bed);
Skin rash or bruising;
Spots on the skin and cold extremities;
Red, itchy, swollen or watery eyes;
Hearing impairment and tinnitus;
Sense of weakness;
Blood tests show a decrease in the number of red blood cells, white blood cells or platelets, or the amount of hemoglobin.
Very rare:
More sensitive to sunlight than usual.
Other reported side effects
Tell your doctor if any of the side effects gets serious or lasts more than a few days.
Difficulty concentrating;
Swelling of the lips;
Blood tests showing too few blood cells in the blood;
Blood tests showing less than normal amount of sodium in the blood;
Discoloration of the fingers and toes when cold and then feel tingling or painful when you warm (Raynaud's phenomenon);
Breast enlargement in men;
Delayed or impaired reactions;
Burning sensation;
Change in sense of smell;
Hair loss.
If any of the side effects gets serious, or you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.

5. How to store Ampril
Keep out of reach of children.
Do not use Ampril after the expiry date stated on the carton. The expiry date refers to the last day of that month.
Do not store above 25 ° C.
Store in the original package to protect from moisture.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. Additional Information
What does Ampril
Active substance ramipril (ramipril).
Ampril 1,25 mg Tablets: Each tablet contains 1,25 mg ramipril.
Ampril 2,5 mg tablets: Each tablet contains 2,5 mg of ramipril.
Ampril 5 mg tablets: Each tablet contains 5 mg of ramipril.
Ampril 10 mg Tablets: Each tablet contains 10 mg of ramipril.

The other ingredients of Ampril 1,25 mg tablets are sodium bicarbonate, lactose monohydrate, croscarmellose sodium, pregelatinized starch and sodium stearyl fumarate.
The other ingredients of Ampril 2,5 mg tablets are sodium bicarbonate, lactose monohydrate, croscarmellose sodium, pregelatinized starch, sodium stearyl fumarate, and yellow iron oxide (E172).
The other ingredients of Ampril 5 mg tablets include sodium bicarbonate, lactose monohydrate, croscarmellose sodium, pregelatinized starch, sodium stearyl fumarate, iron oxide red (E 172), and yellow iron oxide (E 172).
The other ingredients of Ampril 10 mg tablets include sodium bicarbonate, lactose monohydrate, croscarmellose sodium, pregelatinized starch and sodium stearyl fumarate.

Ampril looks like and contents of pack
Ampril 1,25 mg tablets are white to off-white, oblong and flat tablets with dimensions of 8,0 x 4,0 mm.
Ampril 2,5 mg tablets are yellow, oblong and flat tablets with dimensions of 10,0 x 5,00 mm.
Ampril 5 mg tablets are pink, oblong and flat tablets with dimensions of 8,8 x 4,4 mm.
Ampril 10 mg tablets are white to off-white, oblong and flat tablets with dimensions of 11,0 x 5,5 mm.
Ampril tablets are available in boxes of 10, 20, 30, 50, 60, 90 and 100 tablets in blisters.
Not all pack sizes may be marketed.
 
 
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