RAMIMED NTC table. 5 mg. 25 mg
RAMIMED NTC table. 5 mg. / 25 mg
RAMIMED HCT WHAT ARE AND WHAT IT IS USED?
Heart medicines to lower blood pressure and diuretic action. Ramimed HCT belongs to the group of medicines known as ACE inhibitors.
Ramimed combined HCT tablets contain two active ingredients:
Ramipril affect certain hormones in the blood. This leads to dilation of blood vessels, leading to blood pressure and heart loaded less. Hydrochlorothiazide increases excretion of sodium by the kidneys. Increased excretion of sodium will "extract" water through, which increases the amount of urine and excretion of potassium.
Ramimed HCT is used to treat high blood pressure, which can not adequately be controlled with just one ingredient.
BEFORE YOU TAKE RAMIMED NTC
Ramimed Do not take if:
You are allergic to ramipril or hydrochlorothiazide, other drugs of the same class of drugs / ACE inhibitors / or any of the excipients of the NTC Ramimed
You are allergic to other diuretics or drugs bladder infections or urinary tract
You have had an allergic reaction with swelling of the face, lips, tongue and / or throat swelling problems in swallowing and breathing, and swelling of hereditary or unknown
No urine output
Suffer from severely impaired renal or hepatic function and / or in the presence of gallstones in the gallbladder
You are pregnant or breastfeeding
Take special care of Ramimed:
Low blood pressure and fluid and electrolyte imbalance:
Tell your doctor if you suffer from low blood pressure. Treatment with Ramimed NTC may, after the first dose to cause a significant drop in blood pressure. It occurs mainly in patients with a deficiency of fluids.
Initiation of therapy and dose adjustment should always be done under the supervision of your doctor.
If you are treated with diuretics, your doctor will decide whether you should stop this medicine before you start taking Ramimed NTC as this medicine contains hidroplorotiazid.
Tell your doctor if you suffer from heart disease as massive drop in blood pressure can lead to heart attack or stroke.
Tell your doctor if you have narrowing of a blood vessel supplying the heart or marked thickening of the heart muscle.
Reduced renal function:
If you have reduced kidney function should be carefully considered before initiating treatment with combination medication Ramimed NTC, and often must be monitored urea concentration and urine output.
In one or two blood vessels of the kidneys, leading to blocked or reduced blood supply, treatment Ramimed HCT is contraindicated. If suspected renal artery stenosis, your kidneys will be checked before treatment.
Tell your doctor about possible current or previous severe allergic reactions with swelling of the face, lips, tongue and / or swelling of the throat, leading to problems with swallowing or breathing or low blood pressure. This type of allergy can be fatal. Ramipril often causes allergic reactions in such patients with black skin.
Coadministration of HCT Ramimed and desensitization treatment against insect venom may also be experiencing a severe allergic reaction.
Allergic reactions can also manifest in the gastrointestinal tract, manifested as nausea and vomiting due to swelling of the lining of the intestines.
Increased production of adrenocortical hormones
Not recommended for use Ramimed HCT if you suffer from primary hyperaldosteronism disease.
Tell your doctor if you have reduced liver function. You should consult with your doctor immediately if during treatment with HCT Ramimed your skin turns yellow.
Significant risk of low blood pressure:
With the narrowing of the blood vessels feeding the heart muscle or brain, is available significant risk for low blood pressure. Therefore, early treatment should always be under the supervision of a physician.
Severe heart failure:
If you have severe heart failure, your treatment will be closely monitored and the initial dose will be low.
Before surgery and anesthesia, the doctor or dentist should be aware of taking Ramimed NTC as relating to anesthesia may experience a sudden drop in blood pressure.
Inform your doctor if you suffer from diabetes, as may be necessary to adjust the dose of medication for diabetes.
May occur continuously or progression of severe chronic diseases.
During treatment with diuretics need frequent monitoring of sodium balance.
Patients with diabetes may require more frequent monitoring of blood glucose, as the concentration of blood glucose may be unstable.
If you receive Ramimed NTC, the concentration of potassium in your blood may increase, especially in patients with reduced renal function and diabetes.
This medicine may cause a positive drug test.
ADMISSION OF RAMIMED HCT with food and drink:
It should be taken before, during or after breakfast.
The tablets should be taken with sufficient liquid.
Pregnancy and lactation
Ramimed HCT is not recommended during the first 12 weeks of pregnancy. Ramimed HCT can cause harm to the fetus and newborn.
When a pregnancy is established, ACE inhibitors should be discontinued as soon as possible.
You should not take Ramimed HCT if you are breastfeeding. It is excreted into breast milk and may harm a child.
Driving and using machines:
Using Ramimed HCT can cause side effects that more or less may affect occupational safety and ability to secure traffic. This is seen especially in the beginning of treatment, dose increase when moving to another drug or with concomitant use of alcohol.
Important information about some of the ingredients of Ramimed
HOW TO TAKE RAMIMED NTC
Ramimed HCT should be taken with some liquid, as a single dose before, during or after breakfast.
Initial dose: 1 tablet once a day Ramimed NTC
The dose may be increased at intervals of at least 3 weeks and only after medical advice.
Maintenance dose: 1 tablet or Ramimed NTC 2.5 mg/12, 5 mg or 1 tablet Ramimed NTC 5 mg/25 mg once daily.
Maximum recommended daily dose: 5 mg ramipril / hydrochlorothiazide 25 mg.
Impaired renal or hepatic function:
It is necessary to make dose adjustment. Follow your doctor's instructions.
Not recommended for use of the drug in this patient group.
Elderly may need a dose adjustment. The dose should be kept as low as possible.
POSSIBLE SIDE EFFECTS:
Common - Very low levels of potassium in the blood, increased blood sugar, cough, bronchitis, dizziness, fatigue, headache, weakness, low blood pressure, allergic reactions such as rash, elevated BUN, stomach pain, nausea, vomiting, dyspepsia .
Uncommon - high content of potassium, calcium and chloride levels, very low in sodium and magnesium in the blood, nervousness, sluggishness, drowsiness, blunted or reduced reactivity, conjunctivitis, abdominal cramps, thirst, constipation, diarrhea, loss of appetite, itching , hives, protein in the urine, decreased libido.
Rare - impaired blood count, reduced hemoglobin percentage, the number of white blood cells and blood platelets, abnormal fluid balance and sodium, very low chlorine content in the blood alkalosis, anxiety, confusion, depression, sleep disorders, anxiety, dizziness, numbness, burning sensation, brief fainting, inflammation of the airways, bronchospasm, pneumonia caused by allergies, dry mouth, vomiting, taste disturbance, smell disorders, inflammation of the mouth and tongue elevated liver enzymes and / or bilirubin content in the blood, flushing, sweating, hypersensitivity reactions with swelling of the face, lips, tongue, throat, mucous membranes and / or arms and legs, fluid deficiency, impotence, etc..
Very rare - a severe allergic reaction with fatal airway obstruction and pulmonary edema, which requires urgent medical intervention, acute renal failure, no urine output, paresis, decreased bone marrow function, causing severe disturbances in blood count chronic inflammation of the kidneys, heart attack, abnormal heart rhythm, stroke, high concentration of fat in the blood, angina, palpitations, rapid heartbeat, hair loss, worsening of psoriasis, nail destruction.
Serious allergic reactions to insect venom.
What sadanrzha Ramimed NTC:
Active ingredients are ramipril and hydrochlorothiazide
The other ingredients are sodium hydrogen carbonate, lactose monohydrate, croscarmellose sodium, prezhelatizirano corn starch, sodium stearyl