RAMIPRES H 2.5MG TABLET 10'S

How RAMIPRES H 2.5MG TABLET 10'S Works

• RAMIPRES H 2.5MG TABLET 10'S is a combination medication designed to manage hypertension (high blood pressure). It contains two active ingredients: Ramipril and Hydrochlorothiazide. Each component works in a distinct yet synergistic manner to lower blood pressure effectively.
• Ramipril belongs to a class of drugs known as Angiotensin-Converting Enzyme (ACE) inhibitors. ACE is an enzyme in the body that converts angiotensin I to angiotensin II. Angiotensin II is a potent vasoconstrictor, meaning it narrows blood vessels, which increases blood pressure. By inhibiting ACE, Ramipril reduces the production of angiotensin II, leading to vasodilation (widening of blood vessels). This vasodilation reduces the resistance against which the heart has to pump, thereby lowering blood pressure. Ramipril also helps to decrease the amount of water and salt retained by the body, further contributing to blood pressure reduction. It also improves heart function by reducing the workload on the heart.
• Hydrochlorothiazide is a thiazide diuretic, often referred to as a 'water pill.' It works by increasing the excretion of sodium and chloride (salts) and water from the body through urine. This action reduces the volume of blood circulating in the body, which directly lowers blood pressure. Hydrochlorothiazide primarily acts on the kidneys, specifically the distal convoluted tubules, to inhibit the reabsorption of sodium. As sodium is excreted, water follows, leading to increased urine output. The diuretic effect complements the action of Ramipril, providing a more comprehensive approach to blood pressure management.
• The combination of Ramipril and Hydrochlorothiazide provides additive effects in lowering blood pressure. Ramipril counteracts the increase in angiotensin II that can sometimes occur with thiazide diuretics, while Hydrochlorothiazide enhances the blood pressure-lowering effects of Ramipril by reducing blood volume. This dual mechanism is particularly useful for individuals who do not achieve adequate blood pressure control with either medication alone. By reducing blood pressure, RAMIPRES H 2.5MG TABLET 10'S helps prevent serious cardiovascular events such as stroke, heart attack, and kidney problems. It is essential to take this medication as prescribed by your doctor and to monitor your blood pressure regularly.

Like all medicines, Ramipres H 2.5mg Tablet 10's can cause side effects, although not everybody gets them. **Common Side Effects (may affect up to 1 in 10 people):** * Headache * Feeling dizzy * Cough * Inflammation of the sinuses (sinusitis), bronchitis * Shortness of breath * Stomach or bowel pain * Diarrhea * Indigestion * Feeling or being sick * Skin rash, with or without raised areas * Chest pain * Cramps or pain in your muscles * Blood tests showing more potassium than usual in your blood * Changes in blood tests for your liver and kidney **Uncommon Side Effects (may affect up to 1 in 100 people):** * Balance problems (vertigo) * Itching and unusual skin sensations such as numbness, tingling, burning or creeping on your skin (paraesthesia) * Loss or change in taste * Sleep problems * Feeling depressed, anxious, more nervous than usual * Blocked nose * Difficulty breathing * Dry mouth * Swollen tummy (signs may include indigestion, constipation, wind) * Increased sweating * Itching or rash * Other skin reactions such as raised rash * Problems with your kidney * Erectile dysfunction * Blurred vision * Pain in your joints * Fever * Blood tests showing a decrease in the number of certain blood cells (red blood cells, white blood cells or platelets) or the concentration of sodium in your blood * Changes in blood tests showing uric acid is raised **Rare Side Effects (may affect up to 1 in 1,000 people):** * Feeling shaky or confused * Red and swollen tongue * Serious skin reaction including rash, itching, hives, swelling of the mouth or face, blistering or peeling of the skin * Nail problems (such as loosening or separation of a nail from its bed) * Skin rash or bruising * Patches on your skin and cold limbs * Red, itchy, swollen or watery eyes * Hearing disturbances * Blood tests showing a decrease in the number of blood cells **Very Rare Side Effects (may affect up to 1 in 10,000 people):** * Increased sensitivity to the sun

• If you miss a dose of RAMIPRES H 2.5MG TABLET 10'S, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

• Keep RAMIPRES H 2.5MG TAB 1X10 away from the reach of children and pets.
• Store RAMIPRES H 2.5MG TAB 1X10 at room temperature.

• **Take Ramipres H 2.5mg Tablet as prescribed:** Always follow your doctor's instructions regarding dosage and timing. Consistency is key for managing your blood pressure effectively. Do not alter the dosage without consulting your healthcare provider, even if you feel better.
• **Monitor Your Blood Pressure Regularly:** Keep a log of your blood pressure readings at home and share it with your doctor. This helps in assessing the effectiveness of the medication and making necessary adjustments. Regular monitoring provides valuable insights into your overall cardiovascular health.
• **Stay Hydrated:** Drink plenty of water throughout the day. Adequate hydration supports kidney function, which is crucial when taking diuretics like hydrochlorothiazide present in Ramipres H. Aim for at least 8 glasses of water daily, unless your doctor advises otherwise.
• **Be Mindful of Potassium Levels:** Hydrochlorothiazide can affect potassium levels. Consume potassium-rich foods like bananas, oranges, and spinach, or discuss potassium supplementation with your doctor if needed. Maintaining electrolyte balance is essential for proper heart and muscle function.
• **Avoid Alcohol and Smoking:** Limit or avoid alcohol consumption, as it can interact with Ramipres H and affect blood pressure. Smoking also increases the risk of cardiovascular problems. Quitting smoking and moderating alcohol intake can significantly improve your health outcomes. Talk to your doctor about strategies to help you quit smoking and reduce alcohol consumption.
• **Dietary Considerations:** Follow a low-sodium diet and avoid processed foods to maximize the benefits of Ramipres H. A balanced diet rich in fruits, vegetables, and whole grains supports overall cardiovascular health and complements the effects of the medication. Consult a nutritionist for personalized dietary advice.
• **Report Any Side Effects Promptly:** Inform your doctor immediately if you experience any unusual side effects, such as persistent cough, dizziness, muscle cramps, or allergic reactions. Early reporting allows for timely intervention and management of any potential adverse effects.