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Ramipril belongs to the class of medications called angiotensin-converting enzyme (ACE) inhibitors. It is used to treat high blood pressure, alone or in combination with thiazide diuretics (water pills).
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Ramipril belongs to the class of medications called angiotensin-converting enzyme (ACE) inhibitors. It is used to treat high blood pressure, alone or in combination with thiazide diuretics (water pills). It works by relaxing and opening blood vessels to lower blood pressure.
Sandoz Ramipril may be available under multiple brand names and/or in several different forms. Any specific brand name of Sandoz Ramipril may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of Sandoz Ramipril may not be used for all of the conditions discussed here.
Your doctor may have suggested Sandoz Ramipril for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking Sandoz Ramipril, speak to your doctor. Do not stop taking Sandoz Ramipril without consulting your doctor.
Do not give Sandoz Ramipril to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take Sandoz Ramipril if their doctor has not prescribed it.
The recommended adult dose of ramipril ranges from 2.5 mg to 20 mg daily in 1 or 2 divided doses, depending on the dose and individual circumstances such as your response to the medication.
To treat high blood pressure, the usual starting dose for people not using diuretics (water pills) is 2.5 mg once daily. The dose is usually increased according to need every 2 weeks. The usual dose range is 2.5 mg to 10 mg daily. For people using diuretics, your doctor may start with a lower dose of 1.25 mg daily or ask you to stop using the diuretic for 2 or 3 days before starting ramipril.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones given here, do not change the way that you are taking the medication without consulting your doctor.
It is important to take Sandoz Ramipril exactly as prescribed by your doctor. If you miss a dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store Sandoz Ramipril at room temperature, protect it from light and moisture, and keep it out of the reach of children.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.
Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes Sandoz Ramipril. If you are concerned about side effects, discuss the risks and benefits of Sandoz Ramipril with your doctor.
The following side effects have been reported by at least 1% of people taking Sandoz Ramipril. Many of these side effects can be managed, and some may go away on their own over time.
Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.
Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
Stop taking the medication and seek immediate medical attention if any of the following occur:
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Sandoz Ramipril.
Each white, oblong, flat tablet, debossed "R" and "1.25" on one side only, contains 1.25 mg of ramipril. Nonmedicinal ingredients: sodium hydrogen carbonate, hypromellose, microcrystalline cellulose, pregelatinized starch and sodium stearyl fumarate.
Each white oblong, flat tablet, debossed "R" and "2.5" on one side only, contains 2.5 mg of ramipril. Nonmedicinal ingredients: sodium hydrogen carbonate, hypromellose, microcrystalline cellulose, pregelatinized starch and sodium stearyl fumarate.
Each white, oblong, flat tablet, debossed "R" and "5" on one side only, contains 5 mg of ramipril. Nonmedicinal ingredients: sodium hydrogen carbonate, hypromellose, microcrystalline cellulose, pregelatinized starch and sodium stearyl fumarate.
Each white, oblong, flat tablet, debossed "R" and "10" on one side only, contains 10 mg of ramipril. Nonmedicinal ingredients: sodium hydrogen carbonate, hypromellose, microcrystalline cellulose, pregelatinized starch and sodium stearyl fumarate.
Do not take ramipril if you:
There may be an interaction between ramipril and any of the following:
If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:
An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.
Medications other than those listed above may interact with Sandoz Ramipril. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.
Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Sandoz Ramipril.
Angioedema: Ramipril may cause a serious allergic reaction called angioedema, which may be fatal if not treated promptly. If you have difficulty breathing or notice hives or swelling of the face, lips, tongue, or throat, or experience severe abdominal pain, stop taking Sandoz Ramipril and get emergency medical help at once. Other ACE inhibitors should not be taken in the future. People who have had angioedema caused by other substances may be at increased risk of angioedema while taking Sandoz Ramipril.
Blood disorders: In rare cases, a low white blood cell count has been reported with people taking Sandoz Ramipril. Your doctor may occasionally monitor your level of white blood cells by performing blood tests. Low white blood cell levels may increase your risk for infection. If you notice any signs of infection (e.g., fever, sore throat), contact your doctor as soon as possible.
Cough: People taking ramipril may develop a dry, persistent cough that usually disappears only after stopping or lowering the dose of ramipril.
Kidney function: Decreased kidney function or Kidney Disease can cause Sandoz Ramipril to build up in the body, causing side effects. Also, ramipril can cause decreases in kidney function. Certain people, such as those with narrowed blood vessels in their kidneys or severe congestive heart failure, may be more likely to experience this complication. The use of other diuretics (water pills), nonsteroidal anti-inflammatory drugs (NSAIDs), or aliskiren may further increase the risk of kidney problems.
If you have reduced kidney function or kidney disease, discuss with your doctor how Sandoz Ramipril may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Sandoz Ramipril, and whether any special monitoring is needed. People with kidney function impairment may require lower doses of Sandoz Ramipril. Your doctor will monitor you closely while you are taking Sandoz Ramipril.
Liver function: Sandoz Ramipril may cause liver problems. If you experience any signs of liver problems such as yellowing of the skin or eyes, fever, generally feeling unwell, abdominal pain, nausea, vomiting, loss of appetite, itching, muscle pain, rash, or swollen glands, contact your doctor immediately. People who have liver problems will need to be closely monitored by their doctor while taking Sandoz Ramipril.
Low blood pressure: Occasionally, blood pressure drops too low after taking ramipril. This usually happens after the first or second dose or when the dose is increased. It is more likely to occur for those who take diuretics, or the medication aliskiren, have a salt-restricted diet, are on dialysis, have diarrhea, or are vomiting. To reduce the risk of dizziness, get up slowly from a lying or sitting position. If low blood pressure causes you to faint or feel lightheaded, contact a doctor.
Potassium: Increases in blood levels of potassium can occur with use of Sandoz Ramipril. This rarely causes problems, but your doctor may want to monitor your potassium levels through blood tests.
Reduced alertness: Sandoz Ramipril may reduce alertness, especially at the beginning of treatment. Do not drive or perform tasks that require alertness until you know how Sandoz Ramipril affects you.
Surgery: It is important that your physician and anesthesiologist know that you are taking Sandoz Ramipril before you undergo any surgical procedures requiring general anesthesia.
Pregnancy: ACE inhibitors such as ramipril may cause severe harm or death to the developing baby if taken by the mother. Sandoz Ramipril should not be used during pregnancy. If you become pregnant while taking Sandoz Ramipril, stop taking it immediately and contact your doctor.
Breast-feeding: Sandoz Ramipril passes into breast milk. If you are a breast-feeding mother and are taking ramipril it may affect your baby. Sandoz Ramipril is not recommended for breast-feeding women. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of using Sandoz Ramipril have not been established for children. The use of ramipril by this age group is not recommended.
Seniors: Seniors may be more sensitive to the effects of ramipril.
All material © 1996-2021 MediResource Inc. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition.
August 8, 2022
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