Ripril PLUS 2.5/12.5 (Tablet)
Manufactured by: Square Pharmaceuticals Ltd.
Hydrochlorothiazide + Ramipril Similar medicine
Ripril PLUS 2.5/12.5 is indicated for
- Hipertensión
- Nefropatía diabética
- Insuficiencia cardíaca congestiva
Precautions and warnings
Las personas con enfermedades graves de riñón o hígado, alergias o asma, lupus, gota aguda, diabetes, edad avanzada o enfermedades vasculares del colágeno deben dejar de tomar este medicamento antes de realizar cualquier prueba de función paratiroidea. Este medicamento tampoco debe utilizarse durante el embarazo o la lactancia.
Side-effects
- Pancreatitis
- ictericia
- diarrea
- náuseas
- vómitos
- calambres
- estreñimiento
- irritación gástrica
- anorexia
- anemia aplásica
- agranulocitosis
- leucopenia
- anemia hemolítica
- trombocitopenia
- vasculitis
- malestar respiratorio
- incluidos neumonitis y edema pulmonar
- fotosensibilidad
- fiebre
- urticaria
- erupción cutánea
- hiperglucemia
- glucosuria
- hiperuricemia
- espasmo muscular
- vértigo
- parestesias
- mareos
- dolor de cabeza
- inquietud
- insuficiencia renal
- disfunción renal
- nefritis intersticial
- eritema multiforme
- incluido el síndrome de Stevens-Johnson
- dermatitis exfoliativa
- incluida la necrólisis epidérmica tóxica
- alopoecia
- visión borrosa transitoria
- xantopsia
- impotencia
- mareos
- fatiga
- dolor de cabeza
- dolor abdominal
- tos
- hipotensión raramente sintomática
- edema angioneurótico de la cara
- labios
- lengua
- glotis y laringe
- síncope
- insuficiencia renal
- reacciones de hipersensibilidad. Potencialmente fatal: reacciones anafilácticas
- desequilibrio electrolítico
- hipotensión.
Drug Interactions
La hidroclorotiazida puede empeorar la presión arterial baja al ponerse de pie (hipotensión ortostática) cuando se toma con alcohol, pastillas para dormir (barbitúricos) o narcóticos. Cuando se usan con otros medicamentos para la presión arterial, sus efectos se acumulan. Los medicamentos como la colestiramina y el colestipol pueden reducir la cantidad de hidroclorotiazida que absorbe su cuerpo. Usarlo con esteroides puede causar niveles bajos de potasio. También puede fortalecer los relajantes musculares como la tubocurarina. La hidroclorotiazida reduce la rapidez con la que el cuerpo elimina el litio, lo que puede aumentar el riesgo de intoxicación por litio. Los analgésicos llamados AINE pueden hacer que la hidroclorotiazida sea menos eficaz.
Tomar ramipril con ciertas diuréticas llamadas diuréticos ahorradores de potasio puede causar niveles de potasio peligrosamente altos. Ramipril también puede elevar los niveles de litio en la sangre. Los AINE (analgésicos) pueden hacer que el ramipril sea menos eficaz y también pueden dañar la función renal.
Contraindications
No lo use en personas sin producción de orina (anuria), personas alérgicas al medicamento (hipersensibilidad), personas que han tenido angioedema (hinchazón debajo de la piel) o personas con estrechamiento de las arterias de ambos riñones (estenosis bilateral de la arteria renal) o de un riñón (estenosis unilateral de la arteria renal).
Mode of actions
Ramipril es un inhibidor de la ECA de acción prolongada que se convierte en su forma activa, ramiprilato, en el cuerpo. Reduce la presión arterial cuando estás acostado y de pie, sin hacer que tu corazón lata más rápido. Ramipril también puede ayudar a revertir el engrosamiento de las paredes del corazón y aumentar el flujo sanguíneo a los riñones. En personas con insuficiencia cardíaca, reduce la presión en los pulmones y el corazón, lo que ayuda a que el corazón funcione mejor.
La hidroclorotiazida es un tipo de diurético que ayuda al cuerpo a eliminar el exceso de sodio y cloruro a través de la orina. Esto también hace que pierdas algo de potasio y bicarbonato.
Cuando se usan juntos, estos dos medicamentos funcionan mejor para reducir la presión arterial que cuando se usan solos. También tienen la ventaja de tomarse sólo una vez al día.
Dosage & Administration
Adultos: VO por pestaña contiene ramipril 2,5 mg e hidroclortiazida 12,5 mg: 1 pestaña/día. Máximo: 4 comprimidos/día.
Pregnancy & Lactation
Este medicamento no está permitido durante el embarazo. No lo utilice si está embarazada. Puede absorberse a través de la piel y los pulmones y puede dañar los órganos del feto y causar discapacidades congénitas. Control de la natalidad estricto y eficaz durante el tratamiento y durante seis meses después de suspender este medicamento. Si queda embarazada, deje de tomar este medicamento y hable con su médico de inmediato.
No existe información específica sobre si este medicamento pasa a la leche materna o no. Teniendo en cuenta los posibles riesgos para los niños, no se recomienda amamantar mientras se utiliza este medicamento y al menos dos semanas después de la última dosis. Consulte a su médico antes de amamantar.
Pack Size & Price
30's pack Price : ৳150
Similar medicine
Manufactured by: Drug International Ltd.
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Manufactured by: Novartis (Bangladesh) Ltd.
Manufactured by: Sanofi Aventis (BD) Ltd.
Manufactured by: Square Pharmaceuticals Ltd.
Manufactured by: Unimed & Unihealth Manufacturers Ltd.
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