RAMFIRST H 5MG/12.5MG TABLET

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Primarily used for

Hypertension, fluid retention (edema), heart failure
Potentiallyunsafewith
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Alcohol
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Pregnancy
83.5
₹8.35/tablet
10 tablets in 1 strip
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Substitutes for RAMFIRST H 5MG/12.5MG TABLET

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Medicine Overview of RAMFIRST H 5MG/12.5MG TABLET

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Uses of Ramipril

Ramipril is used in the treatment of hypertension, heart failure, heart attack and diabetic kidney disease.
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Side effects of Ramipril

Common

Decreased blood pressure, Cough, Increased potassium level in blood, Fatigue, Weakness, Dizziness, Renal impairment.

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How to use Ramipril

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it.

How RAMFIRST H 5MG/12.5MG TABLET works

Ramipril relaxes the blood vessels which lowers the blood pressure and also reduces the workload of the heart. As a result, the heart works more efficiently.
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Uses of Hydrochlorothiazide

Hydrochlorothiazide is used in fluid retention (edema), heart failure, hypertension and kidney stone.
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Side effects of Hydrochlorothiazide

Common

Headache, Nausea, Increased blood uric acid, Decreased potassium level in blood, Glucose intolerance, Altered blood lipids.

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How to use Hydrochlorothiazide

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it.

How RAMFIRST H 5MG/12.5MG TABLET works

Hydrochlorothiazide lowers the blood pressure and swelling by removing extra water and electrolytes from the body.

In Depth Information on RAMFIRST H 5MG/12.5MG TABLET

Expert advice for Ramipril

  • Notify your doctor immediately if you are or planning to become pregnant during the administration of this medicine.
  • Notify the doctor if you have signs of recurrent infections (sore throat, chills, fever), these may be signs of neutropenia (unusually low number of cells called neutrophils, a type of white blood cells).   
  • Ramipril should be discontinued a day prior to any surgery.
  • Notify your doctor if you have rapid swelling of the lips, tongue, and throat that may affect breathing. This may occur in 1 out of 100 patients taking the Ramipril.
  • Your doctor may recommend a change in the lifestyle to lower your blood pressure. It may include
    • Consume fruits, vegetables, low-fat dairy products, and reduce saturated-total fat.
    • Reduce daily dietary sodium intake as much as possible, ideally to 65 mmol/day (1.5 g/day sodium or 3.8 g/day sodium chloride).
    • Regular aerobic physical activity (at least 30 minutes/day, most days of the week).
     
  • A persistent dry cough is common with Ramipril. Notify the doctor if the cough becomes bothersome. Do not take any cough medicines.
  • Ramipril may cause dizziness in the first few days of starting the treatment, especially after the first dose. To avoid this, take the Ramipril at bedtime, drink plenty of water and get up slowly after sitting or lying down.
  •   Avoid driving if you feel dizzy after consuming Ramipril.
  • Avoid taking potassium supplements and potassium-rich foods such as banana and broccoli.

Expert advice for Hydrochlorothiazide

Do not chew, divide or crush the tablets, swallow it whole with water. Avoid taking hydrochlorothiazide at bedtime because it makes you urinate more often. It is recommended to take in early morning. Drink adequate amount of liquid to avoid becoming dehydrated or overheated. Consult your doctor if you experience any of these side effects: dryness of mouth, thirst, weakness, lethargy, drowsiness, restlessness, confusion, muscle pains or cramps that doesn't go away. Do not start or continue the tablet:
  • If you are allergic to sulfonamide-derived drugs (Sulfa drugs).
  • If you have diabetes or increase lipid levels (cholesterol).
  • If you are pregnant or planning to become pregnant.
  • If you have any other disease such as kidney disease, liver disease, heart disease, diabetes or gout, asthma and lupus erythematosus (an allergic condition which causes joint pain, skin rashes and fever).
Get up slowly from lying position to avoid dizziness. This is more common when hydrochlorothiazide is taken for the first time.Use sunscreen for photosensitivity. Avoid drinking alcohol, OTC medicines unless recommended by doctor.
Warnings
Special precautions for RAMFIRST H 5MG/12.5MG TABLET
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Alcohol
CAUTION
Taking Hydrochlorothiazide with alcohol may have additive ef
fects in lowering blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate.
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Pregnancy
WEIGH RISKS VS BENEFITS
Ramfirst h 5mg/12.5mg tablet is unsafe to use during pregnancy.

There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
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Lactation
Unknown. Human and animal studies are not available. Please consult your doctor.
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Driving
CAUTION
It is not advisable to drive or operate machinery for several hours.
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Kidney
CAUTION
Caution to be advised in patients with impaired renal function.

Caution should be used in patients with impaired renal function.
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Liver
There is no data available. Please consult doctor before consuming the drug.

Patient Concerns

Frequently asked questions for RAMFIRST H 5MG/12.5MG TABLET

Frequently asked questions for Ramipril

Q. Is ramipril a diuretic?
No, ramipril is not a diuretic It belongs to a class of drugs called ACE inhibitors (angiotensin converting enzyme inhibitors), mainly used to reduce high blood pressure
Q. Is ramipril safe?
Ramipril is safe if used at prescribed doses for the prescribed duration as advised by your doctor
Q. Is ramipril or cardace a calcium channel blocker/alpha blocker/ beta blocker?
No, ramipril or cardace is an ACE inhibitor and shows no known effects on calcium channels or alpha receptors or beta receptors
Q. Is ramipril a nitrate or a statin?
Ramipril is neither a nitrate nor a statin. It is an ACE inhibitor used to treat high blood pressure
Q. What are Cardace / Ramistar/Hopace used for?
Cardace, Ramistar, Hopace are all trade names for the active drug ramipril. Ramipril is an ACE inhibitor used to treat high blood pressure
Q. Can I take ramipril with simvastatin/amlodipine/ Viagra/naproxen/prednisolone/ metformin/ Sudafed (pseudoephedrine-decongestant preparation)?
There are no known serious drug interactions between ramipril when taken with simvastatin/ amlodipine/ Viagra/naproxen/prednisolone/ metformin/Sudafed. However, consult your doctor about all medications currently taken before starting and while on ramipril
Q. Can I take ramipril with ibuprofen?
Ibuprofen can be taken with ramipril, however, it is known that ibuprofen and other NSAIDs may reduce the antihypertensive effects of ramipril. Consult your doctor about any medications currently taken before starting and while on ramipril
Q. Does ramipril cause coughing?
Yes, non-productive tickling cough, is one of the common side effects or ramipril
Q. Does ramipril cause frequent urination?
No, ramipril has no known effect on increasing the frequency of urination. It may rarely increase the urine output but not affect the frequency of urination
Q. Does ramipril cause itching?
Yes, ramipril may cause itching of skin. It is not very commonly observed
Q. Does ramipril cause an increase in potassium levels in the blood?
Yes, increased potassium levels is one a common side effects of ramipril
Q. Does ramipril cause depression?
Yes, ramipril may cause depression; however, it is not very commonly observed
Q. Does ramipril thin the blood?
No. ramipril has no known effect on blood thinning
Q. Is ramipril available in India?
Yes, ramipril is available in India with more than 100 brand names.
Q. Can I take Ramipril with sildenafil ?
Yes,Ramipril can be taken with Sildenafil . However, there could be an excessive fall in blood pressure when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken when taking both the drugs together and inform your doctor if you experience any of these symptoms.
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Frequently asked questions for Hydrochlorothiazide

Q. Hydrochlorothiazide is a diuretic,which increases the excretion of urine?
Patients should follow the advice of the doctor regarding its use
Q. Is hydrochlorothiazide a statin/ opiate?
No.It is the derivative of chlorothiazide
Q. Is hydrochlorothiazide bad for your kidneys?
No.Hydrochlorthiazide is a safe drug at prescribed dose by your doctor. Consult your doctor if you have kidney disease and follow the advice of the doctor regarding its use
Q. Can I take hydrochlorothiazide with lisinopril/ ibuprofen/ synthroid/ aspirin/ potassium/ phentermine/ losartan/ naproxen/ magnesium/ vitamins?
Taking other medicines may alter the effects of hydrochlorothiazide. Always consult your doctor for the change of dose regimen or an alternative drug of choice that may strictly be required
Q. Does hydrochlorothiazide cause diabetes/ erectile dysfunction/ weight loss/ gout/ constipation/tinnitus/ potassium loss?
Hydrochlorothiazide causing these side effects is rare or uncommon. However, consult your doctor if you experience any of these side effects
Q. Does hydrochlorothiazide have sulfa in it?
Yes.Hydrochlorothiazide has sulfa and it is chemically known as 6-chloro- 3, 4-dihydro-2 H-1, 2, 4-benzothiadiazine-7-sulfonamide 1, 1-dioxide
Q. Does hydrochlorothiazide clean your system?
No.Hydrochlorothiazide reduces extra fluid in the body.
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