Q. I have been diagnosed with heart failure and the doctor has prescribed me Ril. Why?
Ril belongs to angiotensin-converting enzyme (ACE) inhibitor group of drugs. It relaxes and widens the blood vessels, making it easier for the blood to pass through the vessels. As a result of this, the heart does not have to work more to push the blood. Since the workload on the heart is reduced, it is beneficial in heart failure. Additionally, it is also used to lower blood pressure and prevent stroke.
Q. Can Ril increase potassium levels? If yes, what should be done?
Ril may increase potassium levels in the blood, especially if you have uncontrolled diabetes mellitus, kidney problems and dehydration. Potassium levels may also increase in patients using potassium salts or medicines which increase potassium levels or are aged more than 70 years of age. If you have any of these conditions and are using Ril, you need to be careful and get regular blood tests done to monitor potassium levels.
Q. When can I expect my blood pressure to be normal after starting Ril?
Ril takes a few hours to reduce high blood pressure but since there are no symptoms, you will not notice any difference. It takes a few weeks for the blood pressure to get fully controlled. Do not stop taking the medicine. Keep taking it even if you feel better or if your blood pressure is normalized.
Q. Ever since I started taking Ril, I noticed that I have developed dry cough which is very irritating and is not relieved by any medicine. Why is it?
Ril commonly is responsible for dry cough which can be persistent and is not relieved by any medicine. Talk to your doctor if it bothers you or you have trouble sleeping, as another medicine may be better. Even if you stop taking Ril, the cough may take a few days to a month to go away.
Q. I accidentally took a 25 mg Ril tablet instead of one 5 mg. Will it have any harmful effects?
Yes, you may feel lightheaded, dizzy, your pulse may become slow and you may even faint. You should take the help of a relative or friend for emergency or seek immediate medical support.
Q. Will there be any problem if I am taking Ril and I have a surgery scheduled in a week?
Inform your doctor that you are taking Ril. Ril can reduce your blood pressure when it is used with a general anesthetic. Your doctor may advise you to stop taking it 24 hours before surgery.
Q. Can Ril affect my fertility?
There is no evidence that Ril has any effect on fertility in both men and women. However, if you are planning to get pregnant, talk to your doctor first because Ril is not recommended in pregnancy.
Q. I have diabetes. Does Ril have any effect on blood sugar levels?
Yes, Ril may have some effect on antidiabetic medicines and insulin and may lower your blood glucose levels. Therefore, you need to check your blood glucose levels regularly,
Q. I have been using Ril for blood pressure since sometime, but now I have noticed that I often have a sore throat along with fever. I want to stop Ril and see if this goes, can I stop Ril?
No, you should not stop Ril suddenly as this may cause a sudden increase in your blood pressure which may be harmful for you. In addition to this, Ril can very rarely decrease your white blood cell count which are important to fight infections in your body. Consult your doctor and get a blood test done. If your white cell count is decreased, it could be due to Ril. Ask your doctor for an alternative medicine for blood pressure. You can continue taking Ril if your investigations are normal.
Q. Is it safe to take Ril for a long time?
Yes, Ril is safe and works best if taken for a long time. But, taking Ril for a long time can sometimes affect the working of your kidneys. To keep track of this, your doctor will get regular blood tests done and check how well your kidneys are working.