Ramipril 5mg Capsules

Ramipril Capsules (1.25mg, 2.5mg, 5mg, & 10mg)

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Order before 4pm for delivery from Sat. 25 Mar.

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Ramipril is used to treat high blood pressure (hypertension). It belongs to a group of medicines called angiotensin-converting enzyme (ACE) inhibitors. ACE Inhibitors work by reducing the heart’s workload by dilating (widening) blood vessels. As well as hypertension, Ramipril can be prescribed to treat heart failure, or to protect blood vessels after a recent heart attack. Ramipril is available in 1.25mg, 2.5mg, 5mg and 10mg capsules. These capsules can be opened and emptied into a glass of water if you have difficulty swallowing larger capsules.

Ramipril is the unbranded version of Tritace or Zestril. These medicines all have the same composition and effect, but Ramipril is available in the UK at a lower cost.

Hypertension does not always present with noticeable symptoms, which sometimes mean the condition goes undiagnosed. If left untreated, high blood pressure can lead to complications with the heart, kidneys, and other vital organs. Ultimately, ignoring hypertension will significantly increase the risk of suffering heart failure, a heart attack, a stroke, or kidney failure. Ramipril cannot completely cure hypertension or heart failure, but it will help effectively manage the conditions.

Treating hypertension should not rely on medication alone. Rather, medicines, such as Ramipril, should be used to supplement healthy lifestyle choices. There are a number of heart-smart choices that will significantly reduce the stress on the heart. These include; reducing the amount of fat and salt in your diet, regular exercise, stop smoking, cutting down on alcohol.

The angiotensin-converting enzyme regulates the levels of fluid in the bloodstream. It also causes the blood vessels to contract. Both of these effects will lead to an increase in blood pressure. ACE inhibitors, such as Ramipril, work by inhibiting the activity of these enzymes. This leads to the blood vessels widening and to a reduction of the total volume within the bloodstream.

In some cases, Ramipril can be prescribed in conjunction with similar medicines. It is important to continue taking Ramipril until your doctor advises you to stop.

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Your recommended strength and dose of Ramipril will vary depending on the nature of your condition, your medical history and whether you are taking it alone or alongside another blood pressure medicine. Always follow your prescription exactly.

Generally, the initial dose will be one of the 1.25mg or 2.5mg capsules per day. Your doctor may adjust this dose depending on your body’s response to the medicine. Never exceed more than 10mg in one day.

Swallow the capsule whole with a sip of water. Ramipril is most effective if taken at a similar time each day. It can be taken with or without food. If you prefer not to swallow larger capsules, you can empty the contents of a capsule into a half-cup of juice or water. In either case, do not chew the medicine.

If, for any reason, you forget to take a capsule, take it as soon as possible. However, if it is nearly time for your next capsule, skip the dose that you missed. Never double your dose to compensate for a dose that you have missed.

Avoid grapefruit, as it can interact with medicines such as Ramipril and increase your risk of side effects. Alcohol does not directly interact with this medicine, however, you should avoid drinking heavily because the combination may lower your blood pressure excessively.

Not everyone will experience side effects when they take Ramipril, however, if you do they can include:

Dizziness, headache, fatigue, fainting, muscle pain, dry mouth, skin irritation, digestive problems (including nausea, stomach pain, diarrhoea, indigestion), cough, inflamed sinuses, increased potassium levels in the blood.

If you are concerned about these effects, or if the product affects you in any other way, stop using it and talk to your doctor or pharmacist.

Reading the following warnings carefully will help to ensure you are selecting an appropriate product.

In very rare cases, ACE inhibitors may cause angioedema. Symptoms include swelling of the face or tongue, itching, wheezing or feeling lightheaded. Do not take Ramipril if you have suffered from this complication in the past.

Ramipril is also unsuitable for you if:

  • You have severe kidney problems
  • You are undergoing dialysis
  • You are pregnant
  • You have been treated with any medicine containing aliskiren (this includes certain diabetes and kidney medicines)
  • Your blood pressure is unstable.

Avoid grapefruit, as it can interact with medicines such as Ramipril and increase your risk of side effects. Alcohol does not directly interact with this medicine, however, you should avoid drinking heavily because the combination may lower your blood pressure excessively.

Inform your GP if you:

  • Have any heart or circulation problems
  • Have liver or kidney problems
  • Are diabetic
  • Are going to undergo desensitisation treatment for allergies
  • Are going to undergo surgery or anaesthesia
  • Have high potassium levels in the blood
  • Suffer from a connective tissue disease
  • Have become dehydrated due to diuretics, vomiting, diarrhoea or excessive sweating.

Tell your GP or pharmacist if you have taken or plan to take any of the following medicines:

  • Angiotensin II receptor blockers (ARBs) to lower blood pressure (e.g. valsartan, irbesartan)
  • Diuretics
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Cancer medicines
  • Aliskerin
  • Medicines for low blood pressure or asthma
  • Potassium-sparing drugs
  • Diabetes medicines
  • Certain antibiotics
  • Allopurinol
  • Ciclosporin or tacrolimus
  • Corticosteroids
  • Lithium
  • Everolimus.

Please read all packaging and the Patient Information Leaflet before taking any new medicine and inform your doctor of medicines you are taking or intend to take.

The active ingredient contained in Ramipril capsules is ramipril.

Ramipril capsules also contain the following inactive ingredients to make up the complete product:

Starch pregelatinised gelatin, water, black iron oxide (E172), titanium dioxide (E171), shellac (E904), Soya lecithin (E322) and antifoam DC 1510.

Ramipril 2.5mg, 5mg and 10mg capsules also contain the colourings indigo carmine FD&Cblue2 (E132), yellow iron oxide (E172).

Need to know more about High Blood Pressure?

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Frequently Asked Questions

  • For how long will I be prescribed Ramipril?

    Medicines such as Ramipril will not cure you of high blood pressure. They control blood pressure in a way that prevents harmful consequences. Because of this, you may be prescribed Ramipril indefinitely.

  • How does Ramipril lower blood pressure?

    Ramipril blocks the activity of the angiotensin-converting enzyme. This enzyme controls the amount of fluid in the bloodstream, and causes blood vessels to contract. ACE inhibitors such as Ramipril relax the muscles surrounding small arteries, which widens the blood vessels and decreases blood pressure.

  • Will I develop a dry cough while using Ramipril?

    Some patients do develop a persistent dry cough while taking Ramipril. If you are concerned about this side effect, alternative blood pressure medicines may be available. Your cough will stop once you have stopped taking Ramipril.

  • Are the tablets I order from The Independent Pharmacy different from those I get from my chemist?

    No – we are approved and regulated by the same authorities as your local pharmacy. So, our medicines are sourced from the same suppliers in a way that is convenient for you.

  • While taking Ramipril, how often should I check my blood pressure?

    Generally, it is advised that you have a blood pressure check once every twelve months while taking Ramipril.

  • Should I make any changes to my diet?

    Unlike some other medicines, Ramipril should not interact with any types of food. However, medicines such as Ramipril are usually most effective alongside a diet that is low in fats, cholesterol and salts. This is because these foods contribute to high blood pressure.

  • Should I avoid alcohol while taking Ramipril?

    One of the many effects of alcohol is that it temporarily reduces blood pressure. The combination of alcohol and Ramipril may reduce your blood pressure excessively, increasing your risk of side effects such as dizziness and light-headedness. So, do not drink excessively while taking medicines such as Ramipril.

  • Is it safe to take painkillers while taking Ramipril?

    Some common painkillers and indigestion medicines may interact with Ramipril. To be safe, check with your GP before you combine Ramipril with other medicines.

  • Does it matter when I take Ramipril?

    It is advised that you initially take Ramipril tablets in the evening. This is because the first few tablets are more likely to cause dizziness.

  • Is Ramipril suitable for patients my age?

    Ramipril is unsuitable for people under the age of 18. Ramipril has been shown to be effective on patients over 65, but older patients may be at a higher risk of side effects. You will only be prescribed Ramipril after an official medical consultation.

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