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Ramipril Capsules 5mg

Ramipril Capsules 5mg

Pack Size: 84 capsules (3 months supply)
Our Price: £19.99
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Age: 18 Pregnancy: Not suitable Breastfeeding: Not suitable

Ramipril capsules contain a medicine called ramipril. This belongs to a group of medicines called ACE inhibitors (Angiotensin Converting Enzyme Inhibitors).

Ramipril capsules work by:

  • decreasing your body’s production of substances that could raise your blood pressure
  • making your blood vessels relax and widen
  • making it easier for your heart to pump blood around your body.

Ramipril capsules can be used:

  • to treat high blood pressure (hypertension)

Do not take Ramipril capsules and tell your doctor if:

  • you are allergic (hypersensitive) to ramipril, any other ACE inhibitor medicine or any of the ingredients of Ramipril capsules listed in section 6. Signs of an allergic reaction may include a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue
  • you have ever had a serious allergic reaction called “angioedema”. The signs include itching, hives (urticaria), red marks on the hands, feet and throat, swelling of the throat and tongue, swelling around the eyes and lips, difficulty breathing and swallowing
  • you are having dialysis or any other type of blood filtration.Depending on the machine that is used, Ramipril capsules may not be suitable for you
  • you have kidney problems where the blood supply to your kidney is reduced (renal artery stenosis)
  • you are in the last 6 months of pregnancy (see section below on “Pregnancy and breast-feeding”)
  • your blood pressure is abnormally low or unstable. Your doctor will need to make this assessment.
  • you have diabetes or impaired kidney function and you are treated with a blood pressure lowering medicine containingaliskiren.

Do not take Ramipril capsules if any of the above apply to you. If you are not sure, talk to your doctor before taking Ramipril capsules.

Check with your doctor or pharmacist before taking your medicine if you:

  • have heart, liver or kidney problems
  • have lost a lot of body salts or fluids (through being sick (vomiting), having diarrhoea, sweating more than usual, being on a low salt diet, taking diuretics (water tablets) for a long time or having had dialysis)
  • are going to have treatment to reduce your allergy to bee or wasp stings (desensitization)
  • are going to receive an anaesthetic. This may be given for an operation or any dental work. You may need to stop your Ramipril capsules treatment one day beforehand; ask your doctor for advice
  • have high amounts of potassium in your blood (shown in blood test results)
  • have collagen vascular disease such as scleroderma or systemic lupus erythematosus
  • you must tell your doctor if you think that you are (or might become) pregnant. Ramipril capsules are not recommended in the first 3 months of pregnancy and may cause serious harm to your baby after 3 months of pregnancy, see section “Pregnancy and breast-feeding”.
  • are taking any of the following medicines used to treat high blood pressure:
    • An angiotensin II receptor blocker (ARBs) (also known as sartans – for example valsartan, telmesartan, irbesartan), in particular if you have diabetes-related kidney problems.
    • Aliskerin

Your doctor may check your kidney function, blood pressure, and the amount of electrolytes (e.g. potassium) in your blood at regular intervals.

See also information under the heading ‘Do not take Ramipril capsules’

Children

Ramipril capsules are not recommended for use in children and adolescents below 18 years of age because safety and efficacy of Ramipril capsules in children has not yet been established.

If any of the above apply to you (or you are not sure), talk to your doctor before taking Ramipril capsules.

Taking Ramipril capsules with other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription (including herbal medicines). This is because Ramipril capsules can affect the way some other medicines work. Also some medicines can affect the way Ramipril capsules work.

Please tell your doctor if you are taking any of the following medicines. They can make Ramipril capsules work less well:

  • medicines used to relieve pain and inflammation (e.g. Non- Steroidal Anti-Inflammatory Drugs (NSAIDs) such as ibuprofen or indometacin and aspirin)
  • medicines used for the treatment of low blood pressure, shock, cardiac failure, asthma or allergies such as ephedrine, noradrenaline (norepinephrine) or adrenaline (epinephrine). Your doctor will need to check your blood pressure.

Please tell your doctor if you are taking any of the following medicines. They can increase the chance of getting side effects if you take them with Ramipril capsules:

  • medicines used to relieve pain and inflammation (e.g. Non-steroidal Anti-inflammatory Drugs (NSAIDs) such as ibuprofen or indometacin and aspirin)
  • medicines for cancer (chemotherapy)
  • medicines to stop the rejection of organs after a transplant such as ciclosporin and tacrolimus
  • diuretics (water tablets) such as furosemide
  • medicines which can increase the amount of potassium in your blood such as spironolactone, triamterene, amiloride, potassium salts and heparin (for thinning blood)
  • steroid medicines for inflammation such as prednisolone
  • allopurinol (used to lower the uric acid in your blood)
  • procainamide (for heart rhythm problems).

Please tell your doctor if you are taking any of the following medicines. They may be affected by Ramipril capsules:

  • medicines for diabetes such as oral glucose lowering medicines and insulin. Ramipril capsules may lower your blood sugar amounts. Check your blood sugar amounts closely while taking Ramipril capsules
  • lithium (for mental health problems). Ramipril capsules may increase the amount of lithium in your blood. Your lithium amount will need to be closely checked by your doctor.

Your doctor may need to change your dose and/or to take other precautions:

If you are taking an angiotensin II receptor blocker (ARB) or aliskiren (see also information under the headings ‘Do not take Ramipril capsules’ and ‘Warnings and precautions’)

If any of the above apply to you (or you are not sure), talk to your doctor before taking Ramipril capsules.

Food and alcohol

Drinking alcohol with Ramipril capsules may make you feel dizzy or light-headed. If you are concerned about how much you can drink while you are taking Ramipril capsules, discuss this with your doctor as medicines used to reduce blood pressure and alcohol can have additive effects. Ramipril capsules may be taken with or without food.

Pregnancy and breast-feeding

You must tell your doctor if you think that you are (or might become) pregnant

You should not take Ramipril capsules in the first 12 weeks of pregnancy, and you must not take them at all after the 13th week as their use during pregnancy may possibly be harmful to the baby.

If you become pregnant while on Ramipril capsules, tell your doctor immediately. A switch to a suitable alternative treatment should be carried out in advance of a planned pregnancy. You should not take Ramipril capsules if you are breast-feeding. Ask your doctor or pharmacist for advice before taking any medicine.

Driving and using machines

You may feel dizzy, while taking Ramipril capsules. This is more likely to happen when you start taking Ramipril capsules or start taking a higher dose. If this happens, do not drive or use any tools or machines.

Soya warning

Ramipril capsules contain soya lecithin. If you are allergic to peanut or soya, do not use this medicine.

Like all medicines, Ramipril capsules can cause side effects, although not everybody gets them.

Stop taking Ramipril capsules and contact your doctor immediately, if you notice any of the following serious side effects - you may need urgent medical treatment:

  • Swelling of the face, lips or throat which make it difficult to swallow or breathe, as well as itching and rashes. This could be a sign of a severe allergic reaction to Ramipril capsules.
  • Severe skin reactions including rash, ulcers in your mouth, worsening of a pre-existing skin disease, reddening, blistering or detachment of skin (such as Stevens-Johnson syndrome, toxic epidermal necrolysis or erythema multiform).

Contact your doctor immediately if you notice any of the following:

  • Faster heart rate, uneven or forceful heartbeat (palpitations), chest pain, tightness in your chest or more serious problems including heart attack and stroke
  • Shortness of breath or a cough. These could be signs of lung problems
  • Bruising more easily, bleeding for longer than normal, any sign of bleeding (e.g. bleeding from the gums), purple spots blotching on the skin or getting infections more easily than usual, sore throat and fever, feeling tired, faint, dizzy or having pale skin. These can be signs of blood or bone marrow problems
  • Severe stomach pain which may reach through to your back. This could be a sign of pancreatitis (inflammation of the pancreas).
  • Fever, chills, tiredness, loss of appetite, stomach pain, feeling sick, yellowing of your skin or eyes (jaundice). These can be signs of liver problems such as hepatitis (inflammation of the liver) or liver damage.

Tell your doctor if you notice any of the following side effects or they get worse:

Common (affects less than 1 in 10 people)

  • Headache or feeling tired
  • Feeling dizzy. This is more likely to happen when you start taking Ramipril capsules or start taking a higher dose
  • Fainting, hypotension (abnormally low blood pressure), especially when you stand or sit up quickly
  • Dry tickly cough, inflammation of your sinuses (sinusitis) or bronchitis
  • Stomach or gut pain, diarrhoea, indigestion, feeling or being sick
  • Skin rash with or without raised area
  • Cramps or pain in your muscles
  • Blood tests showing more potassium than usual in your blood.

Do not take Ramipril capsules and tell your doctor if:

  • you are allergic (hypersensitive) to ramipril, any other ACE inhibitor medicine or any of the ingredients of Ramipril capsules listed in section 6. Signs of an allergic reaction may include a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue
  • you have ever had a serious allergic reaction called “angioedema”. The signs include itching, hives (urticaria), red marks on the hands, feet and throat, swelling of the throat and tongue, swelling around the eyes and lips, difficulty breathing and swallowing
  • you are having dialysis or any other type of blood filtration.Depending on the machine that is used, Ramipril capsules may not be suitable for you
  • you have kidney problems where the blood supply to your kidney is reduced (renal artery stenosis)
  • you are in the last 6 months of pregnancy (see section below on “Pregnancy and breast-feeding”)
  • your blood pressure is abnormally low or unstable. Your doctor will need to make this assessment.
  • you have diabetes or impaired kidney function and you are treated with a blood pressure lowering medicine containingaliskiren.

Do not take Ramipril capsules if any of the above apply to you. If you are not sure, talk to your doctor before taking Ramipril capsules.

Check with your doctor or pharmacist before taking your medicine if you:

  • have heart, liver or kidney problems
  • have lost a lot of body salts or fluids (through being sick (vomiting), having diarrhoea, sweating more than usual, being on a low salt diet, taking diuretics (water tablets) for a long time or having had dialysis)
  • are going to have treatment to reduce your allergy to bee or wasp stings (desensitization)
  • are going to receive an anaesthetic. This may be given for an operation or any dental work. You may need to stop your Ramipril capsules treatment one day beforehand; ask your doctor for advice
  • have high amounts of potassium in your blood (shown in blood test results)
  • have collagen vascular disease such as scleroderma or systemic lupus erythematosus
  • you must tell your doctor if you think that you are (or might become) pregnant. Ramipril capsules are not recommended in the first 3 months of pregnancy and may cause serious harm to your baby after 3 months of pregnancy, see section “Pregnancy and breast-feeding”.
  • are taking any of the following medicines used to treat high blood pressure:
    • An angiotensin II receptor blocker (ARBs) (also known as sartans – for example valsartan, telmesartan, irbesartan), in particular if you have diabetes-related kidney problems.
    • Aliskerin

Your doctor may check your kidney function, blood pressure, and the amount of electrolytes (e.g. potassium) in your blood at regular intervals.

See also information under the heading ‘Do not take Ramipril capsules’

Children

Ramipril capsules are not recommended for use in children and adolescents below 18 years of age because safety and efficacy of Ramipril capsules in children has not yet been established.

If any of the above apply to you (or you are not sure), talk to your doctor before taking Ramipril capsules.

Taking Ramipril capsules with other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription (including herbal medicines). This is because Ramipril capsules can affect the way some other medicines work. Also some medicines can affect the way Ramipril capsules work.

Please tell your doctor if you are taking any of the following medicines. They can make Ramipril capsules work less well:

  • medicines used to relieve pain and inflammation (e.g. Non- Steroidal Anti-Inflammatory Drugs (NSAIDs) such as ibuprofen or indometacin and aspirin)
  • medicines used for the treatment of low blood pressure, shock, cardiac failure, asthma or allergies such as ephedrine, noradrenaline (norepinephrine) or adrenaline (epinephrine). Your doctor will need to check your blood pressure.

Please tell your doctor if you are taking any of the following medicines. They can increase the chance of getting side effects if you take them with Ramipril capsules:

  • medicines used to relieve pain and inflammation (e.g. Non-steroidal Anti-inflammatory Drugs (NSAIDs) such as ibuprofen or indometacin and aspirin)
  • medicines for cancer (chemotherapy)
  • medicines to stop the rejection of organs after a transplant such as ciclosporin and tacrolimus
  • diuretics (water tablets) such as furosemide
  • medicines which can increase the amount of potassium in your blood such as spironolactone, triamterene, amiloride, potassium salts and heparin (for thinning blood)
  • steroid medicines for inflammation such as prednisolone
  • allopurinol (used to lower the uric acid in your blood)
  • procainamide (for heart rhythm problems).

Please tell your doctor if you are taking any of the following medicines. They may be affected by Ramipril capsules:

  • medicines for diabetes such as oral glucose lowering medicines and insulin. Ramipril capsules may lower your blood sugar amounts. Check your blood sugar amounts closely while taking Ramipril capsules
  • lithium (for mental health problems). Ramipril capsules may increase the amount of lithium in your blood. Your lithium amount will need to be closely checked by your doctor.

Your doctor may need to change your dose and/or to take other precautions:

If you are taking an angiotensin II receptor blocker (ARB) or aliskiren (see also information under the headings ‘Do not take Ramipril capsules’ and ‘Warnings and precautions’)

If any of the above apply to you (or you are not sure), talk to your doctor before taking Ramipril capsules.

Food and alcohol

Drinking alcohol with Ramipril capsules may make you feel dizzy or light-headed. If you are concerned about how much you can drink while you are taking Ramipril capsules, discuss this with your doctor as medicines used to reduce blood pressure and alcohol can have additive effects. Ramipril capsules may be taken with or without food.

Pregnancy and breast-feeding

You must tell your doctor if you think that you are (or might become) pregnant

You should not take Ramipril capsules in the first 12 weeks of pregnancy, and you must not take them at all after the 13th week as their use during pregnancy may possibly be harmful to the baby.

If you become pregnant while on Ramipril capsules, tell your doctor immediately. A switch to a suitable alternative treatment should be carried out in advance of a planned pregnancy. You should not take Ramipril capsules if you are breast-feeding. Ask your doctor or pharmacist for advice before taking any medicine.

Driving and using machines

You may feel dizzy, while taking Ramipril capsules. This is more likely to happen when you start taking Ramipril capsules or start taking a higher dose. If this happens, do not drive or use any tools or machines.

Soya warning

Ramipril capsules contain soya lecithin. If you are allergic to peanut or soya, do not use this medicine.

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The cut-off for same day dispatch of orders is 4pm. Orders processed after this time will be dispatched the following working day. Orders are dispatched Monday - Friday. Orders will not be processed on weekends or bank holidays.

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Deliveries containing pharmacy-only or prescription medicines may require a signature on receipt. 

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Please note: Royal Mail do not deliver on Sundays or Bank Holidays - this should be taken into account when ordering. 

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We are currently unable to ship orders outside of the UK.

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The Independent Pharmacy is an online pharmacy and online doctor service is owned and operated by ABSM Healthcare Ltd (Company Reg. 08515600) and Red Label Medical Ltd (Company Reg. 08676338). All information that appears on this website is intended for information purposes only and should be used to supplement, not replace, your relationship with your local healthcare professionals. You should consult your doctor if you think you may have a health problem or before you start taking a new medicine. Please ensure you always read the information leaflets supplied with any medicinal products.For more information see our policies and terms and conditions at the bottom of every page. © 2014 ABSM Healthcare Ltd. All rights reserved.
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