Ramistar 1.25 Tablet (15 Tab)

RAMISTAR 1.25 TABLET

Name:

• Brand Name: RAMISTAR 1.25 TABLET
• Common Name: Ramipril
• Manufacturer: LUPIN LTD

Composition: RAMISTAR 1.25 TABLET contains Ramipril 1.25 mg as its active ingredient. Ramipril is an Angiotensin-Converting Enzyme (ACE) inhibitor.

Uses: This medicine is prescribed for several cardiovascular conditions:

• Hypertension: Management of high blood pressure.
• Heart Failure: Treatment of heart failure to improve the heart's pumping efficiency.
• Cardiovascular Risk Reduction: Reduces the risk of heart attack, stroke, and slows down the worsening of kidney problems, particularly in individuals at high risk or following a heart attack.

Dosage and Administration: RAMISTAR 1.25 TABLET should be taken orally, usually once daily, at the same time each day. It can be taken with or without food. The tablet should be swallowed whole with a glass of water and not chewed, crushed, or broken. Dosage should always be as advised by a healthcare professional. Do not discontinue the medication abruptly, as this may lead to a sudden increase in blood pressure or other complications.

Side Effects: Common side effects may include:

• Headache, dizziness, fatigue
• Dry cough
• Nausea, vomiting, diarrhea, stomach pain
• Low blood pressure (hypotension)

More serious, though less common, side effects requiring immediate medical attention include concentrated urine, confusion, fits, rapid heartbeat (palpitations), chest pain, shortness of breath, and signs of blood or bone marrow problems (e.g., easy bruising, prolonged bleeding). Ramipril can also increase potassium levels in the blood (hyperkalemia).

Precautions:

• Pregnancy and Breastfeeding: Not recommended for use during pregnancy, especially in the second and third trimesters, as it may harm the baby. It is generally not recommended for breastfeeding women.
• Medical Conditions: Caution is advised for patients with kidney problems (especially renal artery stenosis), liver problems, heart disease, diabetes, or collagen vascular diseases.
• Alcohol: Avoid alcohol consumption, as it may increase dizziness and risk of low blood pressure.
• Pediatric Use: Not recommended for children and adolescents under 18 years of age due to insufficient data on efficacy and safety.
• Drug Interactions: Inform your doctor about all medications, including potassium supplements, diuretics, and other blood pressure-lowering drugs, as interactions can occur.
• Monitoring: Regular monitoring of blood pressure, kidney function, and electrolyte levels (especially potassium) is advised during treatment.

Storage: Store in a cool and dry place, away from direct sunlight, typically below 30°C or at room temperature. Keep out of sight and reach of children.

Here are frequently asked questions about RAMISTAR 1.25 TABLET (Ramipril):

What is RAMISTAR 1.25 TABLET used for?

RAMISTAR 1.25 TABLET is primarily used to treat high blood pressure (hypertension). It also helps to reduce the risk of heart attack, stroke, or heart failure, and can be prescribed as a treatment following a heart attack. Additionally, it helps in preventing or delaying the worsening of kidney problems, even in patients with diabetes.

How does RAMISTAR 1.25 TABLET work?

RAMISTAR 1.25 TABLET contains Ramipril, which is an Angiotensin-Converting Enzyme (ACE) inhibitor. It works by blocking the production of substances in the body that can constrict blood vessels and raise blood pressure. By doing so, it relaxes and widens the blood vessels, making it easier for your heart to pump blood throughout the body and thus lowering blood pressure. This action reduces the strain on your heart.

What is the usual dosage for RAMISTAR 1.25 TABLET?

RAMISTAR 1.25 TABLET is typically taken once daily at the same time each day, either with or without food. The tablet should be swallowed whole with a glass of water and should not be chewed, crushed, or broken. Your doctor will determine the exact dosage based on your medical condition and response to the treatment.

What are the possible side effects of RAMISTAR 1.25 TABLET?

Common side effects may include headache, dizziness (especially when standing up quickly or at the start of treatment), fatigue, and a dry, persistent cough. Other possible side effects are nausea, vomiting, diarrhea, and a mild skin rash. If these side effects persist or worsen, consult your doctor.

More serious but rare side effects include swelling of the face, lips, tongue, or throat (angioedema), severe stomach pain, signs of liver problems (yellow skin/eyes), symptoms of blood disorders (easy bruising, fever, sore throat), or signs of kidney problems (decreased urine, swelling). Seek immediate medical attention if you experience any serious side effects.

Is RAMISTAR 1.25 TABLET safe during pregnancy or breastfeeding?

No, RAMISTAR 1.25 TABLET is generally not recommended during pregnancy as it may cause serious harm to the developing baby, particularly from the 13th week onwards. If you are pregnant, planning to conceive, or become pregnant while taking this medicine, you should discontinue it and consult your doctor immediately for alternative treatment.

It is also generally not recommended for use during breastfeeding due to potential harmful effects on the newborn baby. Always consult your doctor for advice if you are breastfeeding.

Can RAMISTAR 1.25 TABLET be taken with other medications?

RAMISTAR 1.25 TABLET can interact with several other medications. It is crucial to inform your doctor about all medicines, including over-the-counter drugs, herbal preparations, and supplements you are taking.

Significant interactions can occur with:

• Diuretics (water pills): May increase the risk of low blood pressure and high potassium levels.
• NSAIDs (Non-Steroidal Anti-Inflammatory Drugs like ibuprofen, aspirin): Can reduce the blood pressure-lowering effects of Ramipril.
• Potassium supplements or potassium-sparing diuretics: Can significantly increase blood potassium levels (hyperkalemia).
• Other blood pressure-lowering medicines: May lead to an increased risk of very low blood pressure or kidney problems.
• Medicines for diabetes: Ramipril may affect blood sugar levels, requiring close monitoring.
• Lithium: Ramipril can increase lithium levels in the blood.

What precautions should be taken while taking RAMISTAR 1.25 TABLET?

Do not stop taking RAMISTAR 1.25 TABLET suddenly without consulting your doctor, as this can cause a sudden and dangerous increase in blood pressure. Regular monitoring of your blood pressure, kidney function, and electrolyte levels (especially potassium) is important during treatment.

Exercise caution if you have kidney, liver, or heart problems, a history of angioedema, diabetes, or electrolyte imbalances. Avoid alcohol consumption as it can increase dizziness and further lower blood pressure. You should also avoid driving or operating heavy machinery if you experience dizziness. Limit potassium-rich foods and potassium supplements to prevent high potassium levels.

What happens if a dose is missed?

If you miss a dose of RAMISTAR 1.25 TABLET, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a forgotten tablet.

How should RAMISTAR 1.25 TABLET be stored?

RAMISTAR 1.25 TABLET should be stored in a cool and dry place, away from direct sunlight and moisture. The ideal storage temperature is typically below 30°C. Keep the medicine out of sight and reach of children.