Ramistar 10 Tablet (15 Tab)

RAMISTAR 10 TABLET

RAMISTAR 10 TABLET is a medication manufactured by LUPIN LTD, primarily used for the management of cardiovascular conditions.

• Name

  • Common Name: Ramipril
  • Brand Name: RAMISTAR 10 TABLET

• Composition

  • Active Ingredient: Ramipril 10 mg

• Uses RAMISTAR 10 TABLET (Ramipril) belongs to a class of medications called Angiotensin-Converting Enzyme (ACE) inhibitors. It works by decreasing the production of substances that can raise blood pressure, relaxing and widening blood vessels, making it easier for the heart to pump blood throughout the body. It is prescribed for:

  • Treating high blood pressure (hypertension).
  • Reducing the risk of heart attack and stroke.
  • Managing heart failure and improving heart function.
  • Reducing the risk or delaying the worsening of kidney problems, including in patients with diabetes.
  • As a treatment following a heart attack, especially when complicated with heart failure.

• Dosage and Administration RAMISTAR 10 TABLET should be taken as advised by your doctor.

  • It is typically taken once daily, but larger doses may be split into two doses.
  • Can be taken with or without food, preferably at the same time each day.
  • Swallow the tablet whole with a glass of water; do not crush or chew it.
  • Your doctor may suggest taking the first dose at bedtime as it can cause dizziness.
  • The typical starting dose for high blood pressure is 1.25 mg or 2.5 mg once daily, with the maximum dose usually not exceeding 10 mg once daily. Doses for heart failure or kidney disease may vary.

• Side Effects

  • Common Side Effects: Headache, dizziness, fatigue, dry cough, nausea, diarrhea, skin rash, reduced blood pressure (hypotension), and inflammation of the sinuses (sinusitis).
  • Serious Side Effects: Palpitations or faster heart rate, chest pain, shortness of breath, blood or bone marrow problems (e.g., easy bruising, prolonged bleeding, fever, infections), pancreatitis (severe stomach pain), hepatitis or liver damage (fever, chills, tiredness, yellowing of skin/eyes), and angioedema (swelling of the face, lips, tongue, or throat). Seek immediate medical attention if these occur.

• Precautions

  • Pregnancy and Breastfeeding: Not recommended during pregnancy as it may harm the baby. Generally not recommended for breastfeeding women. Consult your doctor.
  • Children and Adolescents: Not recommended for use in individuals under 18 years of age.
  • Kidney/Liver Problems: Not recommended for patients with severe kidney problems (renal artery stenosis), those on dialysis, or with collagen vascular diseases. Use with caution in patients with general kidney or liver diseases. Regular monitoring of kidney function and potassium levels is advised.
  • Alcohol: Avoid alcohol consumption as it can increase dizziness and light-headedness.
  • Driving/Operating Machinery: Avoid these activities if you experience dizziness after taking the medication.
  • Drug Interactions: Inform your doctor about all other medications you are taking, especially sacubitril/valsartan, diuretics, NSAIDs, potassium supplements, lithium, or medications for diabetes, as interactions can occur.
  • Do not stop taking RAMISTAR 10 TABLET suddenly, as this may worsen your condition.

• Storage

  • Store at room temperature below 30°C. Some sources suggest between 20°C to 25°C.
  • Keep out of reach of children.
  • Protect from light and moisture.

What is RAMISTAR 10 TABLET used for?

RAMISTAR 10 TABLET is primarily used to treat high blood pressure (hypertension). It also helps to reduce the risk of heart attack, stroke, and heart failure. Additionally, it can be prescribed to prevent or delay the worsening of kidney problems, particularly in patients with diabetes.

How does RAMISTAR 10 TABLET work?

RAMISTAR 10 TABLET contains Ramipril, which is an Angiotensin-Converting Enzyme (ACE) inhibitor. It works by blocking the action of an enzyme responsible for producing angiotensin II, a substance that causes blood vessels to narrow. By doing this, Ramipril relaxes and widens the blood vessels, making it easier for the heart to pump blood and thus lowering blood pressure. This action also reduces the strain on the heart and may increase the release of bradykinin.

What is the usual dosage of RAMISTAR 10 TABLET?

RAMISTAR 10 TABLET is typically taken once daily, preferably at the same time each day. It can be taken with or without food. The tablet should be swallowed whole with water and not crushed or chewed. The specific dosage will be determined by your doctor based on your medical condition and response to treatment. For hypertension, doses can range from 2.5 mg to 20 mg.

What are the possible side effects of RAMISTAR 10 TABLET?

Common side effects may include headache, dizziness, fatigue, nausea, and a dry cough. Most of these side effects are usually temporary and resolve over time. However, if they persist or worsen, you should consult your doctor. More serious but less common side effects can include low blood pressure, confusion, tingling in the hands and feet, and palpitations. Rarely, severe reactions like liver damage or pancreatitis can occur.

Is RAMISTAR 10 TABLET safe during pregnancy or breastfeeding?

RAMISTAR 10 TABLET is not recommended during pregnancy as it can cause serious harm to the unborn baby. If you become pregnant while taking this medicine, discontinue use immediately and consult your doctor for an alternative. It is also generally not recommended for use during breastfeeding due to potential harmful effects on the newborn.

Can RAMISTAR 10 TABLET be taken with other medications?

RAMISTAR 10 TABLET can interact with several other medications. It is important to inform your doctor about all medicines, herbal preparations, and supplements you are taking. Particular caution is advised when taken with diuretics, other blood pressure-lowering drugs (e.g., Azilsartan medoxomil, eprosartan), Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) like ibuprofen, and potassium supplements. Concomitant use with valsartan/sacubitril is generally not advised for 36 hours after Ramipril use due to an increased risk of angioedema.

What precautions should be taken while using RAMISTAR 10 TABLET?

Before taking RAMISTAR 10 TABLET, inform your doctor if you have any pre-existing conditions such as heart, kidney, or liver problems, or a history of angioedema. Regular monitoring of blood pressure, kidney function, and electrolyte levels (especially potassium) is recommended during treatment. Avoid alcohol consumption as it can increase dizziness and lightheadedness. Also, avoid potassium-rich foods and supplements. Do not stop taking the medicine suddenly without consulting your doctor, as this can lead to a sudden increase in blood pressure or other serious cardiovascular events. Since it can cause dizziness, exercise caution when driving or operating heavy machinery. It is not recommended for children under 18 years of age.

What happens if a dose of RAMISTAR 10 TABLET is missed?

If you miss a dose, 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 missed one, as this can lead to unwanted side effects.

How should RAMISTAR 10 TABLET be stored?

RAMISTAR 10 TABLET should be stored in a cool and dry place, protected from direct sunlight. The ideal storage temperature is between 20°C to 25°C or below 30°C. Keep this medicine out of the sight and reach of children.