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Information about Altace

Ramipril is indicated for treating high blood pressure and decreasing the risk of heart attack, stroke, and death in certain patients.

Ramipril is in the class of angiotensin-converting enzyme (ACE) inhibitors. It effects by causing blood vessels to in order to relax so that blood flows freely and at a lower pressure. It increases the heart's ability to pump blood in case some types of heart failure take place. It may also be used for the treatment of congestive heart disease that follows a heart attack or for other conditions as prescribed by your doctor.

You should not use Ramipril in case you are allergic to any ingredient in Ramipril or similar medicines (ACE inhibitors), or if you have ever had angioedema (swelling of the face, lips, tongue, or throat) that was caused by an ACE inhibitor; you are pregnant (second or third trimester); you have ever had of kidney artery narrowing.

In such cases it is obligatory to consult with your doctor before taking this medicine.

Before using Ramipril

Be aware that Ramipril may interact with some medical conditions. Consult with your doctor in case you have any medical conditions listed below: if you are pregnant, planning to become pregnant, or are breast-feeding; if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement; if you have allergies to medicines, foods, or other substances; if you suffer heart or blood vessel problems, liver problems, or kidney problems (eg, kidney artery narrowing, dialysis, kidney transplant); if you have high blood potassium levels or low blood sodium levels, or keep a low sodium diet; if you have a severe autoimmune disease, lupus, scleroderma (a skin disease), or bone marrow depression; if you will be having surgery.

Be aware that Ramipril may interact with some medicines. Consult with your doctor in case you are taking any other medicines, especially any of the next: Dextran sulfate as you may suffer low blood pressure and serious allergic-type reactions; Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, indomethacin), potassium supplements, salicylates (eg, aspirin), or water pills (eg, triamterene, hydrochlorothiazide, or furosemide) as you may suffer worsening kidney problems or excessive lowering of blood pressure; Certain medicines for diabetes (eg, glyburide, glipizide), lithium, or azathioprine because the actions and\or side effects of these medicines may be increased.

This may not be a complete list of all interactions with other drugs. To prevent any complications you should check with your doctor before you start, stop, or change the dose of any medicine.

How to use Ramipril

Take Ramipril according to the prescription of your doctor. Ramipril is to be taken orally with or without food. If it is difficult for you to swallowing the capsule, you can open it and mix the contents with about 4 oz of applesauce or with a half a glass (4 oz/120 mL) of water or apple juice. Drink the mixture immediately. Store mixtures in the refrigerator for up to 48 hours.

You should take the missed dose as soon as you remember and then follow your usual schedule. Nevertheless, if it is near to the time for your next dose, do not take an extra tablet to catch up for the dose you forgot. Wait and take your next tablet at the regular time. Do not take a double dose.

Ask your doctor for extra information about Ramipril usage.

Important safety information

Ramipril may cause dizziness, lightheadedness, or fainting, so be careful when driving, operating machinery, or performing other hazardous activities. You should avoid such activities if you experience dizziness, lightheadedness, or fainting. Sit up or stand slowly. Sit or lie down in case you experience these. Contact your doctor if you faint. Alcohol may increase such symptoms. Avoid taking alcohol and other medicines.

You may suffer a persistent, dry cough. However, it disappears after the treatment is stopped. Consult with your doctor if you have such a symptom.

A fall in blood pressure may be caused by dehydration, excessive sweating, vomiting, or diarrhea. Consult with your doctor if you have such symptoms.

Contact your doctor in case any lightheadedness appears.

You may feel tired or run down for a few weeks after the treatment is started if you take medicine for high blood pressure. Continue taking your medicine even if no symptoms bother you. Consult with your doctor if you suffer any symptom.

Do not use a salt substitute or a product that has potassium in it without medical consultation.

You may become sensitive to the sun while taking Ramipril. If you do not know your reaction to Ramipril, try not to expose to the sun, sunlamps, or tanning booths. Wear a sunscreen or protective clothing if you go out. Let laboratory personnel and your doctors know you are taking Ramipril before making allergy tests and certain lab tests, as Ramipril may affect their results.

Do not use Ramipril in CHILDREN; there is no reliable data about safety and effectiveness in children.

PREGNANCY and BREAST-FEEDING

Consult with your doctor if you plan to become pregnant, as the benefits and risks of using Ramipril during while you are pregnant are not known. There is no reliable data whether Ramipril passes into breast milk. You are not recommended to breast-feed when being treated with Ramipril.

Possible side effects of Ramipril

Not everyone experience side effects, however consult with your doctor if you have any of the most COMMON side effects: diarrhea; dizziness or lightheadedness when sitting up or standing; feeling of a whirling motion; headache; nausea; persistent dry cough; tiredness; vomiting; weakness.

Seek emergency if you experience any sever side effect: Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bruising or bleeding more easily; chest pain; difficulty swallowing; fainting; fever or sore throat; hoarseness; irregular or slow heartbeat; shortness of breath; stomach pain or tenderness; unusual tiredness or weakness; yellowing of the skin or eyes.

What is the expiration date of the pills?

This information is mentioned on each blister. The expiration date is 2 years from the date of manufacture.