Chlorthalidone + Ramipril

Dosage Forms Available

• Chlorthalidone + Ramipril is available for oral use as tablets.

Age and Dose Restrictions

• This combination medicine is intended for use in adults and is not recommended for children or adolescents.

Contraindications

• Chlorthalidone + Ramipril is contraindicated in patients with known hypersensitivity to either of the active ingredients or other ACE inhibitors. It should not be used in patients with severe liver disease or significant renal impairment.

Other Medications to Avoid

• Chlorthalidone + Ramipril may interact with diuretics (e.g., furosemide, spironolactone), other blood pressure lowering medicines (e.g., amlodipine, metoprolol), non-steroidal anti-inflammatory medications (NSAIDs) (e.g., ibuprofen or naproxen), and medications containing lithium.

Overdose and Missed Dose

• Overdosing on Chlorthalidone + Ramipril can lead to very low blood pressure, electrolyte imbalances, and potential kidney failure. If an overdose is suspected, seek immediate medical attention.

• If you miss a dose of this medicine, take it as soon as you remember. However, if it is near the time for your next dose, skip the missed dose and continue your regular dosing schedule. Do not double up on doses to compensate for the missed one.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medication. However, if you experience any severe side effects or worsening of any symptoms, please consult your doctor.

• If you are experiencing dizziness while standing up from a lying or sitting position, try getting up slowly.

• In case of fatigue or weakness, make sure to rest and sleep adequately.

• For increased urination, try scheduling your doses so that you do not have to wake up at night to urinate.

Use in Driving and Operating Machinery

• As Chlorthalidone + Ramipril may cause dizziness, it could potentially affect your ability to drive or operate heavy machinery. If you feel dizzy or aren't feeling well, avoid such activities until you feel better.

Use in Pregnancy and Lactation

• It is recommended to consult your doctor before using Chlorthalidone + Ramipril during pregnancy and breastfeeding, as the safety of this medication in these conditions is not well established.

Caution in Other Conditions

• Patients with kidney disease, liver disease, lupus, scleroderma, gout, diabetes, or electrolyte imbalances should use Chlorthalidone + Ramipril with caution.

Special Dietary and Lifestyle Recommendations

• Maintain a low-sodium diet as this can help control high blood pressure.

• Drink adequate amounts of water to prevent dehydration from increased urine output.

• Regular medical check-ups are recommended while on this medication.