Hydrochlorothiazide + Losartan + Ramipril

Dosage Forms Available

• Hydrochlorothiazide + Losartan + Ramipril is available in the form of oral tablets.

Age and Dose Restrictions

• The combination medicine, Hydrochlorothiazide + Losartan + Ramipril, is generally prescribed for adults.

Contraindications

• Hydrochlorothiazide + Losartan + Ramipril is contraindicated in patients with known hypersensitivity to any of the three component medicines, a history of angioedema related to previous treatment with ACE inhibitors, and patients with bilateral renal artery stenosis or stenosis of the artery to a solitary kidney.

Other Medications to Avoid

• This combination may interact with potassium-sparing diuretics (such as spironolactone and triamterene) and nonsteroidal anti-inflammatory agents (like ibuprofen and naproxen).

Overdose and Missed Dose

• An overdose of Hydrochlorothiazide + Losartan + Ramipril could lead to excessively low blood pressure, kidney failure, or increased levels of potassium in your blood. In case of suspected overdose, seek immediate medical attention.

• If you forget to take a dose, take it as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Never take an extra dose to make up for the missed one.

Management of Side Effects

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

• To manage dizziness or light-headedness, avoid sudden changes in posture. Stand up slowly from a sitting or lying position.

• For nausea, it may help to take the medication with or after a meal.

Use in Driving and Operating Machinery

• Hydrochlorothiazide + Losartan + Ramipril may cause dizziness in some patients. Therefore, it should be used with caution when driving vehicles or operating machinery until you know how this medicine affects you.

Use in Pregnancy and Lactation

• Hydrochlorothiazide + Losartan + Ramipril is classified as potentially risky during pregnancy and breastfeeding. Consult your doctor if you are pregnant, planning a pregnancy, or breastfeeding before starting this medication.

Caution in Other Conditions

• Patients with kidney disease, liver disease, or heart failure should exercise caution while taking Hydrochlorothiazide + Losartan + Ramipril. Regular monitoring of kidney function tests and potassium levels is recommended for these patients.

Special Dietary and Lifestyle Recommendations

• Limiting salt and sodium intake as part of a balanced diet can help control high blood pressure.

• Regular physical activity can also assist with blood pressure control. Ensure to engage in moderate aerobic activity for at least 150 minutes per week or vigorous aerobic activity for 75 minutes per week.

• Maintain a healthy weight. Losing even a small amount of weight if you're overweight can significantly lower your blood pressure.