Ramistar H 5125 Mg Tablet 15

Ramistar H 5 Tablet 15

Lupin Ltd

Strip of 15 Units

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Composition

Hydrochlorothiazide (12.5 Mg) + Ramipril (5 Mg)

Ramistar-H 5 Tablet is a medicine primarily used for the management of high blood pressure, also known as hypertension. It's a combination medicine, falling under the category of antihypertensives, which help to control blood pressure levels in the body.

In addition to managing hypertension, this medicine can also help in reducing the risk of future cardiovascular events such as heart attacks and strokes. This is particularly beneficial for individuals with a history of coronary artery disease, heart failure, or stroke.

To ensure this medicine works effectively for you, it is crucial to take it as directed by your doctor. Before starting on this medicine, do let your doctor know about any pre-existing conditions or ongoing medications. If you notice any side effects while on this medicine, inform your doctor immediately. For the best results, continue taking the medicine for the duration prescribed by your doctor.

Ramistar-H 5 Tablet is used for the following:

Managing hypertension or high blood pressure
Reduction of cardiovascular risks, such as coronary artery disease, heart failure, or stroke

Directions for Use of Ramistar H 5 Tablet 15

Here's how to take Ramistar-H 5 Tablet:

Swallow the tablet whole with a glass of water.
Avoid chewing or crushing the tablet.
Never exceed the recommended dose without consulting your doctor.
Do not abruptly stop taking this medicine; always consult your doctor first.

Ramistar-H 5 Tablet is taken orally.

Ramistar-H 5 Tablet may cause the following side effects:

Dizziness or lightheadedness
Headache
Fatigue
Dry cough
Nausea or vomiting
Diarrhoea
Skin rash
Increased urination

Managing the Side Effects:

Most side effects are temporary and generally harmless, which resolve on discontinuing the use of Ramistar-H 5 Tablet. However, if you experience any serious side effects or worsening of any of the symptoms, please consult your doctor.

Here are some guidelines for managing common side effects:

Dizziness or lightheadedness: Consider taking Ramistar-H 5 Tablet at night to reduce this effect during the day.
Diarrhoea: Try taking Ramistar-H 5 Tablet with meals.

The effectiveness of Ramistar-H 5 Tablet lies in the combined actions of its two active ingredients:

Ramipril (5 mg): As an Angiotensin Converting Enzyme (ACE) inhibitor, Ramipril works by blocking the action of ACE, which is an enzyme in your body. This enzyme is responsible for converting angiotensin I to angiotensin II, a substance that narrows blood vessels and increases blood pressure. By inhibiting ACE, Ramipril helps widen blood vessels and thus, brings about a decrease in blood pressure.
Hydrochlorothiazide (12.5 mg): This ingredient is a thiazide diuretic. It functions by increasing the excretion of sodium and water from your body through the kidneys. This process leads to a reduction in blood volume and consequently, a decrease in blood pressure.

Pregnancy

Ramistar-H 5 Tablet is contraindicated during pregnancy. If you're pregnant or planning to conceive, make sure to discuss this with your doctor before starting this medicine.

Breastfeeding

Caution is advised while taking Ramistar-H 5 Tablet if you are breastfeeding. It's best to consult your doctor to understand the potential risks and benefits.

Alcohol

While using Ramistar-H 5 Tablet, avoid alcohol as it can enhance blood pressure-lowering effects and may increase dizziness or fainting.

Liver

If you have liver problems, caution is advised when taking Ramistar-H 5 Tablet. Discuss them with your doctor before starting this medicine. This medicine may affect liver function.

Kidney

Caution is advised before using Ramistar-H 5 Tablet if you have a history of kidney problems. It's a good idea to consult your doctor before taking this medicine.

Using Machines & Driving

Ramistar-H 5 Tablet may cause dizziness, especially in the early stages of treatment. Avoid driving or operating machinery until you know how the medicine affects you.

Allergy

If you have allergies to any of the ingredients in Ramistar-H 5 Tablet or to sulfa medications, caution is recommended. Always consult your doctor before starting this medicine.

Children

Ramistar-H 5 Tablet is not recommended for use by children under 18 years of age. Always consult your doctor before giving any medicine to a child.

Older Patients

Older patients should take Ramistar-H 5 Tablet under medical supervision as they may be more susceptible to its side effects. Caution is advised if patients are above 70 years of age. Your doctor will guide you based on your health status.

Drug-Drug Interactions

Ramistar-H 5 Tablet interacts with the following medicines:

Potassium supplements: Using these medications with Ramistar-H 5 Tablet can elevate your blood potassium levels.
NSAIDs: Medicines like ibuprofen or diclofenac can reduce the blood pressure-lowering effect of this tablet.
Blood pressure medications: Medicines like amlodipine or lisinopril can increase the risk of low blood pressure when used with Ramistar-H 5 Tablet.
Diabetes medicines: Insulin or oral diabetes medications like metformin may have altered effects due to the diuretic action of this medicine.

Drug-Food Interactions

Certain foods may affect how Ramistar-H 5 Tablet works in your body:

High-potassium foods: Consuming foods rich in potassium, such as bananas and spinach, while taking this medication might increase your blood potassium levels.

Drug-Disease Interactions

Ramistar-H 5 Tablet interacts with the following diseases:

Kidney disease: This medication could worsen kidney function, so caution is needed.
Liver disease: Ramipril present in this medicine could further impair liver function in those with liver disease.
Diabetes: This medication could affect your blood sugar control, necessitating more frequent monitoring of glucose levels.
Gout: There may be an increased risk of gout attacks due to hydrochlorothiazide in this tablet.

Daily Dose

It's important to take Ramistar-H 5 Tablet as recommended by your doctor. The dosage depends on individual factors like the severity of your condition and how well you respond to the medicine. Always stick to the prescribed dosage and never increase it without consulting your doctor.

Over Dose

Overdosing on Ramistar-H 5 Tablet can lead to common side effects like light-headedness, nausea, increased urination, and fatigue. If you think you might have taken too much of this medication, report it to your doctor promptly.

Missed Dose

If you forget to take a dose of Ramistar-H 5 Tablet, take it as soon as you remember. However, if it's nearly time for your next dose, skip the missed one and continue with your regular schedule. Don't double your dose without talking to your doctor.

Store Ramistar-H 5 Tablet at room temperature, ideally below 30 degrees Celsius.
Keep the medicine away from direct light and moisture.
This medication is not for children, so keep it out of their reach.
Use before the expiry date mentioned on the product packaging.

Since Ramistar-H 5 Tablet manages high blood pressure, it is beneficial to reduce your salt intake. Too much salt can make your body retain water, which can raise your blood pressure.
Regular physical activity such as walking, cycling or swimming can help lower your blood pressure. Try to be active for at least 150 minutes per week or about 30 minutes on most days of the week.

Fact Box

Drug Category	ACE Inhibitor, Thiazide Diuretic
Therapeutic Category	Antihypertensive
Available Dosage Types	Tablet
Habit Forming	No
Ailment	Hypertension, Cardiovascular Risk Reduction

What is Ramistar-H 5 Tablet used for?

Ramistar-H 5 Tablet is primarily used to manage hypertension, which is high blood pressure, and reduce the risk of cardiovascular events.

How does Ramistar-H 5 Tablet work?

It contains ramipril and hydrochlorothiazide. Ramipril relaxes blood vessels while hydrochlorothiazide helps your body get rid of extra water and salt.

Can I stop taking Ramistar-H 5 Tablet if I feel better?

No, don't stop taking this medicine without consulting your doctor. Stopping abruptly can cause your blood pressure to rise.

What should I do if I miss a dose of Ramistar-H 5 Tablet?

If you forget a dose, take it as soon as you remember. If it's nearly time for the next one, skip the missed dose.

Can I take Ramistar-H 5 Tablet with other medicines?

Inform your doctor about all the medicines you are taking, as some may interact with Ramistar-H 5 Tablet. Your doctor will guide you accordingly.

Are there any side effects of Ramistar-H 5 Tablet?

Yes, it may cause dizziness, headache, fatigue, dry cough, nausea and increased urination among others. Consult your doctor if these persist or worsen.

Can pregnant women take Ramistar-H 5 Tablet?

No, this medicine is not recommended during pregnancy. Always consult your doctor before taking any medication during pregnancy.

Certified Content

Written by

Dr Nikita Lobo

Medical Editor & Reviewer | 7 years

BDS, MDS

Reviewed by

Dr. Chhavi Rosha

Health & Medical Content Writer | 8 years

BMS, FMC, MD Resident

Check out Editorial Policy

Manufacturer details

Kalpataru Inspire, 3rd Floor, Off. Western Express Highway, Santacruz (East), Mumbai

Country of origin: INDIA

References

Pro Doc Ltée. (2013). PRODUCT MONOGRAPH: RAMIPRIL-HCTZ (Ramipril and hydrochlorothiazide Tablets) (pp. 2–52). https://pdf.hres.ca/dpd_pm/00022792.PDF
APOTEX INC. (2010). PRODUCT MONOGRAPH INCLUDING PATIENT MEDICATION INFORMATION APO-RAMIPRIL/HCTZ Ramipril and hydrochlorothiazide tablets. https://pdf.hres.ca/dpd_pm/00065644.PDF
Cardace. (n.d.). Ramipril & Hydrochlorothiazide tablets IP Cardace® h. https://www.sanofi.in/dam/jcr:2d72a8e1-dc32-4728-9c0f-fd10aa064d65/Cardace%20H%20PI_new.pdf
Hydrochlorothiazide: Uses, interactions, mechanism of action | DrugBank Online. (n.d.). DrugBank. https://go.drugbank.com/drugs/DB00999
Ramipril: Uses, interactions, mechanism of action | DrugBank Online. (n.d.). DrugBank. https://go.drugbank.com/drugs/DB00178

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