Altace (Ramipril)
Class and Category of Drug
Before you buy Altace (Ramipril) online, read common information about the medication.
Chemical class: Ethylester of ramiprilat
Therapeutic class: Antihypertensive
Pregnancy category: C (first trimester), D (later trimesters)
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Drug Indications and Dosages
Before purchase Altace (Ramipril) online , you must read how it works.
To treat heart failure after MI
Capsules
Adults. Initial: 1.25 to 2.5 mg b.i.d. Maintenance: 5 mg b.i.d.
To treat hypertension
Capsules
Adults. Initial: 2.5 mg daily. Maintenance: 2.5 to 20 mg once daily or in divided doses b.i.d.
Dosage Adjustment Initial dosage reduced to 1.25 mg daily for patients dehydrated from diuretics, those receiving diuretics, and those with creatinine clearance less than 40 ml/min/1.73 m2; dosage then slowly increased until blood pressure is under control or maximum daily dose of 5 mg is reached.
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Contraindications of Drug
Read contraindications if you want cheap Altace (Ramipril) online.
Hypersensitivity to ramipril, its components, or any other ACE inhibitors
Generic Drug Interactions
Drugs
allopurinol, bone marrow depressants, corti-costeroids (systemic), procainamide: Increased risk of fatal neutropenia or agranulocytosis
CNS depressants, other hypotension-producing drugs: Additive hypotensive effect cyclosporine, potassium preparations,
potassium-sparing diuretics: Possibly hyperkalemia
insulin, oral antidiabetics: Increased risk of hypoglycemia
lithium: Increased risk of lithium toxicity nonsteroidal anti-inflammatory drugs (NSAIDs),
sympathomimetics: Decreased anti-hypertensive effect of ramipril
sodium aurothiomalate: Increased risk of nitritoid reaction (facial flushing, nausea, vomiting, hypotension)
telmisartan: Possibly increased risk of adverse effects, especially renal dysfunction tetracyclines: Reduced tetracycline absorption
Foods
low-salt milk, salt substitutes: Increased risk of hyperkalemia
Activities
alcohol use: Additive hypotensive effects
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Drugs Adverse Reactions
Central Nervous System: Depression, dizziness, drowsiness, fatigue, fever, headache, insomnia, light-headedness, malaise, paresthesia, sleep disturbance, syncope, vertigo
Cardiovascular: Chest pain, hypotension, orthostatic hypotension, palpitations, tachycardia
Eyes, Ears, Nose, And Throat: Amblyopia, dry mouth, loss of taste, pharyngitis
Gastrointestinal: Abdominal pain, constipation, diarrhea, elevated liver function test results, hepatic failure, hepatitis, nausea, vomiting
Genitourinary: Acute renal failure, elevated BUN and serum creatinine levels, impotence, oliguria, progressive azotemia
Hematologic: Agranulocytosis, anemia, bone marrow depression, pancytopenia
Musculoskeletal: Arthralgia, back pain, myalgia
Respiratory: Cough, dyspnea
Skin: Alopecia, diaphoresis, flushing, jaundice, onycholysis, pemphigoid, photosensitivity, pruritus, rash, Stevens-Johnson syndrome, toxic epidermal necrolysis, urticaria
Other: Angioedema
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Nursing Considerations for Generic Drugs
• Use ramipril cautiously in patients with renal or hepatic impairment.
WARNING Patients with dehydration, heart failure, or hyponatremia; those who've recently received intensive diuresis or an increase in diuretic dosage; and those having dialysis may risk excessive hypotension. Monitor such patients closely the first 2 weeks of therapy and whenever ramipril or diuretic dosage increases. If excessive hypotension occurs, notify pre-scriber immediately, place patient in a supine position, and, if prescribed, infuse normal saline solution. WARNING Because of the risk of angioedema, be prepared to stop drug and provide emergency measures, including subcutaneous epinephrine 1:1,000 (0.3 to 0.5 ml), if swelling of tongue, glottis, or larynx causes airway obstruction.
• Monitor blood pressure frequently during therapy to assess drug's effectiveness.
• Monitor patient's renal and hepatic function closely during therapy.
Remember it if you buying Altace (Ramipril) online.
Ramipril
Preparations
International Brand Drug Names
The information about drugs (tablets, pills, capsules, creams, solution, nasal spray, inhaler) around the world.
British Pharmacopoeia, 2008 edition: Ramipril Capsules; Ramipril Tablets.
Proprietary Preparations
Argentina: Lostapres; Tritace;
Australia: Prilace; Ramace; Tritace;
Austria: Hypren; Lannapril; Ramipharm; Tritace;
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Belgium: Ramace; Tritace;
Brazil: Atensec; Ecator; Naprix; Triatec;
Canada: Altace;
The pharmaceutical companies our pharmacies buy from follow strict WHO standards for GMP.
Chile: Ramipres; Triatec;
Czech Republic: Acesial; Amprilan; Hartil; Miril; Piramil; Ramicard; Ramil; Ramistada; Ramitren; Tritace;
Denmark: Ramace; Triatec;
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Finland: Cardace; Ramace;
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France: Triatec;
Germany: Delix; Ramicard; Ramigamma; RamiLich; Vesdil;
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Greece: Stibenyl; Triatec;
Hong Kong: Tritace;
Hungary: Amprilan; Corpril; Emren; Hartil; Meramyl; Piramil; Ramace; Ramicard; Ramiwin; Tritace;
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India: Cardace; Hopecard; Preface; R-Pril; Ramcor; Ramipres; Sclerace;
Indonesia: Cardace; Hyperil; Ramixal; Tenapril; Triatec;
Ireland: ByTrite; Ramic; Ramilo; Tritace; Israel: Ramitens; Tritace;
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Italy: Quark; Triatec; Unipril;
Malaysia: Tritace;
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Mexico: Intemipril; Ramace; Tritace;
Netherlands or Holland: Remik; Tritace;
Norway: Triatec;
New Zealand: Tritace;
Philippines: Tritace;
Poland: Axtil; Mitrip; Piramil; Ramicor; Tritace; Vivace;
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Portugal: Ramik; Triatec; Verzatec;
Russia: Hartil (Хартил);
South Africa:
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France: Ramace; Ramiwin; Rampil; Tritace;
Singapore: Tritace;
Spain: Acovil; Carasel;
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Sweden: Pramace; Triatec;
Switzerland: Triatec; Vesdil;
Thailand: Corpril; Piramil; Ramiril; Ramtace; Tritace;
Turkey: Delix;
UK or Britain: Tritace;
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US or USA: Altace;
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Venezuela: Altace; Piramil.
Multi-ingredient
Argentina: Triacor; Tritace-HCT;
Australia: Triasyn;
Austria: Hypren plus; Lannapril plus; Lasitace; Ramicomp; Ramipharm comb; Trialix; Triapin; Tritazide; Unimax;
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Belgium: Tritazide;
Brazil: Ecator H; Naprix A; Naprix D; Triatec D;
Czech Republic: Amprilan H; Hartil-H; Medoram plus H; Miril plus H; Ramil H; Ramixa Plus H; Triasyn; Tritazide; Unimax;
Denmark: Triatec Comp;
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Finland: Cardace Comp; Unimax;
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France: Cotriatec;
Germany: Arelix ACE; Aretensin; Delix Plus; Delmuno; Rami-Q comp; Ramicard Plus; Ramigamma HCT; RamiLich comp; Ramiplus; Ramipril comp; Ramipril HCT; Ramipril HCTad; Ramipril Plus; Unimax; Vesdil plus;
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Greece: Stibenyl HCT; Triacor; Triatec Plus; Unitens;
Hungary: Amprilan HD; Amprilan HL; Hartil HCT; Meramyl HCT; Ramace Plusz; Ramiwin HCT; Triasyn; Tritace-HCT;
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India: Ramcor H; Ramipres H;
Ireland: Trialix; Triapin; Israel: Tritace Comp;
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Italy: Idroquark; Prilace; Triatec HCT; Uniprildiur;
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Mexico: Triacor; Tritazide;
Netherlands or Holland: Delitab-HCT; Prilitab-HCT; Prilitaril-HCT; Ramitab-HCT; Rataril- HCT; Triapin; Tritazide; Unimax;
Philippines: Triapin;
Poland: Ramicor Comb;
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Portugal: Ramicor D; Triatec Composto; Unimax;
South Africa:
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France: Tri-Plen;
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Sweden: Triatec Comp;
Switzerland: Trialix; Triatec Comp; Unimax;
Turkey: Delix Plus;
UK or Britain: Triapin;
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Venezuela: Altace Plus.
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