{"id":21588,"date":"2022-05-30T06:15:02","date_gmt":"2022-05-30T06:15:02","guid":{"rendered":"https:\/\/zeepedia.com\/?p=21588"},"modified":"2022-05-30T10:40:37","modified_gmt":"2022-05-30T10:40:37","slug":"ramipril-hydrochlorothiazide-krka","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/ramipril-hydrochlorothiazide-krka\/","title":{"rendered":"Ramipril \/ Hydrochlorothiazide Krka &#8211; Ramipril \/ Hydrochlorothiazide uses, dose and side effects"},"content":{"rendered":"\n<p>2.5 mg \/ 12.5 mg and 5 mg \/ 25 mg&nbsp;ramipril \/ hydrochlorothiazide&nbsp;tablets<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Ramipril \/ Hydrochlorothiazide Krka is and what it is used for<\/h2>\n\n\n\n<p><a href=\"https:\/\/zeepedia.com\/medical\/medicines\/triatec\/\">Ramipril<\/a> \/ Hydrochlorothiazide Krka is a combination of two medicines called ramipril and&nbsp;hydrochlorothiazide&nbsp;.<\/p>\n\n\n\n<p>Ramipril belongs to a group of medicines called &#8216;ACE inhibitors&#8217; (&nbsp;Angiotensin&nbsp;Converting&nbsp;Enzyme&nbsp;inhibitors) that work by:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Reduce the body&#8217;s production of substances that increase your&nbsp;blood pressure<\/li><li>Make your blood vessels dilate and relax<\/li><li>Make it easier for your heart to pump blood around your body<\/li><\/ul>\n\n\n\n<p>Hydrochlorothiazide\u00a0belongs to a group of medicines called &#8220;thiazide diuretics&#8221; or diuretics that work by increasing the amount of water (urine) produced in the body.\u00a0This lowers your\u00a0blood pressure.<\/p>\n\n\n\n<p>Ramipril \/ Hydrochlorothiazide Krka is used for high\u00a0blood pressure\u00a0.\u00a0The two active substances work together to lower your\u00a0blood pressure.\u00a0They are used together when one or the other has not worked alone.<\/p>\n\n\n\n<p>Ramipril and\u00a0hydrochlorothiazide\u00a0contained in Ramipril \/ Hydrochlorothiazide Krka may also be approved for the treatment of other conditions not mentioned in this product information.\u00a0Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you use Ramipril \/ Hydrochlorothiazide Krka<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Ramipril \/ Hydrochlorothiazide Krka<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to ramipril,\u00a0hydrochlorothiazide,\u00a0or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if you are allergic (hypersensitive) to medicines similar to Ramipril \/ Hydrochlorothiazide Krka (other\u00a0ACE inhibitors\u00a0or\u00a0sulphonamides\u00a0). Signs of an\u00a0allergic reaction\u00a0may include rash, difficulty swallowing or breathing, and swelling of your lips, face, throat, or tongue.<\/li><li>if you have ever had a severe\u00a0allergic reaction\u00a0called &#8220;angioedema&#8221;.\u00a0Signs of this include\u00a0itching,\u00a0hives\u00a0(\u00a0urticaria\u00a0), red marks on the hands, feet, and neck, swelling of the throat and tongue, swelling around the eyes and lips, and difficulty breathing and swallowing.<\/li><li>if you are undergoing\u00a0dialysis\u00a0or any other type of blood filtration.\u00a0Depending on the machine used, Ramipril \/ Hydrochlorothiazide Krka may not be suitable for you<\/li><li>if you have severe liver problems<\/li><li>if you have abnormal amounts of salts (calcium,\u00a0potassium,\u00a0sodium\u00a0) in your blood<\/li><li>if you have kidney problems which means that the blood supply to your kidneys is reduced (\u00a0stenosis\u00a0of the renal artery)<\/li><li>during the last 6 months of pregnancy (see section \u201cPregnancy and breast-feeding\u201d below)<\/li><li>if you are breast-feeding (see section \u201cPregnancy and breast-feeding\u201d below)<\/li><li>if you have\u00a0diabetes\u00a0or renal impairment and are being treated with a blood pressure-lowering medicine containing aliskiren<\/li><li>if you have taken or are taking sacubitril\/valsartan, a medicine used to treat a type of long-term (\u00a0chronic\u00a0)\u00a0heart failure\u00a0in adults, it increases the risk of\u00a0angioedema\u00a0(rapid swelling under the skin in an area such as the throat).<\/li><\/ul>\n\n\n\n<p>Do not take Ramipril \/ Hydrochlorothiazide Krka if any of the above applies to you.&nbsp;If you are not sure, talk to your doctor before taking Ramipril \/ Hydrochlorothiazide Krka.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Ramipril \/ Hydrochlorothiazide Krka.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have heart, liver, or kidney problems<\/li><li>if you have lost a lot of body salts or body fluids (through vomiting, diarrhea, abnormal sweating, strictly low-salt diet, treatment with\u00a0diuretics\u00a0(\u00a0diuretics\u00a0) for a long time, or have undergone dialysis)<\/li><li>if you are going to undergo a treatment to reduce your allergy to wasp or bee stings (\u00a0hyposensitization\u00a0)<\/li><li>if you will be given anesthetics.\u00a0This can be given to you before an operation or dental treatment.\u00a0You may need to stop taking Ramipril \/ Hydrochlorothiazide Krka one day before surgery;\u00a0Ask your doctor for advice<\/li><li>if you have high levels of potassium in your blood (shown by a blood test)<\/li><li>if you are taking medicines or have a condition that can lower the sodium levels in your blood.<br>Your doctor may take regular blood tests, especially to check your blood\u00a0sodium\u00a0levels, especially if you are older<\/li><li>if you are taking any of the following medicines, the risk of\u00a0angioedema\u00a0may increase:<ul><li>racecadotril is a medicine used to treat diarrhea.<\/li><li>drugs used to prevent rejection of transplanted organs and against cancer (eg <a href=\"https:\/\/zeepedia.com\/medical\/medicines\/torisel\/\">temsirolimus<\/a>, sirolimus, everolimus).<\/li><li>vildagliptin is a medicine used to treat\u00a0diabetes.<\/li><\/ul><\/li><li>if you have connective tissue diseases such as scleroderma or\u00a0SLE\u00a0(systemic lupus erythematosus)<\/li><li>if you have had skin cancer or if you get an unforeseen skin change during treatment.\u00a0Treatment with\u00a0hydrochlorothiazide, especially long-term use with high\u00a0doses, may increase the risk of certain types of skin and lip cancer (non-melanoma\u00a0skin cancer).\u00a0Protect your skin from exposure to sunlight and UV rays while taking Ramipril \/ Hydrochlorothiazide Krka<\/li><li>if you have previously had breathing or lung problems (including\u00a0inflammation\u00a0or fluid in your lungs) after taking\u00a0hydrochlorothiazide.\u00a0If you get severe shortness of breath or severe breathing problems after taking Ramipril \/ Hydrochlorothiazide Krka, you should seek medical attention immediately.<\/li><li>if you are taking any of the following medicines used to treat high blood pressure:<ul><li>an\u00a0angiotensin\u00a0II receptor blocker (ARB) (also known as sartans &#8211; for example, valsartan, <a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tolura\/\">telmisartan<\/a>, irbesartan), especially if you have diabetes-related kidney problems.<\/li><li>aliskiren<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>Your doctor may need to check your kidney function,\u00a0blood pressure,\u00a0and the number of\u00a0electrolytes\u00a0(eg\u00a0potassium\u00a0) in your blood at regular intervals.\u00a0See also the information under the heading &#8220;Do not take Ramipril \/ Hydrochlorothiazide Krka&#8221;.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you experience impaired vision or eye pain.&nbsp;This may be a symptom of fluid accumulation in the eye (between the choroid and retina) or an increase in pressure in the eye and may occur within hours to weeks after taking Ramipril \/ Hydrochlorothiazide Krka.&nbsp;Without treatment, this can lead to permanent vision loss.&nbsp;If you have previously had a&nbsp;penicillin&nbsp;or sulfonamide allergy, you may be at greater risk of developing this.<\/li><\/ul>\n\n\n\n<p>If you think you are or will become pregnant during treatment, consult your doctor.<\/p>\n\n\n\n<p>Ramipril \/ Hydrochlorothiazide Krka is not recommended during the first 3 months of pregnancy and may cause birth defects if used after more than 3 months of pregnancy (See section \u201cPregnancy and breast-feeding\u201d below).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Ramipril \/ Hydrochlorothiazide Krka is not recommended for use in children and adolescents below 18 years.&nbsp;This is because the drug has never been used in this age group.<\/p>\n\n\n\n<p>If any of the above apply to you (or you are not sure), talk to your doctor before taking Ramipril \/ Hydrochlorothiazide Krka.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Ramipril \/ Hydrochlorothiazide Krka<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including medicines obtained without a prescription (including herbal medicines).\u00a0This is because Ramipril \/ Hydrochlorothiazide Krka may affect the effectiveness of certain medicines, and some medicines may affect the effect of Ramipril \/ Hydrochlorothiazide Krka.<\/p>\n\n\n\n<p>Tell your doctor if you are taking any of the following medicines.&nbsp;They can make Ramipril \/ Hydrochlorothiazide Krka work worse:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>medicines used to relieve pain and inflammation (non-steroidal anti-inflammatory drugs (\u00a0NSAIDs\u00a0) such as ibuprofen or indomethacin and\u00a0<a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tiplo-citrus\/\">acetylsalicylic acid<\/a>\u00a0)<\/li><li>medicines used to treat low blood pressure, shock,\u00a0heart failure,\u00a0asthma,\u00a0or allergies such as ephedrine, norepinephrine, or\u00a0adrenaline.\u00a0Your doctor will check your\u00a0blood pressure.<\/li><\/ul>\n\n\n\n<p>Tell your doctor if you are taking any of the following medicines.&nbsp;They may increase the risk of side effects if you take them with Ramipril \/ Hydrochlorothiazide Krka:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>drugs used to relieve pain and inflammation (non-steroidal anti-inflammatory drugs such as ibuprofen or indomethacin and\u00a0acetylsalicylic acid\u00a0)<\/li><li>drugs that can reduce the amount of potassium in your blood.\u00a0These include medicines for constipation,\u00a0diuretics\u00a0(diuretics), amphotericin B (used to treat fungal infections), and ACTH (used to examine the function of your adrenal glands)<\/li><li>temsirolimus (for cancer)<\/li><li>drugs for heart problems including problems with heart rhythm<\/li><li>diuretics (diuretics) such as furosemide<\/li><li>potassium supplements (including salt substitutes), potassium-sparing\u00a0diuretics\u00a0(diuretics), and other medicines that may increase the amount of\u00a0potassium\u00a0in your blood (eg trimethoprim and cotrimoxazole (trimethoprim\/sulfamethoxazole) against bacterial\u00a0infections; cyclosporine, an immunosuppressive drug rejection of transplanted organs; and\u00a0heparin, a drug used to thin the blood to prevent blood clots).<\/li><li>steroids used in inflammation such as prednisolone<\/li><li>calcium supplementation<\/li><li>allopurinol (used to reduce the amount of uric acid in your blood)<\/li><li>procainamide (used for heart rhythm disorders)<\/li><li>cholestyramine (used to reduce blood fats)<\/li><li>carbamazepine (used to treat epilepsy)<\/li><li>medicines most commonly used to prevent rejection of transplanted organs (sirolimus, everolimus, and other medicines belonging to the group mTOR inhibitors).\u00a0See section \u201cWarnings and Precautions\u201d.<\/li><\/ul>\n\n\n\n<p>Your doctor may need to change your\u00a0dose\u00a0and\/or take other precautions:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are taking an&nbsp;angiotensin&nbsp;II receptor blocker (ARB) or aliskiren (see also the information under the headings \u201cDo not take Ramipril \/ Hydrochlorothiazide Krka\u201d and \u201cWarnings and precautions\u201d).<\/li><\/ul>\n\n\n\n<p>Tell your doctor if you are taking any of the following medicines.&nbsp;They can be affected by Ramipril \/ Hydrochlorothiazide Krka:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Antidiabetic drugs such as oral glucose-lowering drugs and\u00a0insulin.\u00a0Ramipril \/ Hydrochlorothiazide Krka may lower your blood sugar levels.\u00a0Check your blood sugar levels carefully while you are taking Ramipril \/ Hydrochlorothiazide Krka.<\/li><li>Lithium (used in mental illness).\u00a0Ramipril \/ Hydrochlorothiazide Krka may increase the amount of lithium in your blood.\u00a0Your lithium levels will need to be monitored closely by your doctor.<\/li><li>Muscle relaxants<\/li><li>Quinine (used against malaria)<\/li><li>Drugs that contain iodine, can be used in X-ray examinations in hospitals<\/li><li>Penicillin (used to treat infections)<\/li><li>Oral blood thinners (oral\u00a0anticoagulants\u00a0) such as\u00a0warfarin.<\/li><\/ul>\n\n\n\n<p>If any of the above applies to you (or you are not sure), talk to your doctor before taking Ramipril \/ Hydrochlorothiazide Krka.<\/p>\n\n\n\n<p><em>Surveys<\/em><\/p>\n\n\n\n<p>Check with your doctor or pharmacist before taking your medicine:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you are going to examine the function of your parathyroid gland.&nbsp;Ramipril \/ Hydrochlorothiazide Krka may affect the results of the study<\/li><li>If you play sports and are about to undergo a doping test.&nbsp;Ramipril \/ Hydrochlorothiazide Krka may have a positive effect<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Ramipril \/ Hydrochlorothiazide Krka with food, drink, and alcohol<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>If you drink alcohol while taking Ramipril \/ Hydrochlorothiazide Krka, you may feel dizzy.&nbsp;If you are concerned about how much you can drink while taking Ramipril \/ Hydrochlorothiazide Krka, talk to your doctor as alcohol may increase the effect of antihypertensive drugs.<\/li><li>Ramipril \/ Hydrochlorothiazide Krka can be taken with or without food<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>If you think you are or will become pregnant during treatment, consult your doctor.<\/p>\n\n\n\n<p><strong>Pregnancy<\/strong><\/p>\n\n\n\n<p>You should not take Ramipril \/ Hydrochlorothiazide Krka during the first 12 weeks of pregnancy and do not take them at all after the 13th week as use may be harmful to the baby.<\/p>\n\n\n\n<p>If you become pregnant while taking Ramipril \/ Hydrochlorothiazide Krka, contact your doctor immediately.&nbsp;A change to a suitable alternative should be carried out well in advance of a planned pregnancy.<\/p>\n\n\n\n<p><strong>Breast-feeding<\/strong><\/p>\n\n\n\n<p>You should not take Ramipril \/ Hydrochlorothiazide Krka if you are breastfeeding.<\/p>\n\n\n\n<p>Ask your doctor or pharmacist for advice before taking any medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>You may feel dizzy when taking Ramipril \/ Hydrochlorothiazide Krka.&nbsp;This is more likely to happen when you start taking Ramipril \/ Hydrochlorothiazide Krka or if you start taking a higher dose.&nbsp;If this happens, do not drive or use any tools or machines.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0Descriptions of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ramipril \/ Hydrochlorothiazide Krka contains sodium<\/h2>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)\u00a0sodium\u00a0per tablet, ie essentially &#8216;sodium-free&#8217;.\u00a0is next to &#8220;sodium-free&#8221;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Ramipril \/ Hydrochlorothiazide Krka<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor or pharmacist has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p><strong>Dosage<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>the drug should be swallowed and taken at the same time each day, usually in the morning<\/li><li>swallow the tablets with liquid<\/li><li>do not crush or chew the tablets<\/li><\/ul>\n\n\n\n<p><strong>What&nbsp;dose&nbsp;should you take?<\/strong><\/p>\n\n\n\n<p><em>Treatment of high blood pressure<\/em><\/p>\n\n\n\n<p>Your doctor will adjust the dose until your blood pressure is under control.<\/p>\n\n\n\n<p><em>Older<\/em><\/p>\n\n\n\n<p>Your doctor will reduce the starting dose and adjust your treatment at a slower pace.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Ramipril \/ Hydrochlorothiazide Krka than you should&nbsp;<\/h2>\n\n\n\n<p>Contact a doctor or see the emergency department at the nearest hospital as soon as possible.&nbsp;Do not drive to the hospital, ask someone else to drive you or call an ambulance.&nbsp;Bring your medicine pack.&nbsp;This is so that the doctor knows what you have taken.<\/p>\n\n\n\n<p>If you have ingested too much medicine or if, for example, a child has accidentally ingested the medicine, contact a doctor or hospital for risk assessment and advice.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Ramipril \/ Hydrochlorothiazide Krka<\/h2>\n\n\n\n<p>If you forget to take a dose, take your normal dose at the next dose.<\/p>\n\n\n\n<p>Do not take a double dose to make up for a forgotten tablet.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist<strong>.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong>Stop taking&nbsp;&nbsp;<\/strong><strong>Ramipril \/ Hydrochlorothiazide Krka and see a doctor immediately if you notice any of the following serious&nbsp;side effects&nbsp;&#8211; you may need&nbsp;urgent&nbsp;medical attention:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>swelling of the face, lips, or throat which makes it difficult to swallow or breathe, but also\u00a0itching\u00a0and rash.\u00a0This may be a sign of a severe\u00a0allergic reaction\u00a0to Ramipril \/ Hydrochlorothiazide Krka.<\/li><li>severe skin reactions including rash, cold sores, worsening of skin conditions,\u00a0redness, blistering, or skin rash (such as Stevens-Johnson syndrome,\u00a0toxic epidermal necrolysis,\u00a0or erythema multiforme).<\/li><li>acute\u00a0respiratory distress syndrome (signs of severe shortness of breath, fever, weakness, and confusion) (very rare (may affect up to 1 in 10,000 people)).<\/li><\/ul>\n\n\n\n<p><strong>Tell your doctor immediately if you experience:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>increased heart rate, irregular or severe heartbeat (\u00a0palpitation\u00a0), chest pain, chest tightness, or more serious problems including heart attack and\u00a0stroke<\/li><li>shortness of breath, cough, and fever for 2-3 days, and decreased appetite.\u00a0This can be a sign of lung problems including pneumonia<\/li><li>bruising that occurs more easily than usual, prolonged bleeding time, signs of bleeding (eg bleeding in the gums), purple spots on the skin, spots on the skin or increased susceptibility to infection, sore throat and fever, fatigue, weakness, dizziness or pale skin.\u00a0This could be a sign of blood or bone marrow problems<\/li><li>or severe abdominal pain that can be felt in the back.\u00a0This may be a sign of inflammation of the pancreas (\u00a0pancreatitis\u00a0).<\/li><li>fever, chills, fatigue, loss of appetite, abdominal pain, nausea, yellowing of the skin or eyes (jaundice).\u00a0This can be a sign of liver problems such as\u00a0inflammation\u00a0of the liver (\u00a0hepatitis\u00a0) or other liver damage.<\/li><\/ul>\n\n\n\n<p><em>Other&nbsp;side effects&nbsp;include:<\/em><\/p>\n\n\n\n<p><strong>Tell your doctor if any of the following become serious or persist for more than a few days.<\/strong><\/p>\n\n\n\n<p><strong>Common<\/strong>&nbsp;(may affect up to 1 in 10 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>headache, fatigue, or feeling of weakness<\/li><li>dizziness.\u00a0This is more likely to happen when you start taking Ramipril \/ Hydrochlorothiazide Krka or if you take a higher\u00a0dose<\/li><li>abnormally low\u00a0blood pressure\u00a0(\u00a0hypotension\u00a0), especially when standing or sitting up<\/li><li>dry cough or\u00a0bronchitis<\/li><li>blood tests that show higher blood sugar than normal.\u00a0If you have\u00a0diabetes, this can make your\u00a0diabetes worse<\/li><li>blood tests that show more\u00a0uric acid\u00a0or more fatty acids than normal<\/li><li>sore, red, and swollen joints<\/li><li>blood tests that show more\u00a0potassium\u00a0than normal in your blood<\/li><\/ul>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(may affect up to 1 in 100 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>skin rash with or without swelling<\/li><li>hot flashes, fainting<\/li><li>balance problem (fraud)<\/li><li>itching\u00a0and abnormal sensations in the skin such as numbness, tingling, burning sensation, or an ant crawling (\u00a0paresthesia\u00a0)<\/li><li>altered or lost taste experience<\/li><li>sleep disorders<\/li><li>depression, anxiety, increased nervousness or restlessness<\/li><li>stuffy nose, sinusitis, shortness of breath<\/li><li>inflammation\u00a0of the gums (\u00a0gingivitis\u00a0), swelling of the mouth<\/li><li>red, itchy, swollen, or watery eyes<\/li><li>earrings<\/li><li>dimsyn<\/li><li>hair loss<\/li><li>chest pain<\/li><li>muscle pain<\/li><li>constipation, abdominal pain<\/li><li>indigestion or nausea<\/li><li>increased urination<\/li><li>increased sweating or thirst<\/li><li>lost or decreased appetite (\u00a0anorexia\u00a0), feeling of decreased hunger<\/li><li>increased or irregular heartbeat<\/li><li>swollen arms and legs.\u00a0This may be a sign that your body is storing more water than usual<\/li><li>fever<\/li><li>sexual inability in men decreased sexual desire in men or women<\/li><li>blood tests showing changes in the number of\u00a0red blood cells, white blood cells, or\u00a0platelets\u00a0or a decrease in the level of\u00a0hemoglobin<\/li><li>blood tests that show changes in your liver function, pancreas, or kidney function<\/li><li>blood tests that show less\u00a0potassium\u00a0in your blood<\/li><\/ul>\n\n\n\n<p><strong>Rare<\/strong>&nbsp;(may affect up to 1 in 1,000 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>confusion<\/li><li>blemishes on the skin and cold limbs (hands and feet)<\/li><\/ul>\n\n\n\n<p><strong>Very rare<\/strong>&nbsp;(may affect up to 1 in 10,000 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>vomiting, diarrhea, or heartburn<\/li><li>red and swollen tongue or\u00a0dry mouth<\/li><\/ul>\n\n\n\n<p><strong>Has been reported<\/strong>&nbsp;(occurs in an unknown number of users):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>skin and lip cancer (Non-\u00a0melanoma\u00a0skin cancer)<\/li><li>concentrated urine (dark-colored), nausea or vomiting, muscle cramps, confusion, and seizures, which may be due to incorrect secretion of\u00a0antidiuretic hormone\u00a0(\u00a0ADH\u00a0).\u00a0If you experience these symptoms, contact your doctor as soon as possible.<\/li><\/ul>\n\n\n\n<p><strong>Other reported side effects:<\/strong><\/p>\n\n\n\n<p>Tell your doctor if any of the following become serious or persist for more than a few days:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>concentration difficulties<\/li><li>color change of fingers and toes in cold and then pain and creeps when warmed up (Raynaud&#8217;s phenomenon)<\/li><li>enlarged breasts in men<\/li><li>blood clots<\/li><li>hearing changes<\/li><li>reduced tear flow<\/li><li>the visual disturbance which means that things look yellow<\/li><li>impaired vision or pain in the eyes due to high pressure (possible signs of fluid accumulation in the eye (between the choroid and retina) or\u00a0acute\u00a0narrow-angle glaucoma\u00a0)<\/li><li>dehydration<\/li><li>swelling, pain, and\u00a0redness\u00a0of the cheek (\u00a0inflammation\u00a0of the salivary gland)<\/li><li>swelling in the stomach called &#8220;intestinal angioedema&#8221; which causes symptoms such as abdominal pain, vomiting, and diarrhea<\/li><li>increased sun sensitivity<\/li><li>severe skin flaking, itchy lumpy rash, or other skin reactions such as red rash on the face or forehead<\/li><li>skin rash or bruising<\/li><li>nail problems (eg loose nails or the nail coming loose from its bracket)<\/li><li>muscle stiffness or inability to move the jaw (\u00a0tetany\u00a0)<\/li><li>the feeling of weakness or cramps in the muscles<\/li><li>blood in the urine.\u00a0This may be a sign of a kidney problem (interstitial nephritis)<\/li><li>more sugar than normal in the urine<\/li><li>increased number of certain\u00a0blood cells\u00a0(\u00a0eosinophilia\u00a0) detected by blood tests<\/li><li>blood tests that show too few\u00a0blood cells\u00a0in your blood (pancytopenia)<\/li><li>blood tests that show changes in the number of salts such as\u00a0sodium,\u00a0calcium,\u00a0magnesium,\u00a0and chloride in the blood<\/li><li>slow or worsening reactions<\/li><li>change of sense of smell<\/li><li>difficulty breathing or worsening\u00a0asthma<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Ramipril \/ Hydrochlorothiazide Krka<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Do not store above 30 \u00b0 C.<\/p>\n\n\n\n<p>Store in the original package.&nbsp;Moisture sensitive.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the package and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substances are ramipril and\u00a0hydrochlorothiazide\u00a0.2.5 mg \/ 12.5 mg tablets: Each tablet contains 2.5 mg ramipril and 12.5 mg\u00a0hydrochlorothiazide\u00a0.5 mg \/ 25 mg tablets: Each tablet contains 5 mg ramipril and 25 mg\u00a0hydrochlorothiazide\u00a0.<\/li><li>The other ingredients are hypromellose, microcrystalline cellulose, pregelatinized maize starch, and sodium stearyl fumarate.\u00a0See section 2 &#8220;Ramipril \/ Hydrochlorothiazide Krka contains sodium&#8221;.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>2.5 mg \/ 12.5 mg tablets: white to off-white, round tablets, with beveled edges and marked C on one side.\u00a0Tablet diameter: 5.5 mm.<\/p>\n\n\n\n<p>5 mg \/ 25 mg tablets: white to off-white, round tablets, with beveled edges, scored on one side and marked with S on the other side of the tablet.\u00a0Tablet diameter: 7.5 mm.\u00a0The tablet can be divided into two equal\u00a0doses.<\/p>\n\n\n\n<p>Ramipril \/ Hydrochlorothiazide Krka is available in cartons of 14, 28, 30, 56, 98, and 100 tablets in blisters.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder<\/strong><\/p>\n\n\n\n<p>Krka, dd, Novo mesto, \u0160marje\u0161ka cesta 6, 8501 Novo mesto, Slovenia<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Krka, dd, Novo mesto, \u0160marje\u0161ka cesta 6, 8501 Novo mesto, Slovenia<\/p>\n\n\n\n<p>TAD Pharma GmbH, Heinz-Lohmann-Stra\u00dfe 5, 27472 Cuxhaven, Germany<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ramipril \/ Hydrochlorothiazide Krka is a combination of two medicines called ramipril and hydrochlorothiazide .<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,18529],"tags":[3664,7937,22283,4301,22268,22271,7947,7941,7938,22282,22270],"class_list":["post-21588","post","type-post","status-publish","format-standard","hentry","category-medicines","category-r","tag-hydrochlorothiazide","tag-hydrochlorothiazide-krka","tag-hydrochlorothiazide-krka-tablet","tag-hydrochlorothiazide-tablet","tag-ramipril","tag-ramipril-tablet","tag-what-hydrochlorothiazide-is-used-for","tag-what-hydrochlorothiazide-krka-is-used-for","tag-what-is-hydrochlorothiazide-krka","tag-what-ramipril","tag-what-ramipril-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21588","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=21588"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21588\/revisions"}],"predecessor-version":[{"id":21626,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21588\/revisions\/21626"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=21588"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=21588"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=21588"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}