Ramipril<\/em><\/p>\n\n\n\nYou must tell your doctor if you think you are (or might become) pregnant.<\/p>\n\n\n\n
You should not take Ramipril \/ Hydrochlorothiazide Actavis during the first 12 weeks of pregnancy and do not take them at all after the 13th week as use may be harmful to your baby.<\/p>\n\n\n\n
If you become pregnant while taking Ramipril \/ Hydrochlorothiazide Actavis, contact your doctor immediately. A change to a suitable alternative should be carried out well in advance of a planned pregnancy.<\/p>\n\n\n\n
You should not take Ramipril \/ Hydrochlorothiazide Actavis if you are breastfeeding.<\/p>\n\n\n\n
Ask your doctor or pharmacist for advice before taking any medicine.<\/p>\n\n\n\n
Hydrochlorothiazide<\/em><\/p>\n\n\n\nYou must tell your doctor if you are pregnant or think you may be. Your doctor will usually advise you to use another medicine instead of Ramipril \/ Hydrochlorothiazide Actavis, as Ramipril \/ Hydrochlorothiazide Actavis is not recommended during pregnancy. This is because Ramipril \/ Hydrochlorothiazide Actavis crosses the placenta and its use after the first three months can have potentially harmful fetal and neonatal effects.<\/p>\n\n\n\n
Driving and using machines<\/h2>\n\n\n\n
You may feel dizzy when taking Ramipril \/ Hydrochlorothiazide Actavis.\u00a0This is more likely to happen when you start taking Ramipril \/ Hydrochlorothiazide Actavis or if you start taking a higher\u00a0dose.\u00a0If this happens, do not drive or use any tools or machines.<\/p>\n\n\n\n
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
Ramipril \/ Hydrochlorothiazide Actavis contains lactose and sodium<\/h2>\n\n\n\n
Ramipril \/ Hydrochlorothiazide Actavis <\/strong>contains lactose<\/strong><\/p>\n\n\n\nIf you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<\/p>\n\n\n\n
Ramipril \/ Hydrochlorothiazide Actavis contains sodium<\/strong><\/p>\n\n\n\nThis medicine contains less than 1 mmol (23 mg) sodium per tablet, ie it is essentially ‘sodium-free’.<\/p>\n\n\n\n
How to take Ramipril \/ Hydrochlorothiazide Actavis<\/h2>\n\n\n\n
Always take this medicine exactly as your doctor or pharmacist has told you. Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n
The recommended dose is one<\/strong><\/p>\n\n\n\nTreatment of high blood pressure<\/em><\/p>\n\n\n\nYour doctor will adjust dose one until your blood pressure is under control.<\/p>\n\n\n\n
Older<\/em><\/p>\n\n\n\nYour doctor will reduce the starting dose and adjust your treatment at a slower pace.<\/p>\n\n\n\n
Dosage<\/strong><\/p>\n\n\n\n- To be swallowed.\u00a0Taken at the same time each day, usually in the morning<\/li>
- Swallow the tablets with liquid.<\/li>
- The tablet can be divided into two equal\u00a0doses.<\/li><\/ul>\n\n\n\n
If you take more Ramipril \/ Hydrochlorothiazide Actavis than you should<\/h2>\n\n\n\n
Tell your doctor or see the emergency department at the nearest hospital as soon as possible. Do not drive to the hospital, ask someone else to drive you or call an ambulance. Bring your medicine pack. This is so that the doctor will know what you have taken.<\/p>\n\n\n\n
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
If you forget to take Ramipril \/ Hydrochlorothiazide Actavis<\/h2>\n\n\n\n- If you forget to take a\u00a0dose, take your normal\u00a0dose\u00a0at the next dose<\/li>
- Do not take a double\u00a0dose\u00a0to make up for a forgotten tablet<\/li><\/ul>\n\n\n\n
If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n
Possible side effects<\/h2>\n\n\n\n
Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n
Stop taking Ramipril \/ Hydrochlorothiazide Actavis and see a doctor straight away if you notice any of the following serious side effects – you may need urgent medical attention:<\/strong><\/p>\n\n\n\n- 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 Actavis.<\/li>
- Severe skin reactions include rash, cold sores, worsening of skin conditions,\u00a0redness, blisters, or skin detachment (such as\u00a0Stevens-Johnson syndrome,\u00a0toxic epidermal necrolysis,\u00a0or erythema multiforme).<\/li>
- Acute\u00a0shortness of breath syndrome (signs of this are severe shortness of breath, fever, weakness, and confusion) (frequency: very rare).<\/li><\/ul>\n\n\n\n
Tell your doctor immediately if you experience:<\/strong><\/p>\n\n\n\n- Increased heart rate, irregular or severe heartbeat (\u00a0palpitation\u00a0), chest pain, chest tightness, or more serious problems including heart attack and\u00a0stroke<\/li>
- Shortness of breath, cough, and fever for 2-3 days, and decreased appetite.\u00a0This can be a sign of lung problems including\u00a0pneumonia<\/li>
- Bruising that occurs more easily than usual, prolonged bleeding time, signs of bleeding (eg bleeding in the gums), purple 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>
- Severe abdominal pain can be felt in the back.\u00a0This may be a sign of\u00a0pancreatitis\u00a0(\u00a0inflammation\u00a0of the pancreas).<\/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\u00a0hepatitis\u00a0(\u00a0inflammation\u00a0of the liver) or other liver damage.<\/li><\/ul>\n\n\n\n
Other side effects include:<\/strong><\/p>\n\n\n\nTell your doctor if any of the following become serious or persist for more than a few days.<\/strong><\/p>\n\n\n\nCommon<\/strong> (may affect up to 1 in 10 people):<\/p>\n\n\n\n- Headache, fatigue, or feeling of weakness<\/li>
- Dizziness.\u00a0This is more likely to happen when you start taking Ramipril \/ Hydrochlorothiazide Actavis or if you take a higher\u00a0dose.<\/li>
- Dry cough or\u00a0bronchitis<\/li>
- Blood tests show higher blood sugar than normal.\u00a0If you have\u00a0diabetes, this can make your\u00a0diabetes worse<\/li>
- Blood tests that show more\u00a0uric acid\u00a0or more fatty acids than normal<\/li>
- Sore, red, and swollen joints<\/li><\/ul>\n\n\n\n
Uncommon<\/strong> (may affect up to 1 in 100 people):<\/p>\n\n\n\n- Skin rash with or without swelling<\/li>
- Hemorrhoids, fainting, abnormally low\u00a0blood pressure\u00a0(\u00a0hypotension\u00a0), especially when standing or sitting up quickly<\/li>
- Balance problem (fraud)<\/li>
- Itching\u00a0and abnormal sensations in the skin such as numbness, tingling, burning sensation, or ant crawling (\u00a0paresthesia\u00a0)<\/li>
- Involuntary shaking<\/li>
- Psoriasis\u00a0(a recurring skin disease that involves dandruff and dry skin rash)<\/li>
- Changed or lost taste experience<\/li>
- Sleep disorders<\/li>
- Depression, lack of interest in everyday life, anxiety, increased nervousness or restlessness<\/li>
- Nasal congestion, sinusitis, shortness of breath<\/li>
- Inflammation\u00a0of the gums (\u00a0gingivitis\u00a0), swelling of the mouth<\/li>
- Red, itchy, swollen, or watery eyes<\/li>
- Earrings<\/li>
- Dimsyn<\/li>
- Hair loss<\/li>
- Chest pain<\/li>
- Muscle pain<\/li>
- Constipation, abdominal pain<\/li>
- Poor digestion or nausea<\/li>
- Digestive disorders<\/li>
- Increased urination<\/li>
- Kidney problems and\u00a0kidney failure\u00a0(symptoms can be a pain in the lower back and less urination)<\/li>
- Increased sweating or thirst<\/li>
- Lost or decreased appetite (\u00a0anorexia\u00a0), feeling of decreased hunger<\/li>
- Increased or irregular heartbeat<\/li>
- Swollen arms and legs.\u00a0This may be a sign that your body is storing more water than usual<\/li>
- Fever<\/li>
- Sexual inability in men<\/li>
- Inflammation\u00a0of the gallbladder (which can cause abdominal pain, nausea, and vomiting)<\/li>
- Blood tests that show changes in the number of\u00a0red blood cells,\u00a0white blood cells,\u00a0or\u00a0platelets\u00a0or a decrease in the level of\u00a0hemoglobin<\/li>
- Blood tests that show changes in your liver function, pancreas, or kidney function<\/li>
- Blood tests that show less\u00a0potassium\u00a0in your blood<\/li><\/ul>\n\n\n\n
Very rare<\/strong> (may affect up to 1 in 10,000 people):<\/p>\n\n\n\n- Vomiting, diarrhea, or heartburn<\/li>
- Cold sores<\/li>
- Red and swollen tongue or\u00a0dry mouth<\/li>
- Blood tests that show an increased amount of\u00a0potassium\u00a0than normal in your blood<\/li><\/ul>\n\n\n\n
Has been reported<\/strong> (occurs in an unknown number of users):<\/p>\n\n\n\n- Skin and lip cancer (Non-\u00a0melanoma\u00a0skin cancer)<\/li>
- Concentrated urine (dark color), nausea or vomiting, muscle cramps, confusion, and seizures may be caused by inadequate\u00a0ADH\u00a0(\u00a0antidiuretic hormone\u00a0)\u00a0secretion.\u00a0If you get these symptoms, contact your doctor as soon as possible<\/li>
- Difficulty concentrating, restlessness, or confusion<\/li>
- Color change of fingers and toes when cold and then pain and tingling when warmed up (Raynaud’s phenomenon)<\/li>
- Enlarged breasts in men<\/li>
- Blood clots<\/li>
- Hearing changes<\/li>
- Reduced tear flow<\/li>
- Impaired vision or pain in your eyes due to increased pressure (possible signs of fluid accumulation in the eye (between the choroid and retina) or\u00a0acute\u00a0narrow-angle glaucoma\u00a0)<\/li>
- The visual disturbance which means that things look yellow<\/li>
- Dehydration<\/li>
- Swelling, pain, and\u00a0redness\u00a0of the cheek (\u00a0inflammation\u00a0of the salivary gland)<\/li>
- Swelling in the stomach is called “intestinal angioedema” which causes symptoms such as abdominal pain, vomiting, and diarrhea<\/li>
- Increased sun sensitivity<\/li>
- Severe skin flaking, itchy lumpy rash, or other skin reactions such as red rash on the face or forehead<\/li>
- Skin rash or bruising<\/li>
- Exacerbated\u00a0psoriasis\u00a0if you have the disease<\/li>
- A condition called systemic lupus erythematosus (\u00a0SLE\u00a0) causes joint pain, rash, and fever<\/li>
- Stains on the skin and cold limbs<\/li>
- Nail problems (eg loose nails or the nail coming loose from its bracket)<\/li>
- Muscle stiffness or inability to move the jaw (\u00a0tetany\u00a0)<\/li>
- Feeling weak or have muscle cramps<\/li>
- Decreased sexual desire in men or women<\/li>
- Blood in the urine.\u00a0This may be a sign of a kidney problem (interstitial nephritis)<\/li>
- More sugar than normal in the urine<\/li>
- Increased number of certain\u00a0blood cells\u00a0(\u00a0eosinophilia\u00a0) that are detected via blood tests<\/li>
- Blood tests that show too few\u00a0blood cells\u00a0in your blood (pancytopenia)<\/li>
- Blood tests show a lower content of\u00a0sodium, chloride, and\u00a0magnesium\u00a0than usual in the blood.<\/li>
- Blood tests show a lower content of\u00a0calcium\u00a0than usual in the blood.<\/li>
- Slow or worsening reactions<\/li>
- Change of the sense of smell<\/li>
- Difficulty breathing or worsening\u00a0asthma<\/li><\/ul>\n\n\n\n
How to store Ramipril \/ Hydrochlorothiazide Actavis<\/h2>\n\n\n\n
Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n
Do not use this medicine after the expiry date which is stated on the carton after EXP. The expiration date is the last day of the specified month.<\/p>\n\n\n\n
Blister pack<\/em><\/p>\n\n\n\nStore in the original package.<\/p>\n\n\n\n
Can<\/em><\/p>\n\n\n\nClose the package tightly.<\/p>\n\n\n\n
Do not store above 25 \u00b0 C.<\/p>\n\n\n\n
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.<\/p>\n\n\n\n
Contents of the package and other information<\/h2>\n\n\n\nContent declaration<\/h2>\n\n\n\n- The active substances are ramipril and\u00a0hydrochlorothiazide.<\/li>
- The other ingredients are sodium bicarbonate,\u00a0lactose monohydrate, croscarmellose sodium, pregelatinized\u00a0starch, and sodium stearyl fumarate.<\/li><\/ul>\n\n\n\n
What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n
Tablets<\/p>\n\n\n\n
Ramipril \/ Hydrochlorothiazide Actavis 5 mg \/ 25 mg are white, creamy white capsule-shaped flat tablets without a coating, with a notch on one side and a beveled edge.\u00a0Embossed with “25”.<\/p>\n\n\n\n
Pack sizes<\/strong><\/p>\n\n\n\n10, 14, 20, 28, 30, 42, 50, 98 and 100 tablets.<\/p>\n\n\n\n
Not all pack sizes may be marketed.<\/p>\n\n\n\n
Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n
Marketing Authorisation Holder <\/strong><\/p>\n\n\n\nActavis Group PTC EHF.<\/p>\n\n\n\n
Reykjav\u00edkurvegur 76-78<\/p>\n\n\n\n
220 Hafnarfj\u00f6r\u00f0ur<\/p>\n\n\n\n
Iceland<\/p>\n\n\n\n
Manufacturer<\/strong><\/p>\n\n\n\nActavis Ltd.<\/p>\n\n\n\n
BLB016 Bulebel Industrial Estate<\/p>\n\n\n\n
Zejtun ZTN 3000<\/p>\n\n\n\n
Malta<\/p>\n\n\n\n
Actavis (Balkanpharma) Dupnitsa AD<\/p>\n\n\n\n
3 Samokovsko Shose Str.<\/p>\n\n\n\n
Dupnitsa 2600<\/p>\n\n\n\n
Bulgaria<\/p>\n","protected":false},"excerpt":{"rendered":"
Ramipril \/ Hydrochlorothiazide Actavis 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":[3664,12393,12398,4301,22268,22271,12395,7947,12394,22269,22270],"class_list":["post-21589","post","type-post","status-publish","format-standard","hentry","category-medicines","category-r","tag-hydrochlorothiazide","tag-hydrochlorothiazide-actavis","tag-hydrochlorothiazide-actavis-tablet","tag-hydrochlorothiazide-tablet","tag-ramipril","tag-ramipril-tablet","tag-what-hydrochlorothiazide-actavis-is-used-for","tag-what-hydrochlorothiazide-is-used-for","tag-what-is-hydrochlorothiazide-actavis","tag-what-is-ramipril","tag-what-ramipril-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21589","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=21589"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21589\/revisions"}],"predecessor-version":[{"id":21625,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21589\/revisions\/21625"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=21589"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=21589"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=21589"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}