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How to use Ramipril (Altace) - Dose, Side Effects, Safety - Doctor Explains
In this video we will cover everything you need to know about Ramipril. We will discuss how and when to use it, we will cover its side effects, dosage and much, much more.
You can find more useful videos on cardiovascular diseases and their treatments here:
https://www.youtube.com/playli....st?list=PLaG3Bo3L0gX
Generic name: Ramipril.
Brand names: Altace.
Available as a tablet and a capsule.
How to use it?
- Tablet or capsule: Just swallow it with half a glass of water.
It is usually best to take this drug at a fixed time. If you experience dizziness as a side effect, you could best take it in the evening before going to bed.
When to use it?
Ramipril is part of a group of drugs called angiotensin receptor blocker (ARB). These drugs widen the blood vessels, thus lowering the blood pressure and lowering the straint on the heart.
Therefore Ramipril can be used to treat; A high blood pressure, heart failure and nephropathy.
What is the correct dosage?
The precise dose will depend on your specific indication of use, the side effect you might experience and the severity of your symptoms. Therefore always use the precise amount and frequency your doctor prescribed you.
- However, when treating a high blood pressure in adults, most doctors will start with an initial dose of 2,5 mg 1x/day. Which if necessary can be slowly increased up to a max. dose of 10 mg 1/day.
- When treating heart failure, the initial dose is lower; 1,25mg 1/day. Which if needed can be build up to a maximum dose of 5mg 2/day.
What are the side-effects?
- Common (1-10%): Low blood pressure, chest pain, nausea, vomiting, cough, shortness of breath, respiratory tract inflammation, dizziness, fatigue, headache, skin rash and muscle spasm.
- Uncommon (0.1-1%): heart attack, fast heartbeat, palpitations, increasing kidney problems, dry mouth, constipation, inflammation of the abdominal organs, fever, joint pain, decreased vision, dizziness, decreased libido, erectile dysfunction, depression, anxiety and difficulty sleeping.
- Rare (0.01-0.1%): tremors, balance problems, tinnitus, hearing loss, confusion, skin rash and various serious side effects.
Safety:
- The first days of using Ramipril it can lead to dizziness or fatigue. Please do not drive while experiencing this.
- Furthermore, alcohol widens the blood vessels. It can therefore increase the side effect of dizziness at the beginning of treatment. Try drinking alcohol in moderation first so you can estimate its effects.
- Ramipril can also have interactions with other drugs your are taking. Always discuss this with your prescribing doctor.
- Lastly, Ramipril could be dangerous for pregnant women and women who are breastfeeding. To be sure, always discuss this with your personal doctor.
- Disclaimer: this video and the comments are meant purely informational! This is not medical advice! If you are looking for medical advice always contact your own doctor. -
Literature:
1: Farmacotherapeutisch Kompas. (2022). Ramipril.
2: Apotheek.nl (2022). Ramipril.
* The images in this video are used for educational purposes only. Most of the images and videos in this video come from https://www.canva.com/.
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