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Generic Altace (Ramipril)
Altace is an angiotensin converting enzyme inhibitor which reduces cardiovascular risk and manages high blood pressure.
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1,25mg
30pills
Altace $40.00
$32.99
$1.10 per pill
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1,25mg
60pills
Altace $66.00
$54.99
$0.92 per pill
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1,25mg
90pills
Altace $92.00
$76.99
$0.86 per pill
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1,25mg
120pills
Altace $114.00
$94.99
$0.79 per pill
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1,25mg
180pills
Altace $157.00
$130.99
$0.73 per pill
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1,25mg
360pills
Altace $286.00
$237.99
$0.66 per pill
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2,5mg
10pills
Altace $18.00
$14.99
$1.50 per pill
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2,5mg
30pills
Altace $44.00
$36.99
$1.23 per pill
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2,5mg
60pills
Altace $80.00
$66.99
$1.12 per pill
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2,5mg
90pills
Altace $109.00
$90.99
$1.01 per pill
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2,5mg
120pills
Altace $131.00
$108.99
$0.91 per pill
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2,5mg
180pills
Altace $176.00
$146.99
$0.82 per pill
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2,5mg
360pills
Altace $318.00
$264.99
$0.74 per pill
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5mg
10pills
Altace $24.00
$19.99
$2.00 per pill
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5mg
30pills
Altace $60.00
$49.99
$1.67 per pill
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5mg
60pills
Altace $108.00
$89.99
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5mg
90pills
Altace $146.00
$121.99
$1.36 per pill
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5mg
120pills
Altace $175.00
$145.99
$1.22 per pill
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5mg
180pills
Altace $236.00
$196.99
$1.09 per pill
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5mg
360pills
Altace $425.00
$353.99
$0.98 per pill
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10mg
10pills
Altace $31.00
$25.99
$2.60 per pill
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10mg
30pills
Altace $77.00
$63.99
$2.13 per pill
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10mg
60pills
Altace $138.00
$114.99
$1.92 per pill
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10mg
90pills
Altace $186.00
$154.99
$1.72 per pill
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10mg
120pills
Altace $223.00
$185.99
$1.55 per pill
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10mg
180pills
Altace $301.00
$250.99
$1.39 per pill
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Do not use salt substitutes or potassium supplements while taking ramipril, unless your doctor has told you Alface. Hypotension and hyperkalemia 5. Ramipril is an ACE inhibitor. Your doctor will probably tell you not to take ramipril if you have diabetes you are also taking aliskiren. If your doctor prescribes a low-salt or low-sodium diet, follow these directions carefully. The dose may be increased to 1. Altqce effects are usually reversible. Your doctor may need to change the doses of your medications Alyace Altace you carefully for side effects. The largest and most consistent cardiovascular outcome benefit has been a reduction in the risk of stroke, but reductions in myocardial infarction and cardiovascular mortality also have been seen regularly. Concomitant aliskiren in patients with diabetes. Altace 1. Monitor for hyperkalemia in diabetes or renal insufficiency. Pregnancy Cat. Excessive sweating and lack of fluid intake may lead to an excessive fall in blood pressure because of reduced fluid in your blood vessels. Adjust at 3-week intervals. Consider monitoring white blood cell counts in patients Altace collagen-vascular disease, especially if the disease is associated with impaired renal function. If you have diabetes, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. Ramipril's chemical name is 2 S ,3a S ,6a S -1[ S - N -[ S Carboxyphenylpropyl] alanyl] octahydrocyclopenta [ b ]pyrrolecarboxylic acid, 1-ethyl ester. How Supplied: Caps— Product Characteristics. In multiple-dose regimens, the total exposure to ramiprilat AUC in these patients is 3—4 times as large as it is in patients with normal renal function who receive similar doses. Ramipril is an ACE inhibitor. Where can I get more information? Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual. Properly discard this product Alace it is expired or no longer needed. DailyMed will deliver notification of updates and additions to Drug Label information currently shown on this site through its RSS feed. Altaxe section contains uses of this drug that are not listed in Aptace approved professional labeling Altave the drug but that may be prescribed by Alace health care professional. Altacs record managers: refer to the Data Element Definitions if submitting registration or results information. Elevated systolic or diastolic pressure causes increased cardiovascular risk, and the absolute risk increase per mmHg is greater at higher blood pressures, so that even modest reductions of severe hypertension can provide substantial benefit. As ramipril is primarily metabolized by hepatic esterases to its active moiety, ramiprilat, patients with impaired liver function could develop markedly elevated plasma levels of ramipril. Inform patients that inadequate fluid intake or excessive perspiration, diarrhea, or vomiting while taking ALTACE can lead to an excessive fall in blood pressure, with the same consequences of lightheadedness and possible syncope. You may need to use blood pressure medication for the rest of your life. Subscribe to our newsletters. In such patients, consider an increase in dosage or twice daily administration. Damage to these organs may cause heart disease, a heart attack, heart failure, stroke, kidney failure, loss of vision, and other problems. Plasma concentrations of ramiprilat decline in a triphasic manner initial rapid decline, apparent elimination phase, terminal elimination phase. The mechanism of this syndrome is not understood. Multiple oral doses of ramipril of 2. Angioedema, increased risk in patients with a prior history 5. Other uses for this medicine What special precautions should I follow? This Aotace is not intended for residents of New Mexico. Avoid concomitant use of an ACE inhibitor and angiotensin blocker 5. If low blood pressure causes you Altaec faint or feel lightheaded, contact a doctor. Increase dose as tolerated toward a target dose of 5 mg twice daily, with dosage increases about 3 weeks apart 2. Robin If you are being treated for high blood pressure, keep using this medicine even if you feel well. The angioedema was diagnosed by procedures including abdominal CT scan or ultrasound, or at surgery, and symptoms resolved after Altacf the ACE inhibitor. ALTACE is indicated in patients 55 years or older at high risk of developing a major cardiovascular event because of a history of coronary artery disease, stroke, peripheral vascular disease, or diabetes that is accompanied by at least one other cardiovascular risk factor hypertension, elevated total cholesterol levels, low HDL levels, cigarette smoking, or documented microalbuminuriato reduce the risk of myocardial infarction, stroke, or death from cardiovascular causes. On average, the AUC 0—24h for ramiprilat was approximately 1. It is a white, crystalline substance soluble in polar organic solvents and buffered aqueous solutions. Nitritoid reactions with concomitant injectable gold eg, sodium aurothiomalate ; rare. Check with your doctor if you notice any symptom that worries you while you are taking this medication. Initially 2. This can lead to very low blood pressure, electrolyte disorders, or kidney failure. Available for Android and iOS devices. It can be harmful for people to take this medication if their doctor has not prescribed it. Enter Zip Code GoodRx. In single-dose studies, doses of 5 mg—20 mg of ALTACE lowered blood pressure within 1—2 hours, with peak reductions achieved 3—6 hours after dosing. The inactive ingredients present are pregelatinized starch NF, gelatin, and titanium dioxide. People who have had angioedema caused by other substances may be at increased risk of angioedema while taking this medication. No teratogenic Altace of ramipril were AAltace in studies of pregnant rats, rabbits, and cynomolgus monkeys. In both Caucasians and Blacks, hydrochlorothiazide 25 or 50 mg was significantly more effective than ramipril. Angiotensin converting enzyme is identical to kininase, an enzyme that degrades bradykinin. The above information is intended to supplement, not substitute for, the expertise and judgment of your health care professional. Consult your doctor before breast-feeding. Concomitant telmisartan: not recommended. Inthe consumer watchdog group Public Citizen petitioned the FDA to add black-box warnings cautioning against the use of three hypertension drugs when used together: ACE inhibitors, including ramipril; angiotensin receptor blockers ARBs ; and aliskiren Tekturna. The contents herein are for informational purposes only. Studies show that the three drugs can combine to cause kidney failure, low blood pressure, and hyperkalemia elevated blood potassium levels. Do not double the dose to catch up. The dosage is based on your medical condition and response to treatment. What will it do for me? Concomitant use of telmisartan and ramipril is not recommended. This is more likely to occur in patients with pre-existing renal impairment. If you miss a dose, take it as soon as you remember. Actual Enrollment :. Some antihypertensive drugs have smaller blood pressure effects as monotherapy in black patients, and many antihypertensive drugs have additional approved indications and effects e. Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual. Do not dispose of medications in wastewater e. Consider the possibility of angiotensin converting enzyme inhibitor induced-cough in the differential diagnosis of cough. If you have liver problems, you will need to be closely monitored by your doctor while taking this medication. This drug may make you dizzy. Patients on diuretics, especially those in whom diuretic therapy was recently instituted, may occasionally experience an excessive reduction of blood pressure after initiation of therapy with ALTACE. Ramipril - hydrochlorothiazide is not intended to be used to start treatment of high blood pressure. Top of Page. Angioedema related to previous treatment with an ACE inhibitor, or a history of hereditary or idiopathic angioedema 4. Dosage may be titrated upward until blood pressure is controlled or to a maximum total daily dose of 5 mg. If oliguria or hypotension occurs, direct attention toward support of blood pressure and renal perfusion. No US patients discontinued treatment because of decreases in hemoglobin or hematocrit. The decrease in angiotensin II results in relaxation of arteriole smooth muscle leading to a decrease in total peripheral resistancereducing blood pressure as the blood is pumped through widened vessels. Ramipril is almost completely metabolized to ramiprilat, which has about 6 times the ACE inhibitory activity of ramipril, and to the diketopiperazine ester, the diketopiperazine acid, and the glucuronides of ramipril and ramiprilat, all of which are inactive. Angiotensin converting enzyme is identical to kininase, an enzyme that degrades bradykinin. Ramipril - hydrochlorothiazide may cause reduced liver function. Ramipril also reduces the risk of a heart attackstrokeand death in people age 55 and older and at high risk of a major cardiovascular event.
Common use

Antihypertension drug (decreasing blood pressure) belongs in a class of drugs called angiotensin converting enzyme (ACE) inhibitors. Suppressing synthesis of angiotensin II it diminishes its vasoconstrictor activity (blood vessel narrowing) and its stimulating influence on secretion (extretion) of aldosteron. The medication facilitates activity of renin in blood plasma and inhibits metabolism (destruction in organism) of badicidin. This medication also decreases total resistance of peripheral blood vessel system. Treatment with ACE inhibitors is particularly beneficial to people with congestive heart failure. The drug is also administered in hypertension, congestive heart failure, prophylactic of sudden death after myocardial infarction.



Dosage and direction

The usual dose of Altace is 2.5-20 mg a day as a single dose or two divided doses is taken in mornings with a glass of water. Patients taking diuretics or ones with renal artery stenosis may require lower doses as well as people whose age exceeds 65 y.o.



Precautions

Alcohol may lower your blood pressure and this way it increases some of the side effects of Altace. Do not use salt substitutes or potassium supplements while taking this medication. In all cases first consult your doctor before taking this drug.



Contraindications

hypersensitivity, stenosis of kidney artery, condition after kidney transplantation, aorta constriction, non-inflammatory heart diseases of uncertain or disputable origin leading to its enlargement , pregnancy, breath-feeding, severe kidney disorders, liver failure. Infants how are younger 14 y.o. For drivers and other employees who work requires high concentration of attention should be treated carefully with this medication.



Possible side effect

Kidney failure and increased levels of potassium in the blood, hypotension, collapse, heart arrhythmia are serious side effects of the Altace. Altace generally is well tolerated, and side effects are transient. Persistent dry cough, abdominal pain, constipation, diarrhea, rash, dizziness, fatigue, headache, loss of taste, loss of appetite, nausea, vomiting, fainting and numbness or tingling in the hands or feet were marked among them.



Drug interaction

The use of ACE inhibitors with potassium supplements, salt substitutes or diuretics that increase potassium in the blood are able to cause excessive potassium levels. Concomitant use of ACE inhibitors with these drugs require monitoring of potassium levels. Aspirin and other non-steroidal anti-inflammatory drugs (NSAIDS) may reduce the effects of ACE inhibitors.



Missed dose

Never take a double dose of this medication. If it is almost time of the next dose just skip the missed portion and continue to take the medicine according to the schedule.



Overdose

Symptoms of a Altace overdose are extreme dizziness or fainting. If you experience these symptoms call your doctor immediately.





Storage

Tablets and capsules should be stored at room temperature 15-30 C (59-86 F).



Disclaimer

We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.
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