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Piramil PLUS 2.5/12.5
Nevian Lifescience PLC
Generic: Hydrochlorothiazide + Ramipril
Safety Advices
বাংলা
English
UNSAFE
Piramil PLUS 2.5/12.5 may cause excessive drowsiness with alcohol.
CONSULT YOUR DOCTOR
Piramil PLUS 2.5/12.5 is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
SAFE IF PRESCRIBED
Piramil PLUS 2.5/12.5 is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
UNSAFE
Piramil PLUS 2.5/12.5 may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
CAUTION
Piramil PLUS 2.5/12.5 should be used with caution in patients with kidney disease. Dose adjustment of Piramil PLUS 2.5/12.5 may be needed. Please consult your doctor.
Regular monitoring of blood pressure is recommended for dose adjustment.
CAUTION
Piramil PLUS 2.5/12.5 should be used with caution in patients with liver disease. Dose adjustment of Piramil PLUS 2.5/12.5 may be needed. Please consult your doctor.
Medicine Overview of Piramil PLUS 2.5/12.5 12.5mg+2.5mg Tablet
Introduction
Piramil PLUS 2.5/12.5 is a medicine used to treat hypertension (high blood pressure). It is a combination of two medicines that helps to control blood pressure when a single medication is not effective. It helps to reduce the chances of any future heart attack and stroke. Piramil PLUS 2.5/12.5 is taken with or without food, preferably in the morning to avoid frequent urination at night. Keep taking it for as long as advised by your doctor. Even if you feel well, do not stop this medicine on your own because high blood pressure often has no symptoms. If you stop...
... Show moreUses of Piramil PLUS 2.5/12.5
- Hypertension (high blood pressure)
Side effects of Piramil PLUS 2.5/12.5
Common
- Nausea
- Indigestion
- Taste change
- Diarrhea
- Stomach pain
- Headache
- Dizziness
- Weakness
- Glucose intolerance
- Increased uric acid level in blood
- Increased blood lipid level
- Electrolyte imbalance
- Cough
- Decreased blood pressure
How to use Piramil PLUS 2.5/12.5
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Piramil PLUS 2.5/12.5 may be taken with or without food, but it is better to take it at a fixed time.
How Piramil PLUS 2.5/12.5 works
Piramil PLUS 2.5/12.5 is a combination of two medicines: Ramipril and hydrochlorothiazide which lower blood pressure effectively. Ramipril is an angiotensin-converting enzyme (ACE) inhibitor. It works by reducing stress on the heart and relaxing blood vessels so that blood flows more smoothly and the heart can pump blood more efficiently. Hydrochlorothiazide is a diuretic that removes extra water and certain electrolytes from the body. Over time it also relaxes blood vessels and improves blood flow.
Quick Tips
- You have been prescribed Piramil PLUS 2.5/12.5 for the treatment of high blood pressure.
- It also lowers your risk of stroke and heart attack.
- Take it in the morning with breakfast, to avoid getting up at night to urinate.
- Piramil PLUS 2.5/12.5 may cause dizziness or sleepiness. Don't drive or do anything requiring concentration until you know how it affects you.
- To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
- Inform you doctor about any cough, or throat irritation that doesn't go away.
- Piramil PLUS 2.5/12.5 may cause dehydration. Drink plenty of fluids and Inform your doctor if you develop extreme thirst, muscle weakness or very dry mouth.
- Your doctor may regularly monitor your blood pressure, kidney function and the levels of salts such as potassium in your blood while you are taking this medicine.
- Do not take Piramil PLUS 2.5/12.5 if you’re pregnant or planning pregnancy. It can cause birth defects or be fatal to your unborn baby.
Brief Description
Indication
Hypertension, Diabetic nephropathy, Congestive heart failure
Adult Dose
Oral
Essential hypertension
Adult: Per tablet contains ramipril 2.5 mg and hydrochlorthiazide 12.5 mg: 1 tablet daily up to a max of 4 tablets daily.
Contraindication
Anuria, hypersensitivity, history of angioedema, bilateral renal artery stenosis, unilateral renal artery stenosis
Mode of Action
Ramipril is a long-acting ACE inhibitor which is metabolised into the active metabolite ramiprilat. Supine and standing blood pressures (BP) are reduced witho reflex tachycardia. Ventricular hypertrophy is reversed and renal blood flow increased. In CHF (CHF), pulmonary artery pressure and pulmonary capillary wedge pressure are reduced. Cardiac function is improved. Hydrochlorothiazide is a thiazide diuretic. It increases excretion of Na and chloride in approx equiv amounts. Natriuresis may be accompanied by some loss of K and bicarbonate. The rationale behind this combination is that these have a synergistic effect in lowering BP and offer an advantage of once-daily dosing...
... Show morePrecaution
Severe renal disease, impaired hepatic, allergy or bronchial asthma, systemic lupus erythematosus, acute gout, diabetes mellitus, elderly, collagen vascular diseases, should be discontinued before carrying out tests for parathyroid function. Pregnancy and lactation.
Side Effect
Pancreatitis, jaundice, diarrhoea, nausea, vomiting, cramps, constipation, gastric irritation, anorexia, aplastic anaemia, agranulocytosis, leukopaenia, haemolytic anaemia, thrombocytopaenia, vasculitis, resp distress, including pneumonitis and pulmonary oedema, photosensitivity, fever, urticaria, rash, hyperglycaemia, glycosuria, hyperuricaemia, muscle spasm, vertigo, paraesthesias, dizziness, headache, restlessness, renal failure, renal dysfunction, interstitial nephritis, erythema multiforme including Stevens-Johnson syndrome, exfoliative dermatitis including toxic epidermal necrolysis, alopoecia, transient blurred vision, xanthopsia, impotence, dizziness, fatigue, headache, abdominal pain, cough, rarely symptomatic hypotension, angioneurotic oedema of face, lips, tongue, glottis and larynx, syncope, renal impairment, hypersensitivity reactions.
Potentially Fatal: Anaphylactic reactions, electrolyte imbalance, hypotension.
Interaction
Hydrochlorthiazide in combination with alcohol, barbiturates, or narcotics potentiates orthostatic hypotension. When coadministered with other antihypertensive gives additive effect. Absorption is reduced with cholestyramine and colestipol resins. Hypokalemia is observed with corticosteroids, tubocurarine responsiveness to the muscle relaxant is increased. It decreases the renal clearance of lithium and increases the risk of lithium toxicity. Non-steroidal anti-inflammatory agents can reduce the diuretic and natriuretic effect of hydrochlorthiazide.
Ramipril with potassium-sparing diuretics results in severe hyperkaelemia. May increase serum lithium concentration, NSAIDs may reduce the effect of the drug and cause deterioration of renal function.
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