Ramipril Sandoz belongs to a group of medicines called angiotensin converting enzyme (ACE) inhibitors.
Ramipril Sandoz is used to treat:
Ramipril Sandoz is also used to reduce the risk of cardiovascular problems and complications in patients aged 55 years or more with heart or blood vessel disease, or diabetes.
Ramipril Sandoz is used to lower high blood pressure (hypertension). Everyone has blood pressure. This pressure helps get your blood all around your body. Your blood pressure may be different at different times of the day and can be influenced by how busy or worried you are. You have hypertension when your blood pressure stays higher than is needed, even when you are calm and relaxed.
There are usually no symptoms of hypertension. The only way of knowing that you have hypertension is to have your blood pressure checked on a regular basis. If high blood pressure is not treated it can lead to serious health problems, including stroke, heart disease and kidney failure.
Heart Failure after a Heart Attack
Ramipril Sandoz may be used after a heart attack. A heart attack occurs when one of the major blood vessels supplying blood to your heart becomes blocked. This means that your heart muscle cannot receive the oxygen it needs and becomes damaged. This may lead to further problems, such as heart failure, irregular heart rhythms and blood clots.
Heart failure means that the heart muscle is weak and cannot pump blood strongly enough to supply all the blood needed throughout the body. Heart failure is not the same as heart attack and does not mean that the heart stops. Heart failure may start off with no symptoms, but as the condition progresses, patients may feel short of breath or may get tired easily after light physical activity such as walking. Some patients may wake up short of breath at night. Fluid may collect in different parts of the body, often first noticed as swollen ankles and feet.
Ramipril Sandoz may be used to treat some kidney problems. Some conditions such as diabetes and hypertension can lead to kidney problems. These problems develop slowly over several years. Good control of your blood sugar and blood pressure are important in keeping your kidneys healthy, but may not always prevent kidney damage from occurring.
Prevention of Cardiovascular Problems and Complications
Ramipril Sandoz may be used to reduce the risk of some of the problems and complications that may arise in patients aged 55 or more who have problems such as coronary artery disease (heart disease caused by poor blood flow in the blood vessels of the heart), peripheral vascular disease (poor circulation in the hands or feet), or stroke.
Ramipril Sandoz may also be used to reduce the risk of cardiovascular problems and complications in patients with diabetes aged 55 years or more who may be considered at risk because of one or more additional factors such as high blood pressure, high cholesterol levels, kidney problems, a current smoker, or previous disease of the blood vessels.
How Ramipril Sandoz works
Ramipril Sandoz works by widening the blood vessels, which reduces the pressure in the vessels, making it easier for your heart to pump blood around your body. This helps increase the supply of oxygen to your heart, so that when you place extra demands on your heart, such as during exercise, your heart may cope better and you may not get short of breath as easily.
By increasing the supply of oxygen to your heart, your heart does not have to work as hard and it is under less stress, which may reduce the risk of further damage occurring to it following a heart attack.
Ramipril Sandoz also improves blood flow through the small blood vessels found in the kidneys, which helps the kidneys to work more efficiently. This in turn can help to slow down the progression of kidney damage that might result from having diabetes or high blood pressure.
Therefore, there are quite a few reasons why your doctor might have decided to treat you with Ramipril Sandoz. Your doctor may have also prescribed this medicine for another reason.
Ask your doctor or pharmacist if you have any questions about why Ramipril Sandoz has been prescribed for you.
Ramipril Sandoz is not addictive.
Ramipril Sandoz is available only with a doctor's prescription.
Do not take Ramipril Sandoz if:
Do not take Ramipril Sandoz after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking Ramipril Sandoz, talk to your doctor.
Tell your doctor if you have allergies to:
Tell your doctor if you have or have had any medical conditions, especially the following:
Tell your doctor if you have a family history of swelling of the face, lips, tongue, throat, intestines, hands or feet.
You must also tell your doctor if you:
If you have not told your doctor about any of the above, tell them before you start taking Ramipril Sandoz.
Tell your doctor or pharmacist if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food store.
Some medicines and Ramipril Sandoz may interfere with each other. These include:
These medicines may be affected by Ramipril Sandoz, or may affect how well it works. You may need to use different amounts of your medicine, or you may need to take different medicines. Your doctor or pharmacist will advise you.
Your doctor or pharmacist may have more information on medicines to be careful with or to avoid while taking Ramipril Sandoz.
Your doctor or pharmacist will tell you how many tablets or capsules you will need to take each day. This depends on your condition and whether or not you are taking any other medicines.
Take Ramipril Sandoz only when prescribed by your doctor.
Your doctor will select a dose when they prescribe Ramipril Sandoz for you. Some patients may need a lower starting dose. The usual dose of Ramipril Sandoz is:
Depending on your response, your doctor may adjust the dose.
If two tablets are prescribed, your doctor may want you to take them both together or at different times. This will depend on the condition being treated and how you respond to Ramipril Sandoz.
Follow all directions given to you by your doctor or pharmacist carefully.
They may differ from the information contained in this leaflet.
If you do not understand the instructions on the box, ask your doctor or pharmacist for help.
Ramipril Sandoz should be swallowed whole with plenty of fluid.
Take Ramipril Sandoz at about the same time each day.
Taking your tablets or capsules at the same time each day will have the best effect. It will also help you remember when to take your medicine.
It does not matter if you take Ramipril Sandoz before or after food.
Ramipril Sandoz helps control your condition, but does not cure it. Therefore you must take Ramipril Sandoz every day. Continue taking your medicine for as long as your doctor tells you.
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.
Otherwise, take it as soon as you remember, and then go back to taking your medicine as you would normally.
Do not take a double dose to make up for the dose that you missed.
This may increase the chance of you getting an unwanted side effect.
If you are not sure what to do or if you have trouble remembering when to take Ramipril Sandoz, ask your doctor or pharmacist.
Immediately telephone your doctor or the Poisons Information Centre (in Australia telephone 13 11 26), or go to Accident and Emergency at the nearest hospital if you think that you or anyone else may have taken too much Ramipril Sandoz. Do this even if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
If you take too much Ramipril Sandoz, you may feel light-headed, dizzy or you may faint. You may also experience slow heart beat.
Tell any other doctors, dentists and pharmacists who are treating you that you are taking Ramipril Sandoz.
If you are about to be started on any new medicine, tell your doctor and pharmacist that you are taking Ramipril Sandoz.
Make sure you drink enough water during exercise and hot weather when you are taking Ramipril Sandoz, especially if you sweat a lot.
If you do not drink enough water while taking Ramipril Sandoz, you may feel faint, light-headed or sick. This is because your blood pressure is dropping suddenly. If you continue to feel unwell, tell your doctor.
If you have excess vomiting or diarrhoea while taking Ramipril Sandoz, tell your doctor.
You may lose too much water and salt and your blood pressure may drop too much.
If you feel light-headed or dizzy after taking your first dose of Ramipril Sandoz, or when your dose is increased, tell your doctor immediately.
If you plan to have surgery that needs a general anaesthetic, tell your doctor or dentist that you are taking Ramipril Sandoz.
Your blood pressure may drop suddenly.
If you become pregnant or intend to become pregnant while taking Ramipril Sandoz, tell your doctor immediately.
If you are about to have any blood tests, tell your doctor that you are taking Ramipril Sandoz.
Ramipril Sandoz may interfere with the results of some tests.
Have your blood pressure checked when your doctor says, to make sure Ramipril Sandoz is working.
Go to your doctor regularly for a check-up.
Your doctor may occasionally do a blood test to check your potassium levels and see how your kidneys are working.
Do not give Ramipril Sandoz to anyone else, even if they have the same condition as you.
Do not take Ramipril Sandoz to treat any other complaints unless your doctor or pharmacist tells you to.
Do not stop taking Ramipril Sandoz, or lower or increase the dosage, without checking with your doctor.
If you feel light-headed, dizzy or faint when getting out of bed or standing up, get up slowly.
Standing up slowly, especially when you get up from bed or chairs, will help your body get used to the change in position and blood pressure. If this problem continues or gets worse, talk to your doctor.
Be careful driving or operating machinery until you know how Ramipril Sandoz affects you.
As with other ACE inhibitor medicines, Ramipril Sandoz may cause dizziness, light-headedness, tiredness or drowsiness in some people. Make sure you know how you react to Ramipril Sandoz before you drive a car, operate machinery, or do anything else that could be dangerous if you are dizzy or light-headed. If this occurs do not drive. If you drink alcohol, dizziness or light-headedness may be worse.
Some self help measures suggested below may help your condition. Talk to your doctor or pharmacist about these measures and for more information.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Ramipril Sandoz.
Ramipril Sandoz helps most people, but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.
Ask your doctor or pharmacist to answer any questions you may have.
Following is a list of possible side effects. Do not be alarmed by this list. You may not experience any of them.
Tell your doctor if you notice any of the following and they worry you:
These side effects are usually mild.
Tell your doctor as soon as possible if you notice any of the following:
These may be serious side effects. You may need medical attention. Serious side effects are rare.
If any of the following happen, stop taking Ramipril Sandoz and either tell your doctor immediately or go to Accident and Emergency at your nearest hospital:
These are very serious side effects. You may need urgent medical attention or hospitalisation. These side effects are very rare.
Other side effects not listed above may occur in some patients. Tell your doctor or pharmacist if you notice anything that is making you feel unwell.
Keep your Ramipril Sandoz tablets or capsules in the blister pack until it is time to take them.
If you take them out of the pack they may not keep well.
Keep your Ramipril Sandoz tablets or capsules in a cool dry place where the temperature stays below 25°C.
Do not store Ramipril Sandoz or any other medicine in the bathroom or near a sink. Do not leave it on window sills or in the car on hot days.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor or pharmacist tells you to stop taking Ramipril Sandoz, or the tablets or capsules have passed their expiry date, ask your pharmacist what to do with any that are left over.
Ramipril Sandoz is available in four different strengths (1.25 mg, 2.5 mg and 5 mg tablets, and 10 mg capsules).
Each strength appears as follows:
Ramipril Sandoz is available in blister packs of 30 tablets or capsules.
Ramipril Sandoz tablets contain 1.25 mg, 2.5 mg or 5 mg of ramipril as the active ingredient. The other ingredients are hypromellose, pregelatinised maize starch, microcrystalline cellulose, sodium stearyl fumarate, iron oxide yellow (2.5 mg only) and iron oxide red (5 mg only).
Ramipril Sandoz capsules contain 10 mg of ramipril as the active ingredient. The other ingredients are pregelatinised maize starch, gelatin indigo carmine, erythrosine, iron oxide black and titanium dioxide.
Ramipril Sandoz does not contain lactose, sucrose, gluten or tartrazine.