Land: Malaysia
Språk: engelsk
Kilde: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
RAMIPRIL
Y.S.P. INDUSTRIES (M) SDN BHD
RAMIPRIL
500tablet Tablets; 30tablet Tablets; 1000tablet Tablets; 100tablet Tablets
Y.S.P. INDUSTRIES (M) SDN BHD
_Consumer Medication Information Leaflet (RiMUP) _ 1 | P a g e RAMTACE TABLET Ramipril 5mg & 10mg WHAT IS IN THIS LEAFLET This leaflet contains information below: 1. What RAMTACE TABLET is used for. 2. How RAMTACE TABLET works 3. Instructions before you use RAMTACE TABLET. 4. How to take RAMTACE TABLET. 5. Instruction while you are using RAMTACE TABLET 6. Side effects 7. Storage and disposal of RAMTACE TABLET 8. Product description 9. MAL No. 10. Address of Manufacturer 11. Address of Product Registration Holder WHAT RAMTACE TABLET IS USED FOR RAMTACE TABLET is used to treat high blood pressure (hypertension) and treat the heart when it cannot pump enough blood to the rest of the body (congestive heart failure). It is used as treatment following heart attack (myocardial infarction) complicated with heart failure and to reduce the risk of having a heart attack or stroke. It is used for prevention of worsening of kidney problems in patients with persistent proteinuria (presence of excess protein in urine). HOW RAMTACE TABLET WORKS RAMTACE TABLET is an ACE (angiotensin-converting enzyme) Inhibitor. RAMTACE TABLET prevents the ACE enzyme from converting the angiotensin 1 to angiotensin II. This action also prevents the breakdown of bradykinin. These inhibition results in a direct relaxant effect on blood vessels and therefore reducing the blood pressure. BEFORE YOU USE RAMTACE TABLET WHEN YOU MUST NOT TAKE IT When you are allergic to RAMTACE TABLET or any other ingredient listed at the end of this leaflet. Please avoid taking this medication if you have any kidney impairment, liver impairment or if you are pregnant. BEFORE YOU START TO TAKE IT Tell your doctor if you are allergic to any other medicines or have any other medical conditions. TAKING OTHER MEDICINES Tell your doctor if you are taking any other medication. Interaction with other medications. •Potassium: hyperkalaemia may occur; therefore close monitoring of serum potassium is required. • Sparing diuretic and other antihypertensive medications: may dec Les hele dokumentet
RAMTACE TABLET INGREDIENT(S): Ramtace Tablet 10mg Each tablet contains: Ramipril ....................................................................................................... 10mg Ramtace Tablet 5mg Each tablet contains: Ramipril ......................................................................................................... 5mg PHARMACOLOGY (SUMMARY OF PHARMACODYNAMIC AND PHARMACOKINETIC): PHARMACODYNAMIC: _Mechanism of action_ Ramiprilat, the active metabolite of the prodrug ramipril, inhibits the enzyme dipeptidylcarboxypeptidase I (synonyms: angiotensin-converting enzyme; kininase II ). In plasma and tissue this enzyme catalyses the conversion of angiotensin I to the active vasoconstrictor substance angiotensin II , as well as the breakdown of the active vasodilator bradykinin. Reduced angiotensin II formation and inhibition of bradykinin breakdown lead to vasodilation. Since angiotensin II also stimulates the release of aldosterone, ramiprilat causes a reduction in aldosterone secretion. The average response to ACE inhibitor monotherapy was lower in black (Afro-Caribbean) hypertensive patients (usually a low-renin hypertensive population) than in non-black patients. _Pharmacodynamic effects_ _Antihypertensive properties:_ Administration of ramipril causes a marked reduction in peripheral arterial resistance. Generally, there are no major changes in renal plasma flow and glomerular filtration rate. Administration of ramipril to patients with hypertension leads to a reduction in supine and standing blood pressure without a compensa- tory rise in heart rate. In most patients the onset of the antihypertensive effect of a single dose becomes apparent 1 to 2 hours after oral administration. The peak effect of a single dose is usually reached 3 to 6 hours after oral administration. The antihypertensive effect of a single dose usually lasts for 24 hours. The maximum antihypertensive effect of continued treatment with ramipril is generally apparent after 3 to 4 weeks. It has been shown that the a Les hele dokumentet