Страна: Армения
Язык: английский
Источник: Դեղերի և բժշկական տեխնոլոգիաների փորձագիտական կենտրոնի գործունեության Հայաստանի Հանրապետությունում
ramipril, hydrochlorothiazide
KRKA d.d.
ramipril, hydrochlorothiazide
2,5mg+12,5mg
tablets
Prescription
Summary of product characteristics CONFIDENTIAL 1.3.1 Ramipril + Hydrochlorothiazide SPC, Labeling and Package Leaflet SmPCPIL044605_4 18.11.2013 – Updated: 10.06.2014 Page 1 of 11 SUMMARY OF PRODUCT CHARACTERISTICS 1. NAME OF THE MEDICINAL PRODUCT Amprilan HL tablets 2.5 mg/12.5 mg 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Amprilan HL tablets 2.5 mg/12.5 mg: Each tablet contains ramipril 2.5 mg and hydrochlorothiazide 12.5 mg 3. PHARMACEUTICAL FORM Tablet. Flat, capsule shape tablete, white to off- white, scored on one side and marked with 12.5 on the other side. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Essential hypertension that cannot be adequately controlled with ramipril alone (or hydrochlorothiazide alone). 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Administration of the fixed combination ramipril/hydrochlorothiazide is only recommended after individual titration of the doses with the single components. The dose may be increased at intervals of at least 3 weeks. The usual maintenance dose is 1 tablet Amprilan HL (2.5 mg ramipril and 12.5 mg hydrochlorothiazide) in the morning. The maximal dose is 2 tablets Amprilan HL (5 mg ramipril and 25 mg hydrochlorothiazide). _Prior diuretic therapy_ The diuretic therapy should be stopped or the dose reduced, two to three days prior to the start of a treatment with ramipril/hydrochlorothiazide, to prevent the development of symptomatic hypotension. Renal function should be assessed before starting the treatment. _Patients with impaired renal function:_ In patients with a creatinine clearance greater than 0.5 ml/s or serum creatinine 265 µmol/L (3 mg/100 ml) can be assigned regular dose. _Impaired hepatic function:_ In patients with mild to moderate impairment of hepatic function the dose of ramipril should be titrated before changing to ramipril/hydrochlorothiazide tablets. Ramipril/hydrochlorothiazide tablets should not be used for patients with severely impaired hepatic function and/or cholestasis (see also section 4.3). _Children and adolescents (<18 Прочитать полный документ