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Altace
Information
Altace (Ramipril) is an ACE inhibitor used to treat high blood pressure. Altace from Canada (Ramipril) may also be used to treat other conditions as determined by your doctor.
Altace
DirectionsFollow the directions for using this medicine provided by your doctor. This medicine may be taken on an empty stomach or with food. If you have difficulty swallowing the capsule, the contents may be sprinkled on a small amount of applesauce or mixed with 4 ounces (120ml) of water or juice. It is best to eat or drink the entire mixture immediately after mixing. These mixtures may be stored in the refrigerator for up to 48 hours. Taking this medicine at the same times each day will help you to remember. CONTINUE TO TAKE THIS MEDICINE even if you feel well. Do not miss any doses. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. DO NOT take 2 doses at once.
ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking non-steroidal anti-inflammatory medicine (such as ibuprofen or naproxen), salicylates (such as aspirin), phenothiazines (such as thioridazine or chlorpromazine), "water pills" (such as hydrochlorothiazide, furosemide, spironolactone, or triamterene), certain medicines for diabetes (such as glyburide, glipizide or tolbutamide), pergolide, clozapine, lithium, potassium, azathioprine, or trimethoprim. Inform your doctor of any other medical conditions including a history of any unusual swelling of your face, neck, or trunk; dehydration; heart problems; blood vessel problems (such as aortic stenosis or stroke); kidney problems; hemodialysis; liver problems; electrolyte problems; a salt-restricted diet; lupus or scleroderma; diabetes; blood or bone marrow problems; allergies; pregnancy; or breast-feeding.
Altace
Side Effects
Generally, adverse reactions have been mild and transient, and do not require discontinuation of therapy. The most frequently reported adverse reactions are nausea, dizziness and headache.
Cardiovascular: Symptomatic hypotension accompanied by dizziness, weakness and nausea may occur after the initial dose of Ramipril and after an increase in the dose of Ramipril. It has been rarely observed, but may occur in severely salt/volume-depleted patients such as those treated with diuretics, patients on dialysis and in patients with severe congestive heart failure. Syncope has also been observed rarely.
Myocardial infarction or cerebrovascular accident possibly secondary to severe hypotension in high risk patients, chest pain, palpitations, rhythm disturbances, angina pectoris may occur.
Renal: Treatment with Ramipril may impair renal function.
Gastrointestinal: Treatment with Ramipril may be associated with symptoms in the digestive tract, e.g. dryness of the mouth, irritation or inflammation of the oral mucosa, digestive disturbances, constipation, diarrhoea, nausea, and vomiting, (gastritis-like) stomach pain, upper abdominal discomfort (sometimes with increased levels of pancreatic enzymes), increases in hepatic enzymes and/or serum bilirubin, jaundice due to impaired excretion of bile pigment (cholestatic jaundice), other forms of impaired liver function, and hepatitis.
Pancreatitis has been reported rarely in patients treated with ACE inhibitors; in some cases this has proved fatal.
Allergic: Hypersensitivity reactions accompanied by pruritus, rash, shortness of breath and sometimes fever may occur, but usually resolve spontaneously after withdrawal of Ramipril.
Altace
PrecautionsWARNING This drug can cause serious fetal harm if used during the last six months of pregnancy. If pregnancy occurs, stop using this drug and immediately contact your physician.
USE OF THIS MEDICINE IS NOT RECOMMENDED if you have a history of unusual swelling of your face, neck, throat, tongue, lips, or trunk (angioedema) after taking this or any other ACE inhibitor medicine. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.
DO NOT TAKE THIS MEDICINE if you have had an allergic reaction to it, to other ACE inhibitors, or are allergic to any ingredient in this product. DO NOT EXCEED THE RECOMMENDED DOSE without checking with your doctor. IT MAY TAKE SEVERAL WEEKS for this medicine to work. Do not stop using this medicine without checking with your doctor.
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