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Ramistar H 5 mg Capsule 15's is used to treat high blood pressure. It contains Ramipril and Hydrochlorothiazide, which relax the blood vessels and increase the amount of urine passed out from the kidneys. Sometimes, you may experience side effects such as headaches, tiredness, a slow heart rate, and nausea. Inform your doctor if you are pregnant, breastfeeding, taking any other medicines or have pre-existing medical conditions.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Manufacturer/Marketer :

Lupin Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Ramistar H 5 mg Capsule 15's

Ramistar H 5 mg Capsule 15's is used to treat blood pressure. Hypertension (High blood pressure) is a condition in which the force exerted by the blood against the artery walls becomes so high that it causes health problems, such as heart disease.

Ramistar H 5 mg Capsule 15's contains Ramipril and Hydrochlorothiazide. Ramipril relaxes the blood vessels and improves blood flow. Hydrochlorothiazide works by increasing the amount of urine passed out from the kidneys.

Sometimes, you may experience headaches, tiredness, a slow heart rate, and nausea. Most of these side effects do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Do not take Ramistar H 5 mg Capsule 15's if you are allergic to any of its components. Ramistar H 5 mg Capsule 15's is not recommended in pregnancy and lactation. Keep your doctor informed about your health condition and medications to prevent any interactions.

Uses of Ramistar H 5 mg Capsule 15's

Ramistar H 5 mg Capsule 15's is used in the treatment of Hypertension (high blood pressure). The detailed uses of Ramistar H 5 mg Capsule 15's are as follows:

  • Hypertension (High Blood Pressure): Ramistar H 5 mg Capsule 15's controls blood pressure when single-drug therapy isn’t enough.
  • Prevention of Cardiovascular Events: Ramistar H 5 mg Capsule 15's lowers risk of heart attack, stroke, and heart failure.

Key Benefits

  • Ramistar H 5 mg Capsule 15's contains Ramipril and Hydrochlorothiazide, which lower and maintain healthy blood pressure levels.
  • By controlling hypertension, it helps prevent serious cardiovascular events such as heart attack, stroke, and heart failure.
  • Ramipril, an ACE inhibitor, blocks the production of angiotensin II, which relaxes and widens blood vessels to improve blood flow.
  • Hydrochlorothiazide acts as a diuretic, increasing urine output to remove extra salt and water from the body, thereby reducing fluid retention (oedema).
  • By lowering both blood pressure and fluid buildup, Ramistar H 5 mg Capsule 15's helps the heart pump blood more efficiently.
  • It helps relieve swelling associated with heart, liver, kidney, or lung disorders by reducing excess fluid accumulation.
  • The combined action of both ingredients maintains optimal circulation and prevents strain on the heart and arteries.

Directions for Use

  • Take Ramistar H 5 mg Capsule 15's with or without food as advised by your doctor.
  • It is advised to take Ramistar H 5 mg Capsule 15's once daily in the morning; however, follow your doctor’s recommendation regarding the dosage and duration.
  • Swallow Ramistar H 5 mg Capsule 15's as a whole with a glass of water.
  • Do not crush, chew, or break it.

How Ramistar H 5 mg Capsule 15's Works

Ramistar H 5 mg Capsule 15's contains two medicines: Ramipril (blood pressure-lowering agent) and Hydrochlorothiazide (diuretic or water pill). Ramipril is an angiotensin-converting enzyme or ACE inhibitor that lowers high blood pressure by blocking a naturally occurring substance known as angiotensin II (which tightens your blood vessels). It allows these constricted blood vessels to relax and, therefore, helps lower high blood pressure. On the other hand, Hydrochlorothiazide (diuretic) works by increasing the amount of urine passed out from the kidneys. It effectively reduces excess fluid overload in the body and treats oedema (swelling) associated with heart, liver, kidney, or lung disease. This reduces the heart's workload and makes the heart more efficient at pumping blood throughout the body. Thus, both help lower high blood pressure and reduce the chances of heart attacks or strokes.
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Alcohol

Caution

Ramistar H 5 mg Capsule 15's may enhance the hypotensive (low blood pressure) effect if alcohol is taken along with it. For better advice, you should consult your doctor about whether you can take Ramistar H 5 mg Capsule 15's with alcohol.

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Pregnancy

Unsafe

The use of Ramistar H 5 mg Capsule 15's or any ACE inhibitors (Ramipril) is usually contraindicated during the second and third trimesters of pregnancy. It may cause harm to the developing fetus. Hence, you should always consult your doctor before using Ramistar H 5 mg Capsule 15's.

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Breast Feeding

Caution

Use of Ramistar H 5 mg Capsule 15's is not recommended during the breastfeeding stage.

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Driving

Caution

Drive with caution, Ramistar H 5 mg Capsule 15's may cause blurry vision, and dizziness or weariness may occur.

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Liver

Caution

Rare elevation in the liver enzymes (like bilirubin) has been observed while taking Ramistar H 5 mg Capsule 15's, so it must be taken with caution. If you have a history of liver diseases/conditions, the dose may have to be adjusted by your doctor.

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Kidney

Caution

Ramistar H 5 mg Capsule 15's to be taken with caution, especially in case of severe kidney disease. The dose may have to be adjusted by your doctor. Ramistar H 5 mg Capsule 15's should be given with precaution in hemodialysis conditions.

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Children

Caution

Ramistar H 5 mg Capsule 15's is not recommended for children. The safety and effectiveness of Ramistar H 5 mg Capsule 15's have not been established in children due to limited testing of this drug on children by competent authorities worldwide. If necessary, your doctor will decide whether to give Ramistar H 5 mg Capsule 15's or not.

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Heart

Safe if prescribed

Ramistar H 5 mg Capsule 15's is safe for use in heart patients if recommended by the physician.

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Geriatrics

Caution

Ramistar H 5 mg Capsule 15's should be used under caution in geriatric patients. Please consult your physician.

What if I have taken an overdose of Ramistar H 5 mg Capsule 15's

An overdose of Ramistar H 5 mg Capsule 15's may cause unpleasant side effects. If you suspect you have taken an overdose, please consult a doctor immediately.

Diet & Lifestyle Advise

  • Keep your weight under control with a body mass index (BMI) of 19.5-24.9.
  • Do regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week. Doing this can help lower your raised blood pressure by about 5 mm Hg.
  • Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
  • Limit sodium chloride (table salt) intake in your daily diet to 2300 mg per day or less than 1500 mg is ideal for most adults.
  • If you are taking alcohol, then only one serving for women and two servings is advisable.
  • Quitting smoking is the best strategy to lower the risk of heart disease.
  • Avoid chronic stress, as it can raise your blood pressure. Try to enjoy and spend time with your loved ones to cope with stress and practice mindfulness techniques.
  • Monitor your blood pressure daily, and if there is too much fluctuation, immediately contact your doctor.
  • Including heart-healthy omega-3 fatty acid acid-containing foods in your daily diet.
  • Use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil to lower your elevated blood pressure.

Have a query?

How Soon It Starts Working

The time required for Ramistar H 5 mg Capsule 15's to start to work: Ramistar H 5 mg Capsule 15's ideally shows its action within 1 to 2 hours after administration.

The time for which the effects of Ramistar H 5 mg Capsule 15's last: The effect of Ramistar H 5 mg Capsule 15's lasts for 24 hours.

What if you forget to take Ramistar H 5 mg Capsule 15's

If you miss a dose of Ramistar H 5 mg Capsule 15's, take it as soon as you remember. However, if it is almost time for the next dose, skip the missed one and continue with your regular schedule. Do not take a double dose to make up for the missed one.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Drug Warnings

  • Do not take Ramistar H 5 mg Capsule 15's if you are allergic to any of its components, or if you have low blood pressure (hypotension), cardiogenic shock (sudden stopping of blood flow to the heart), anuria (patients with nil urine output), or aortic stenosis (heart valve problem).
  • Inform your doctor if you have had a heart attack, diabetes, kidney disease or liver disease
  • Consult your doctor if you are pregnant, planning to get pregnant or breastfeeding.
  • Do not consume alcohol with Ramistar H 5 mg Capsule 15's as it may increase the risk of low blood pressure.
  • Avoid potassium supplements with Ramistar H 5 mg Capsule 15's as they may lead to high potassium levels in the blood
  • Let your doctor know if you are taking any other medicines, including supplements or herbal products.

Drug-Drug Interactions

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Drug-Drug Interactions: Ramistar H 5 mg Capsule 15's may interact with other diuretics, blood pressure-lowering drugs (aliskiren, metoprolol, sacubitril), anti-epilepsy medicines (carbamazepine, phenobarbital), anti-depression medicines (lithium), immune-suppressing drugs (cyclosporine), anti-diabetic drugs (metformin) and painkillers (ibuprofen, aspirin), anti-gout drugs (allopurinol), pain killers (diclofenac, ibuprofen), potassium supplements, birth control pills (drospirenone), immune system affecting drugs (everolimus, sirolimus). If you are taking any of the above, speak with your doctor.

Drug-Food Interactions: You are recommended not to consume alcohol along with Ramistar H 5 mg Capsule 15's to avoid unpleasant side effects.

Drug-Disease Interactions: Ramistar H 5 mg Capsule 15's should not be given to people with cardiogenic shock (when the heart fails to pump required blood to the body), heart valve problem (stenosis), low blood pressure (hypotension), coronary heart disease, liver disease, or heart failure, gout, sensitive skin to sunlight, low serum potassium (hypokalemia), patients with nil urine output (anuria), etc.

Drug-Drug Interactions

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How does the drug interact with Ramistar H 5mg Cap:
Taking Cisapride and Hydrochlorothiazide can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Combining Cisapride and Hydrochlorothiazide together is generally avoided as it can result in an interaction, it can be taken if advised by a doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, or fast or pounding heartbeats, consult the doctor immediately. Do not stop using any medications without a doctor's advice.
How does the drug interact with Ramistar H 5mg Cap:
Taking aliskiren together with ramipril may increase the risk of serious side effects (kidney problems, low blood pressure, and high potassium levels in the blood).

How to manage the interaction:
Taking Ramipril with Aliskiren is not recommended but can be taken if prescribed by a doctor. However, consult a doctor if you feel nausea, vomiting, weakness, confusion, tingling in the hands and feet, a sensation of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Ramistar H 5mg Cap:
Taking Dofetilide and Hydrochlorothiazide can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Combining Dofetilide and Hydrochlorothiazide together is not recommended as it can result in an interaction, it can be taken if advised by a doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Ramistar H 5mg Cap:
Taking Ramipril with Candesartan may increase the risk of side effects such as low blood pressure, kidney function impairment, and a condition called hyperkalemia (high blood potassium).

How to manage the interaction:
Although taking Ramipril together with Candesartan can result in an interaction, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat You must drink enough fluids while taking these medications. Do not stop taking any medication without consulting a doctor.
Severe
How does the drug interact with Ramistar H 5mg Cap:
Taking Potassium Iodide with Ramipril may significantly increase potassium levels in the blood. (High levels of potassium can develop into a condition known as hyperkalemia, which can lead to kidney problems, muscle paralysis and irregular heart rhythm).

How to manage the interaction:
Although there is an interaction between Potassium iodide and Ramipril, you can take these medicines together if prescribed by a doctor. However, if you notice any nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, or irregular heartbeat, you should contact a doctor immediately. Do not stop using any medications without talking to a doctor.
Severe
How does the drug interact with Ramistar H 5mg Cap:
Coadministration of Aminolevulinic acid with Hydrochlorothiazide can make your skin more sensitive to bright lights. This could increase the risk or severity of developing a sunburn.

How to manage the interaction:
Although there is a possible interaction between Aminolaevulinic acid and Hydrochlorothiazide, it can be taken if advised by a doctor. Avoid exposure of the eyes and skin to sunlight or bright indoor lights for 48 hours. Do not stop using any medications without a doctor's advice.
How does the drug interact with Ramistar H 5mg Cap:
Taking Ramipril with Trimethoprim can increase the amount of potassium in blood (known as hyperkalemia) which can increase the risk of kidney problems.

How to manage the interaction:
Although taking Ramipril together with Trimethoprim can result in an interaction, they can be taken together if prescribed by a doctor. However, consult a doctor if you feel weakness, confusion, numbness or tingling, and uneven heartbeats. You must drink enough fluids while taking these medications. Do not stop taking any medication without consulting a doctor.
How does the drug interact with Ramistar H 5mg Cap:
Taking Ziprasidone and Hydrochlorothiazide can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Ziprasidone and Hydrochlorothiazide together is avoided as it can result in an interaction, but it can be taken together if prescribed by a doctor. However, consult a doctor if you experience sudden dizziness, lightheadedness, fainting, shortness of breath. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Ramistar H 5mg Cap:
Co-administration of Arsenic trioxide and Hydrochlorothiazide can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Arsenic trioxide and Hydrochlorothiazide together is avoided as it can result in an interaction, it can be taken if advised by a doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, fast heartbeats, weakness, tiredness, drowsiness, confusion, muscle pain, cramps, nausea, or vomiting. consult the doctor immediately. Do not stop using any medications without a doctor's advice.
How does the drug interact with Ramistar H 5mg Cap:
Taking Ramipril with Amiloride may increase the risk of side effects (low blood pressure, kidney problems, and increased potassium levels in the blood).

How to manage the interaction:
Although taking amiloride along with ramipril can result in an interaction, they can be taken together if prescribed by a doctor. However, consult the doctor if you feel weakness, confusion, numbness or tingling, and uneven heartbeats. Do not stop taking any medication without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

FAQs

Ramistar H 5 mg Capsule 15's is used to treat hypertension (high blood pressure).

Ramistar H 5 mg Capsule 15's contains Ramipril (blood pressure-lowering agent) and Hydrochlorothiazide (diuretic or water pill). Ramipril is an angiotensin-converting enzyme or ACE inhibitor that lowers high blood pressure by blocking a naturally occurring substance known as angiotensin II (which tightens your blood vessels). It allows these constricted blood vessels to relax and, therefore, helps lower high blood pressure. On the other hand, Hydrochlorothiazide works by increasing the amount of urine passed out from the kidneys. It effectively reduces excess fluid overload in the body and treats oedema (swelling) associated with heart, liver, kidney, or lung disease. This reduces the heart's workload and makes the heart more efficient at pumping blood throughout the body. Thus, both help lower high blood pressure and reduce the chances of heart attacks or strokes.

Yes, Ramistar H 5 mg Capsule 15's can cause dizziness. It is advised to avoid driving or operating any heavy machinery while taking Ramistar H 5 mg Capsule 15's. In case you feel dizzy or lightheaded, it is recommended to rest for some time until you feel better.

It is advised to continue your medicine even after your blood pressure is under control or becomes normal, as blood pressure can shoot up at any time. If you have any discomfort, please consult your doctor immediately.

If you forget to take Ramistar H 5 mg Capsule 15's at any time, take it as soon as you remember, then continue to take it at the usual times. Do not take a double dose to make up for a forgotten dose.

No, it is a prescribed drug given by a physician to prevent specific medical conditions. Taking it on your own can cause unwanted side effects.

Yes, in some cases, Ramistar H 5 mg Capsule 15's may affect your serum potassium level, so consult your doctor before using potassium supplements or its salt substitutes.

Ramistar H 5 mg Capsule 15's should not be used if you have a history of a serious allergic reaction, including swelling of the face/lips/tongue/throat (angioedema) and an inability to pass urine. Before going outdoor in the sun, try to wear sunscreen (SPF) and avoid sunlamps and tanning booths as prolonged intake of Ramistar H 5 mg Capsule 15's may cause your skin to be sensitive to the sunlight.

Yes, if you have diabetes, Ramistar H 5 mg Capsule 15's may change your blood sugar level, so check your blood sugar regularly as directed. Tell your doctor if you have high blood sugar (hyperglycemia) symptoms like increased thirst/urination or signs of low blood sugar (hypoglycemia) such as sudden sweating, shaking, fast heartbeat, hunger, blurred vision, dizziness, or tingling hands/feet. Your doctor might adjust your dose of Ramistar H 5 mg Capsule 15's.

The common side effects of Ramistar H 5 mg Capsule 15's include headaches, tiredness, slow heart rate, and nausea. Most of these side effects gradually resolve over time; however, if they persist, please inform your doctor.

No, you should not stop treatment with Ramistar H 5 mg Capsule 15's even if you feel an improvement in your symptoms because high blood pressure often has no symptoms and can shoot up at any time. Continue taking it for as long as it has been advised by your doctor.

Yes, you can take Ramistar H 5 mg Capsule 15's every day if advised by the doctor. Just make sure to follow your doctor’s instructions regarding how long to use it. Taking it for years on your own without your doctor’s approval could be fatal.

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Country of origin

India

Manufacturer/Marketer address

Lupin Ltd, 3rd Floor Kalpataru Inspire, Off. W E Highway, Santacruz (East), Mumbai 400 055. India
Other Info - RAM0027
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