Ramipril + Hydrochlorothiazide Tablets

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Therapeutic Indication

Hypertension (blood pressure management)
Adjunct therapy in patients uncontrolled on monotherapy
Cardiovascular risk reduction
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Ramipril + Hydrochlorothiazide

Tablet

This fixed‑dose combination of Ramipril (ACE inhibitor) and Hydrochlorothiazide (thiazide diuretic) is used for effective management of hypertension, especially in patients requiring dual therapy.

Speciality Cardiology | Nephrology | General Medicine
Tags ACE Inhibitor | Thiazide Diuretic | Hypertension
Strength
  • Ramipril 5 mg
  • Hydrochlorothiazide 12.5 mg
Packing Size
  • 10 Tablets

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Mechanism

Ramipril inhibits angiotensin‑converting enzyme (ACE), reducing angiotensin II levels and lowering blood pressure. Hydrochlorothiazide increases urinary excretion of sodium and water, reducing plasma volume. Together, they provide additive antihypertensive effects.

Pharmacokinetics

  • Ramipril Absorption: Rapidly absorbed; converted to active metabolite ramiprilat; peak plasma concentration in 2–4 hours.
  • Ramipril Distribution: Plasma protein binding ~73%; widely distributed.
  • Ramipril Excretion: Eliminated via urine and feces; half‑life of ramiprilat ~13–17 hours.
  • Hydrochlorothiazide Absorption: Well absorbed orally; peak plasma concentration in 1.5–4 hours.
  • Hydrochlorothiazide Bioavailability: ~60–80%.
  • Hydrochlorothiazide Excretion: Primarily excreted unchanged in urine; half‑life ~6–15 hours.

Side Effects

  • Dizziness
  • Fatigue
  • Hypotension
  • Hypokalemia (from Hydrochlorothiazide)
  • Hyperkalemia (from Ramipril)
  • Cough (ACE inhibitor related)

Contraindication

  • Hypersensitivity to Ramipril, Hydrochlorothiazide, or excipients
  • Pregnancy (teratogenic risk with ACE inhibitors)
  • Anuria or severe renal impairment
  • History of angioedema with ACE inhibitors

Interaction

  • Potassium‑sparing diuretics or supplements (risk of hyperkalemia)
  • NSAIDs (may reduce antihypertensive effect)
  • Other antihypertensives (additive effect)
  • Digitalis glycosides (risk of arrhythmias with electrolyte imbalance)

Warning and Precautions

  • Monitor renal function and electrolytes regularly
  • Use under medical supervision only
  • Caution in patients with diabetes or gout

Dosage

As directed by the Physician.

Disclaimer

All product details on this website are for reference and informational purposes only and are not directed at patients or consumers.
As a contract manufacturer, DM Pharma Pvt Ltd is not responsible for the marketing or end use of these products and disclaims all liability arising from reliance on this information.
Please consult a healthcare professional before using any medicinal product.