TRIATEC HCT
RAMIPRIL AND HYDROCHLOROTHIAZIDE · by SANOFI-AVENTIS
Composition
Tab2.5/12.5 mg: Ramipril 2.5 mg hydrochlorothiazide 12.5 mg,Tab: 5/25 mg: Ramipril 5 mg hydrochlorothiazide 25 mg. Tab: 5/12.5 mg: Ramipril 5 mg hydrochlorothiazide 12.5 mg. Tab: 10/12.5 mg:
Indications & Dosage
Essential Hypertension not adequately controlled by ramipril alone: Adults: Initially 1 tab of 2.5/12.5 mg/day, may be in-creased at intervals of 2-3 week. Max 10 mg ramipril/50 mg hydrochlorothiazide. Children: Not recommended.
Contraindications
History of angioneurotic oedema, renal artery stenosis, relevant left-ventricular inflow or outflow impediment, electrolyte disturbance.
Precautions
Severe & malignant hypertension, concomitant with severe heart failure. Patients pre-treated with diuretics, dehydration, hypovolaemia or salt depletion should be corrected before initiating treatment, pronounced fall in BP; Monitor renal function, electrolytes, glucose, WBC count.
Interactions
Salts, NSAIDs, pressor amines, corticosteroids, carbenoxolone, large amounts of liquorice, laxatives, other kaliuretic agents, K salts, K-sparing diuretics, heparin, digitalis prep, lithitim salts, allopurinol, immunosuppressants, procainamide, cytostatics, methyldopa, antidiabetic agents, cholestyramine, curare-type muscle relaxants, alcohol, high-flux dialyser membranes, dextran sulphate.
Pregnancy
Contraindicated in pregnancy.
Lactation
Not recommended.
Side Effects
Headache, oedema, fatigue, nausea, GI upset, flushing and dizziness, rash, gingival hyperplasia, mood changes, dry mouth, palpitations, dyspnoea, muscle cramps, asthenia, renal function deterioration, decline in serum Na concentration, hy-pochloraemia, hypomagnesaemia, hypercalcaemia, metabolic alkalosis, changes in serum K, electrolyte imbalance, cutaneous & mucosal reactions, anaphylactic reactions; respirator-is-system & CNS disorders, GI disturbances, blood picture changes, vasculitis, myalgia, arthralgia, liver disorders, eosinohilia, increased uric acid concentration, reversible increase in blood urea and creatinine, proteinuria