هل يمكنني تناول إنداباميد وراميبريل معًا؟

لماذا يحدث هذا

Both medicines work to lower blood pressure but in different ways. Indapamide is a 'water tablet' (diuretic) that removes salt and water from the body, while ramipril relaxes blood vessels. When used together, their effects add up. Additionally, if the water tablet has made you slightly dehydrated, the first dose of ramipril can cause a sudden, sharp drop in blood pressure and affect how well your kidneys filter blood.

ما الذي يجب عليك فعله

Your doctor may advise you to stop taking indapamide for a few days before starting ramipril, or start you on a very low dose of ramipril. It is best to take your first dose of ramipril at bedtime to avoid dizziness. If you feel very dizzy or faint, sit or lie down immediately and contact your doctor. Your doctor will likely perform blood tests to check your kidney function and salt levels (electrolytes) regularly.

احتياطات هامة

الحمل

You must not take ramipril if you are pregnant or planning to become pregnant, as it can cause serious harm or death to an unborn baby. Use effective contraception while taking this medicine.

Angioedema (Swelling)

Seek emergency medical help immediately if you experience swelling of the face, lips, tongue, or throat, as these medicines can cause a life-threatening allergic reaction called angioedema.

Dehydration and Electrolyte Imbalance

These medicines can significantly alter your salt and potassium levels. You must have regular blood tests and seek medical advice if you experience severe diarrhoea, vomiting, or signs of dehydration, as this can lead to kidney problems.

حساسية السلفوناميد

Do not take this medicine if you have a known allergy to sulphonamide antibiotics (such as sulfamethoxazole), as you may have a similar allergic reaction to indapamide.

تحذيرات الطعام والشراب

الكحول

Drinking alcohol can increase the blood pressure-lowering effect of these medicines, which may make you feel dizzy, lightheaded, or faint, especially when standing up. It is best to keep alcohol intake to a minimum, especially when starting these medicines or changing your dose.

بدائل الملح (المعتمدة على البوتاسيوم)

Ramipril can increase the levels of potassium in your blood. Many salt substitutes (such as Lo-Salt) contain potassium chloride instead of sodium. Using these while taking Ramipril can lead to dangerously high potassium levels (hyperkalaemia). Check with your pharmacist before using salt substitutes.

Salt (Sodium)

Eating a diet very high in salt can make indapamide less effective at lowering your blood pressure. Try to avoid adding extra salt to your food.

استخدام أدوية أخرى

تتناول أدوية متعددة؟ نحن مدقق تفاعلات الأدوية يساعدك في التحقق مما إذا كانت الوصفات الطبية والأدوية التي لا تحتاج إلى وصفة طبية والمكملات الغذائية آمنة لتناولها معًا. ببساطة ابحث عن أدويتك لترى التفاعلات المحتملة وما يجب فعله حيالها.

إخلاء المسؤولية

هذه المعلومات لأغراض تعليمية عامة فقط ولا ينبغي الاعتماد عليها كبديل للنصيحة الطبية المهنية. استشر دائمًا طبيبك العام أو الصيدلي أو أي متخصص رعاية صحية مؤهل آخر قبل اتخاذ قرارات بشأن أدويتك. قد تختلف الظروف الفردية، ولا يمكن إلا لمتخصص الرعاية الصحية الذي يعرف تاريخك الطبي تقديم إرشادات مخصصة.