Treatment of arterial hypertension. The use of this fixed combination is indicated in patients whose blood pressure is not properly controlled with ramipril or hydrochlorothiazide monotherapy.
Composition and form of release
Active ingredients: ramipril (5 mg), hydrochlorothiazide (12.5 mg).
Tritace Plus 5 mg / 12.5 mg is available in tablet form.
This is a combination antihypertensive (blood pressure lowering) drug. Ramipril breaks down in the liver to form ramiprilat. It acts by inhibiting the renin-angiotensin-aldosterone system. Suppresses the effect of the angiotensin-converting enzyme, which catalyzes the conversion of angiotensin-I into the vasoconstrictor peptide angiotensin-II, while preventing its stimulating effect on the process of aldosterone secretion by the adrenal glands. Hydrochlorothiazide reduces sodium reabsorption in the cortical segment of the kidneys, increasing the excretion of sodium, chlorides, potassium, magnesium in the urine, enhancing the antihypertensive effect of the drug.
Tritace Plus 5 mg / 12.5 mg is used for the treatment of hypertension (arterial hypertension) in patients whose blood pressure is not controlled with ramipril or hydrochlorothiazide alone.
Do not use Tritace Plus 5 mg / 12.5 mg:
- with intolerance to the components;
- with intolerance to other ACE inhibitors;
- with a history of angioedema;
- with stenosis of the renal artery (a. renalis) of the only kidney or bilateral stenosis of the renal artery (aa. renalis dextra et sinistra);
- during extracorporeal treatment, which is accompanied by blood contact with negatively charged surfaces;
- with unstable hemodynamics;
- with arterial hypotension;
- with hepatic encephalopathy, severe liver failure;
- with primary hyperaldosteronism;
- with anuria;
- with a significant electrolyte imbalance;
- with symptomatic hyperuricemia (gout);
- with severe renal failure (creatinine clearance rate less than 30 ml / minute);
- during pregnancy / lactation, planning pregnancy.
Application during pregnancy and lactation
This medicine is contraindicated in pregnant women, as well as in women planning pregnancy. Not applicable to nursing mothers.
Method of administration and dosage
Tritace Plus 5 mg / 12.5 mg is administered orally.
Treatment begins with the lowest effective dose possible. The maximum dose is 10/25 mg / day.
The prescribed dose should be taken once a day, every day at the same time, regardless of food
Symptoms: vascular insufficiency, renal failure, drop in blood pressure, electrolyte imbalance, anxiety, tachycardia / bradycardia, hyperventilation, palpitations, dizziness, cough, paralytic intestinal obstruction, acute urinary retention, paresis.
It is necessary to take measures to remove the drug from the body (artificially induce vomiting or rinse the stomach, apply sorbents). In case of overdose, symptomatic therapy is recommended.
- Cardiovascular disorders: myocardial ischemia, angina pectoris, tachycardia, arrhythmia, peripheral edema, myocardial infarction.
- Hematological disorders: leukocytopenia, thrombocytopenia, hemolytic anemia, neutropenia, pancytopenia, hemoconcentration, eosinophilia.
- Neurological disorders: parosmia, tremor, headache, vertigo, imbalance, dysgeusia / ageusia, paresthesia, cerebral ischemia, stroke, TIA, impaired psychomotor functions.
- Ophthalmic disorders: decrease, blurred vision, conjunctivitis, lacrimation, xanthopsia.
- Otolaryngological disorders: ringing in the ears, hearing impairment.
- Respiratory disorders: shortness of breath, irritating unproductive cough, bronchitis, noncardiogenic pulmonary edema, sinusitis, nasal congestion, bronchospasm, allergic alveolitis.
- Digestive disorders: inflammation in the gastrointestinal tract, dyspepsia, abdominal pain, gastritis, nausea, gingivitis, constipation, vomiting, glossitis, stomatitis, diarrhea, dry mouth, pancreatitis.
- Genitourinary disorders: renal dysfunction, acute renal failure, increased blood urea / creatinine levels, interstitial nephritis, transient erectile dysfunction, decreased libido, gynecomastia.
- Dermatological disorders: polymorphic erythema, hyperhidrosis, angioneurotic edema, psoriatic dermatitis, maculopapular rash, purpura, toxic epidermal necrolysis, exanthema, pruritus, alopecia, Stevens-Johnson syndrome, exacerbation of psoriasis, pemphigus dermatitis, expholigus / exfoliate , urticaria, systemic lupus erythematosus.
- Musculoskeletal disorders: tetanic convulsions, arthralgia, muscle spasms and weakness, myalgia.
- Metabolic disorders: decompensation of diabetes mellitus, hyperglucosemia, hyperuricemia, exacerbation of gout, hyperlipidemia, anorexia, hypocalcemia, decreased appetite, thirst, hyperkalemia, hyponatremia, hypercalcemia, glucosuria, hypochloremia, metabolic alkalosis, hypomagnesemia.
- Cardiovascular disorders: arterial hypotension, syncope, orthostatic hypotension, hot flashes, thrombosis, vascular stenosis, Raynaud’s syndrome, hypoperfusion, vasculitis.
- General disorders: fatigue, asthenia, chest pain, pyrexia.
- Immune disorders: anaphylactic / anaphylactoid reactions, increased levels of antinuclear antibodies.
- Hepatobiliary disorders: cholestasis, cytolytic hepatitis, calculous cholecystitis, acute renal failure, jaundice.
- Mental disorders: depression, apathy, nervousness, anxiety, sleep disturbances, drowsiness, confusion, decreased attention.
Storage conditions and periods
Store Tritace Plus 5 mg / 12.5 mg tablets for no more than 3 years.
Temperature range – up to 30 ° С.