Ramilich

What is Ramilich?

Ramilich is a prescription medicine that contains ramipril, which belongs to a group of medicines called ACE inhibitors (angiotensin-converting enzyme inhibitors).

ACE inhibitors are commonly used to treat high blood pressure and certain heart conditions. They work by relaxing your blood vessels, making it easier for your heart to pump blood around your body.

High blood pressure often causes no symptoms, but over time it can damage your heart, brain, kidneys and blood vessels. By lowering your blood pressure, Ramilich helps reduce your long-term risk of heart attack, stroke and kidney damage.

Ramilich may also be prescribed after a heart attack or in people with heart failure to support heart function.

What is it used for?

Ramilich is used to treat:

• High blood pressure (hypertension)
• Heart failure
• To reduce the risk of heart attack, stroke or cardiovascular death
• To protect the kidneys in certain high-risk patients

High blood pressure

Hypertension means your blood pressure is consistently too high. Over time, this increases strain on your heart and arteries. Ramilich helps lower blood pressure and reduce long-term complications.

Heart failure

Heart failure means your heart is not pumping blood as efficiently as it should. Ramilich can help improve heart function and reduce symptoms such as shortness of breath and swelling. At Transtoyou this treatment is only available for high blood pressure.

Cardiovascular risk reduction

If you have risk factors such as diabetes, previous heart disease or circulation problems, Ramilich may be prescribed to reduce your overall cardiovascular risk.

How does the product work?

Ramilich works by blocking the action of an enzyme called angiotensin-converting enzyme (ACE).

Normally, this enzyme helps produce a substance called angiotensin II, which causes blood vessels to tighten and narrow. When blood vessels narrow, blood pressure increases.

By blocking ACE, ramipril:

• Relaxes and widens blood vessels
• Lowers blood pressure
• Reduces strain on your heart
• Improves blood flow
• Protects kidney function in some patients

Because it reduces pressure in your blood vessels, Ramilich helps protect vital organs from long-term damage.

Who should not use the product?

You should not use Ramilich if:

• You are allergic to ramipril or other ACE inhibitors
• You have a history of angioedema (sudden swelling of the face, lips, tongue or throat)
• You are more than three months pregnant
• You have severe kidney artery narrowing
• You have certain hereditary swelling disorders

Ramilich may not be suitable if you:

• Have severe kidney impairment
• Have severe liver disease
• Have very low blood pressure
• Are taking certain blood pressure medicines (such as aliskiren in diabetes)

Always inform your doctor about your full medical history before starting treatment.

Pregnancy and breastfeeding

Ramilich must not be used during the second or third trimester of pregnancy, as it can seriously harm an unborn baby.

If you are pregnant, planning pregnancy or become pregnant while taking Ramilich, stop taking it and contact a doctor immediately.

Ramilich is generally not recommended while breastfeeding. Discuss alternatives with your doctor.

How to use and dosage

Always take Ramilich exactly as prescribed.

The dose depends on your condition and response to treatment.

For high blood pressure:

• The usual starting dose is low and may be gradually increased.

For heart failure or cardiovascular protection:

• Treatment often starts at a low dose and is increased carefully.

Take Ramilich:

• Once daily (sometimes twice daily depending on your prescription)
• At the same time each day
• With water
• With or without food

Your doctor may monitor your blood pressure, kidney function and potassium levels regularly.

Do not stop taking Ramilich suddenly without medical advice.

Possible side effects

Like all medicines, Ramilich can cause side effects, although not everyone experiences them.

Common side effects include:

• Dry persistent cough
• Dizziness
• Headache
• Fatigue
• Low blood pressure
• Nausea

The dry cough is a well-known side effect of ACE inhibitors and may require switching medication if it becomes bothersome.

Less common but serious side effects may include:

• Angioedema (swelling of face, lips or throat)
• Severe drop in blood pressure
• Kidney problems
• High potassium levels

Seek immediate medical attention if you develop swelling of the face or throat or have difficulty breathing.

Important safety information

Before starting Ramilich, tell your doctor if you:

• Have kidney disease
• Have liver disease
• Have diabetes
• Are on a low-salt diet
• Are taking diuretics (water tablets)
• Are taking potassium supplements
• Have recently had severe vomiting or diarrhoea

Ramilich can increase potassium levels in your blood. Blood tests may be required to monitor kidney function and electrolyte balance.

If you feel lightheaded when starting treatment, stand up slowly from sitting or lying positions.

When to seek medical help

Seek urgent medical attention if you experience:

• Swelling of your face, lips, tongue or throat
• Difficulty breathing
• Severe dizziness or fainting
• Chest pain

Contact your doctor if:

• You develop a persistent dry cough
• You feel unusually weak
• Your blood pressure remains high
• You experience significant side effects

If you are unsure whether your symptoms are related to your blood pressure medication, you can book a secure video consultation with a licensed doctor via Transtoyou for personalised advice. If symptoms are severe or sudden, seek urgent medical care immediately.