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Elram Tablet

Aretaeus Pharmaceuticals
Tablet
Rs.49.70for 1 strip(s) (10 tablets each)
1
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Composition FOR Elram

Ramipril(5mg),Losartan(50mg)

food interaction for Elram

alcohol interaction for Elram

pregnancy interaction for Elram

lactation interaction for Elram

food
alcohol
pregnancy
lactation
Elram Tablet may be taken with or without food, but it is better to take it at a fixed time.
None
CAUTION
It is unsafe to consume alcohol with Elram Tablet.
UNSAFE
Elram Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
CONSULT YOUR DOCTOR
Elram Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
SAFE IF PRESCRIBED

SALT INFORMATION FOR Elram

Ramipril(5mg)

Uses

Ramipril is used in the treatment of Hypertension (high blood pressure), prevention of heart attack and stroke and Heart failure.

How it works

Ramipril is an angiotensin converting enzyme (ACE) inhibitor. It works by reducing stress on the heart and relaxing blood vessel so that blood flows more smoothly and the heart can pump blood more efficiently.

Common side effects

Dizziness, Drowsiness, Dry cough, Headache, Fatigue, Nausea, Vomiting, Decreased blood pressure
Losartan(50mg)

Uses

Losartan is used in the treatment of Hypertension (high blood pressure), Heart failure and prevention of heart attack and stroke.

How it works

Losartan is an angiotensin receptor blocker (ARB). It relaxes the blood vessel by blocking the action of a chemical that usually makes blood vessels tighter. This lowers the blood pressure, allowing the blood to flow more smoothly to different organs and the heart to pump more efficiently.

Common side effects

Dizziness, Back pain, Upper respiratory tract infection, Nasal congestion (stuffy nose), Cough, Headache, Edema (swelling), Red spots or bumps, Hypersensitivity, Paresthesia (tingling or pricking sensation), Angioedema (swelling of deeper layers of skin), Hepatitis (viral infection of liver)

SUBSTITUTES FOR Elram

11 Substitutes
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11 Substitutes
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  • Forticard 5mg/50mg Tablet
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    Rs. 7.34/Tablet
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    Rs. 75.73
    pay 48% more per Tablet
  • Covarace 5 mg/50 mg Tablet
    (10 tablets in strip)
    Sun Pharmaceutical Industries Ltd
    Rs. 7.83/Tablet
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    pay 58% more per Tablet
  • Elram Forte Tablet
    (10 tablets in strip)
    Aretaeus Pharmaceuticals
    Rs. 6.41/Tablet
    Tablet
    Rs. 66.13
    pay 29% more per Tablet
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Related Tests

Kidney Function Test
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Expert advice FOR Elram

  • Ramipril can make you feel dizzy for the first few days, so rise slowly if you have been sitting or lying down. You can also prefer taking it at bedtime to avoid dizziness throughout the day.
  • Let your doctor know about any cough, or throat irritation that does not go away.
  • It may increase the level of potassium in blood. Avoid taking potassium supplements and potassium-rich foods such as banana and broccoli.
  • Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.

Frequently asked questions FOR Elram

Ramipril

Q. I have been diagnosed with heart failure and the doctor has prescribed me Ramipril. Why?
Ramipril belongs to the angiotensin-converting enzyme (ACE) inhibitor group of drugs. It relaxes and widens the blood vessels, making it easier for the blood to pass through the vessels. As a result of this, the heart does not have to work more to push the blood. Since the workload on the heart is reduced, it is beneficial in heart failure. Additionally, it is also used to lower blood pressure and prevent stroke.
Q. When can I expect my blood pressure to be normal after starting Ramipril?
Ramipril takes a few hours to reduce high blood pressure but since there are no symptoms, you will not notice any difference. It takes a few weeks for the blood pressure to get fully controlled. Do not stop taking the medicine. Keep taking it even if you feel better or if your blood pressure is normalized.
Q. Can Ramipril increase potassium levels? If yes, what should be done?
Ramipril may increase potassium levels in the blood, especially if you have uncontrolled diabetes mellitus, kidney problems, and dehydration. Potassium levels may also increase in patients using potassium salts or medicines which increase potassium levels or are aged more than 70 years of age. If you have any of these conditions and are using Ramipril, you need to be careful and get regular blood tests done to monitor potassium levels.
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Q. Ever since I started taking Ramipril, I noticed that I have developed a dry cough which is very irritating and is not relieved by any medicine. Why is it?
Ramipril commonly is responsible for dry cough which can be persistent and is not relieved by any medicine. Talk to your doctor if it bothers you or you have trouble sleeping, as another medicine may be better. Even if you stop taking Ramipril, the cough may take a few days to a month to go away.
Q. I accidentally took a 25 mg Ramipril tablet instead of one 5 mg. Will it have any harmful effects?
Yes, you may feel lightheaded, dizzy, your pulse may become slow and you may even faint. You should take the help of a relative or friend for an emergency or seek immediate medical support.
Q. I have diabetes. Does Ramipril have any effect on blood sugar levels?
Yes, Ramipril may have some effect on antidiabetic medicines and insulin and may lower your blood sugar levels. Therefore, you need to check your blood sugar levels regularly.
Q. I have been using Ramipril for blood pressure for some time, but now I have noticed that I often have a sore throat along with fever. I want to stop Ramipril and see if this goes, can I stop Ramipril?
No, you should not stop Ramipril suddenly as this may cause a sudden increase in your blood pressure which may be harmful to you. In addition to this, Ramipril can very rarely decrease your white blood cell count which is important to fight infections in your body. Consult your doctor and get a blood test done. If your white cell count is decreased, it could be due to Ramipril. Ask your doctor for alternative medicine for blood pressure. You can continue taking Ramipril if your investigations are normal.
Q. Is it safe to take Ramipril for a long time?
Yes, Ramipril is safe and works best if taken for a long time. But, taking Ramipril for a long time can sometimes affect the working of your kidneys. To keep track of this, your doctor will get regular blood tests done and check how well your kidneys are working.
Q. Can Ramipril affect my fertility?
There is no evidence that Ramipril has any effect on fertility in both men and women. However, if you are planning to get pregnant, talk to your doctor first because Ramipril is not recommended in pregnancy.
Q. Will there be any problem if I am taking Ramipril and I have surgery scheduled in a week?
Inform your doctor that you are taking Ramipril. Ramipril can reduce your blood pressure when it is used with a general anesthetic. Your doctor may advise you to stop taking it 24 hours before surgery.

Losartan

Q. Can I feel dizzy after taking Losartan?
Yes, the use of Losartan can make you feel dizzy. This may occur when you suddenly get up from a lying or sitting position. To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
Q. Is Losartan a good blood pressure medicine?
Losartan is used by many people for reducing blood pressure levels. This medicine generally has very few side effects. In addition to lowering blood pressure, it also protects kidney function in high blood pressure patients having diabetes and impaired kidney function (diabetic nephropathy). It is also used to treat chronic heart failure when treatment with other medicines fails to prove effective. It also helps to decrease the risk of stroke in patients who are hypertensive and have thicker left ventricle (heart chamber).
Q. What are some of the lifestyle changes I should make while using Losartan?
Lifestyle changes play a major role in keeping you healthy if you are taking Losartan. Avoid taking excess salt in your diet and find ways to reduce or manage stress in your life. Practice yoga or meditation or take up a hobby. Ensure that you have a sound sleep every night as this also helps to reduce stress levels and helps to keep your blood pressure normal. Stop smoking and alcohol consumption as this helps in lowering your blood pressure and preventing heart problems. Exercise regularly and take a balanced diet that includes whole grains, fresh fruits, vegetables, and fat-free products. Consult your doctor if you need any further guidance to get the maximum benefit of Losartan and to keep yourself healthy.
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Q. For how long do I need to take Losartan?
You may have to take Losartan for a long term, even life long. Losartan only controls blood pressure but does not cure it. Talk to your doctor in case you have any concerns regarding Losartan, but do not stop taking it without consulting the doctor.
Q. Does Losartan cause weight gain?
No, Losartan does not cause weight gain. However, if the medicine starts affecting your kidney function then your body may swell due to the accumulation of water, resulting in weight gain. Call your doctor if you experience unexplained weight gain or swelling in your feet, ankles, or hands.
Q. How long does Losartan take to work?
The blood pressure-lowering effect of Losartan can be seen after about 6 hours of taking it. The effect of the medicine lasts for about 24 hours. However, you may have to take the medicine for about 3-6 weeks to see the full benefits.
Q. When and how should Losartan be taken?
Take Losartan exactly as per your doctor’s advice. Losartan tablets are meant for oral intake. Swallow the tablet with water. You can take it with or without food. The dose will depend on the condition you are being treated for. It is recommended that you take your first dose before bedtime, as it can make you dizzy. After taking the first dose, you can take it at any time of the day but try to take it at the same time each day.
Q. Is Losartan bad for the kidneys?
Yes, Losartan may impair the kidney function of patients, especially those who have severe heart failure, chronic kidney disease, or narrow or blocked blood vessels that lead to the kidneys (renal artery stenosis). It may also affect kidney function in patients who have experienced severe fluid loss or dehydration due to vomiting, diarrhea, or excessive use of diuretics. Therefore, Losartan should be used cautiously in these patients and their kidney function should be regularly monitored.
Q. What is the most important information that I need to know about Losartan?
Taking Losartan during the last 6 months of pregnancy can cause serious harm or even endanger the life of the unborn baby. Hence, it is important to inform the doctor if you are pregnant or plan to become pregnant. If you become pregnant while taking Losartan, stop taking Losartan and call your doctor immediately.
Q. What are the long-term side effects of Losartan?
Long-term use of Losartan is generally considered to be safe. However, in some cases, long-term use of Losartan may adversely affect the functioning of the kidneys. Therefore, the doctor may prescribe regular blood tests to keep a track of how well the kidneys are working.

Content on this page was last updated on 29 November, 2023, by Dr. Varun Gupta (MD Pharmacology)