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Is It Advisable To Increase The Dosage Of Ramipril For BP Of 150/100?

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Posted on Thu, 12 Mar 2015
Question: My GP would like to increase the dosage of Ramipril from 5mg to 7.5mg
I have been on the medication for 28 d
My bp was in the range 150/100 +/- 10. Now 132/90
doctor
Answered by Dr. Vivek Chail (57 minutes later)
Brief Answer:
Ramipril 7.5 mg a day is acceptable dose but please watch for side effects

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
Blood pressure is a dynamic variable and a BP recording of 150/ 100 mm Hg was high and the prescription of Ramipril was justified for you. The initial dose of Ramipril is 2.5 mg or 5 mg given as a single or in divided doses and after a month can be increased to a higher value depending on response to the medication.

The highest dose of Ramipril is 20 mg per day orally and 7.5 mg is an acceptable dose for you.

However, like any other medication, ramipril also has certain side effects which includes
(i) blurred vision
(ii) confusion
(iii) dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
(iv) sweating
(v) unusual tiredness or weakness

If you experience any of the above side effects then please discuss them with your GP doctor.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6874 Questions

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Is It Advisable To Increase The Dosage Of Ramipril For BP Of 150/100?

Brief Answer: Ramipril 7.5 mg a day is acceptable dose but please watch for side effects Detailed Answer: Hi XXXX, Thanks for writing in to us. I have read through your query in detail. Blood pressure is a dynamic variable and a BP recording of 150/ 100 mm Hg was high and the prescription of Ramipril was justified for you. The initial dose of Ramipril is 2.5 mg or 5 mg given as a single or in divided doses and after a month can be increased to a higher value depending on response to the medication. The highest dose of Ramipril is 20 mg per day orally and 7.5 mg is an acceptable dose for you. However, like any other medication, ramipril also has certain side effects which includes (i) blurred vision (ii) confusion (iii) dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position (iv) sweating (v) unusual tiredness or weakness If you experience any of the above side effects then please discuss them with your GP doctor. Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements. Hope your query is answered. Do write back if you have any doubts. Regards, Dr.Vivek