Ziram 5 Tablet

Ziram 5 Tablet contains ramipril 5 mg in each tablet. It belongs to the ACE inhibitor class, which is used to treat high blood pressure, heart failure, and to help lower the risk of heart attack, stroke, and certain kidney problems in people who are at risk. Ziram 5 Tablet is an oral tablet made by FDC, India, and is taken under a doctor’s supervision as part of a prescription treatment plan.

How it works: Ramipril lowers blood pressure by blocking a body enzyme that makes blood vessels tighten, so the vessels relax and blood can flow more easily. In tablet form, Ziram 5 Tablet is swallowed and then converted in the body to its active form, which helps reduce strain on the heart and blood vessels.

Ziram 5 Tablet is the 5 mg strength, which is a mid-range ramipril dose and is not the same as the lower 1.25 mg, 2.5 mg, or 5 mg starting options used for many patients. Because this is a 5 mg tablet, a doctor may choose it when a patient needs a stronger maintenance dose after assessing blood pressure response, kidney function, and tolerance to earlier treatment.

• High blood pressure
• Heart failure
• Lowering cardiovascular risk in selected patients
• Kidney protection in some patients with diabetes or vascular disease

• Swallow Ziram 5 Tablet whole with a glass of water; do not crush or chew unless your doctor tells you otherwise.
• It can be taken with or without food, but try to take it the same way each day.
• Take it at the time your doctor prescribes, often once daily for many patients.
• Stand up slowly after the dose, especially when starting treatment or after a dose increase, because dizziness can happen.
• Do not take extra tablets to make up for a missed dose; follow your prescriber’s instructions.
• Avoid using potassium salt substitutes unless your doctor says they are safe for you.

Each Ziram 5 Tablet provides ramipril 5 mg. Depending on the condition being treated and how you respond, it may be taken once daily or divided by your doctor’s directions, but the exact schedule is individualized. The maximum dose is set by the prescriber and should not be changed on your own, since kidney function, blood pressure, and side effects all matter.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Ramipril may include:

• Dry cough
• Dizziness or lightheadedness
• Headache
• Tiredness
• Low blood pressure, especially after the first doses or dose increases
• Nausea
• Higher chance of dizziness if the dose is too strong for you

• Ziram 5 Tablet may cause a stronger blood-pressure drop in people who are dehydrated or taking diuretics, especially when starting or increasing the dose.
• Do not use ramipril during pregnancy because it can seriously harm the unborn baby.
• Use caution if you have kidney disease, heart disease, narrowed kidney arteries, or a history of angioedema.
• Alcohol can increase dizziness and faintness while taking Ziram 5 Tablet.
• Avoid potassium supplements and potassium-containing salt substitutes unless your doctor specifically approves them.
• Tell your clinician if you are scheduled for surgery, anesthesia, or dialysis, because blood pressure may drop more easily.
• Be careful driving or using machinery until you know how Ziram 5 Tablet affects you.

• NSAIDs such as ibuprofen or naproxen may reduce the blood-pressure effect and can affect kidney function.
• Potassium supplements, potassium-sparing diuretics, and salt substitutes can raise potassium too much.
• Lithium levels can increase and become toxic when used with ramipril.
• Other blood-pressure medicines, including diuretics, may increase dizziness or low blood pressure.
• Sacubitril/valsartan or aliskiren can interact dangerously and may not be appropriate with ramipril.

Store Ziram 5 Tablet in its original strip or box at room temperature, away from moisture, heat, and direct light.