Your pills do not look like the brand name medication. The pills I have received have a different name printed on them. Why?
As we have already mentioned that no manufacturer can take out a patent for a chemical agent. Thus generics can have the exactly same active ingredients as the brand pills. However, names and appearance (shape and color) of medications can be and are always patented and should be treated as the intellectual property. Thus using the name and the shape of the brand pills a manufacturer producing generic medications will be accused of the copyright infringement. This is why generic pills look different, they are of a different color and have a different shape if compared to a brand name pill.
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Ramipril is used for:
Treating high blood pressure and decreasing the risk of heart attack, stroke, and death in certain patients. It may also be used to treat congestive heart disease following a heart attack or for other conditions as determined by your doctor.
Ramipril is an angiotensin-converting enzyme (ACE) inhibitor. It works by causing blood vessels to relax so that blood flows more freely and at a lower pressure. It also increases the heart's ability to pump blood in some types of heart failure.
Do NOT use Ramipril if:
you are allergic to any ingredient in Ramipril or similar medicines (ACE inhibitors), or if you have a history of angioedema (swelling of the face, lips, tongue, or throat) caused by an ACE inhibitor
you are in your second or third trimester of pregnancy
you have a history of kidney artery narrowing
Contact your doctor or health care provider right away if any of these apply to you.
Before using Ramipril :
Some medical conditions may interact with Ramipril. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have heart or blood vessel problems, liver problems, or kidney problems (eg, kidney artery narrowing, dialysis, kidney transplant)
if you have high blood potassium levels or low blood sodium levels, or are on a low sodium diet
if you have a severe autoimmune disease, lupus, scleroderma (a skin disease), or bone marrow depression
if you will be having surgery
Some MEDICINES MAY INTERACT with Ramipril. Tell your health care provider if you are taking any other medicines, especially any of the following:
Dextran sulfate because side effects, such as low blood pressure and serious allergic-type reactions, may occur
Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, indomethacin), potassium supplements, salicylates (eg, aspirin), or water pills (eg, triamterene, hydrochlorothiazide, or furosemide) because side effects, such as worsening kidney problems or excessive lowering of blood pressure, may
occur
Certain medicines for diabetes (eg, glyburide, glipizide), lithium, or azathioprine because the actions and side effects of these medicines may be increased
This may not be a complete list of all interactions that may occur. Ask your health care provider if Ramipril may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Ramipril :
Use Ramipril as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Take Ramipril by mouth with or without food.
If you have difficulty swallowing the capsule, it can be opened and the contents sprinkled on a small amount (about 4 oz) of applesauce or mixed in half a glass (4 oz/120 mL) of water or apple juice. It is best to eat or drink the entire mixture immediately after mixing. These mixtures may be stored
in the refrigerator for up to 48 hours.
If you miss a dose of Ramipril , take it as soon as possible. If it is almost time for you next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Ramipril.
Important safety information:
Ramipril may cause dizziness, lightheadedness, or fainting. These effects may be worse if you take it with alcohol or certain medicines. Use Ramipril with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
A persistent, dry cough may occur. Tell your doctor if this occurs. Recovery is rapid when the medicine is stopped.
Dehydration, excessive sweating, vomiting, or diarrhea may lead to a fall in blood pressure. Contact your health care provider at once if any of these occur.
Ramipril may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
Report any lightheadedness, especially during the first few days of taking Ramipril , to your doctor. If you experience fainting, you should talk with your doctor.
Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.
Check with your doctor before you use a salt substitute or a product that has potassium in it.
Ramipril may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Ramipril. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
LAB TESTS, including blood tests, may be performed while you use Ramipril. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
Ramipril should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
PREGNANCY AND BREAST-FEEDING: Do not take Ramipril after the third month of pregnancy. It may cause injury or death to the fetus. If you become pregnant, contact your doctor right away. It is not known if Ramipril is found in breast milk. Do not breast-feed while taking Ramipril.
Possible side effects of Ramipril :
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Diarrhea; dizziness or lightheadedness when sitting up or standing; feeling of a whirling motion; headache; nausea; persistent dry cough; tiredness; vomiting; weakness.
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bruising or bleeding more easily; chest pain; difficulty swallowing; fainting; fever or sore throat; hoarseness; irregular or slow heartbeat; shortness of breath; stomach pain or tenderness; unusual tiredness or weakness; yellowing of the
skin or eyes.
What is the shelf life of the pills?
The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.
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Erectile dysfunction
Erectile dysfunction (ED) affects the lives of many middle-aged men and their partners. The term erectile dysfunction covers a range of disorders, but usually refers to the inability to obtain an adequate erection for satisfactory sexual activity.
Although erectile dysfunction, formerly called impotence, is more common in men older than 65, it can occur at any age. An occasional episode of erectile dysfunction happens to most men and is normal. As men age, it's also normal to experience changes in erectile function. Erections may take longer to develop, may not be as rigid or may require more direct stimulation to be achieved. Men may also notice that orgasms are less intense, the volume of ejaculate is reduced and recovery time increases between erections. Erectile dysfunction may also be a sign of a physical or emotional problem that requires treatment.
Erectile dysfunction was once a taboo subject, but more men are seeking help. Doctors are gaining a better understanding of what causes erectile dysfunction and are finding new and better treatments.
This Website discusses all about erectile dysfunction, physiology of the normal erection and the pathophysiology, and treatment of ED.
What is Erectile Dysfunction?
Erectile dysfunction or impotence is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis for satisfactory sexual intercourse regardless of the capability of ejaculation. There are various underlying causes, such as diabetes, many of which are medically reversible.
The causes may be physiological or psychological. Psychological impotence can often be helped by almost anything that the patient believes in; there is a very strong placebo effect.
Due to its embarrassing nature and the shame felt by sufferers, the subject was taboo for a long time, and is the subject of many urban legends. Folk remedies have long been advocated, with some being advertised widely since the 1930s. The introduction of perhaps the first pharmacologically effective remedy for impotence, sildenafil (trade name Viagra), in the 1990s caused a wave of public attention, propelled in part by the news-worthiness of stories about it and heavy advertising.
The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina. It is now mostly replaced by more precise terms.
Signs and symptoms:
Erectile dysfunction is characterized by the inability to maintain erection. Normal erections during sleep and in the early morning suggest a psychogenic cause, while loss of these erections may signify underlying disease, often cardiovascular in origin. Other things leading to erectile dysfunction are diabetes mellitus (causing neuropathy) or hypogonadism (decreased testosterone levels due to disease affecting the testicles or the pituitary gland).
Here are some causes of Erectile Dysfunction:
* Arousal: The first step is sexual arousal, which men obtain from the senses of sight, touch, hearing and smell, and from thoughts.
* Nervous system response: The brain communicates the sexual excitation to the body's nervous system, which activates increased blood flow to the penis.
* Blood vessel response:. A relaxing action occurs in the blood vessels that supply the penis, allowing more blood to flow into the shafts that produce the erection.
Physiology of normal erections:
Penile erections involve an integration of complex physiologic processes involving the CNS, peripheral nervous system, and hormonal and vascular systems. Any abnormality involving these systems, whether from medication or disease, has a significant impact on the ability to develop and sustain an erection, ejaculate, and experience orgasm. Tumescence, the vascular filling of the cavernous bodies, relies on neural and hormonal mechanisms operating at various levels of the neural axis. This is unique among visceral functions because it requires central neurological input.
Andersson et al summarized some of the information related to the pathways involved in erectile function. The degree of contraction of corpus cavernosal smooth muscle determines the functional state of the penis. The balance between contraction and relaxation is controlled by central and peripheral factors that involve many transmitters and transmitter systems. At the cellular level, smooth muscle relaxation occurs following the release of acetylcholine from the parasympathetic nerves.
Pathophysiology of erectile dysfunction:
Erectile Dysfunction is essentially a vascular disease. It is often associated with other vascular diseases and conditions such as diabetes, hypertension, and coronary artery disease. Other conditions associated with Erectile Dysfunction include neurologic disorders, endocrinopathies, benign prostatic hyperplasia, and depression. Conditions associated with reduced nerve and endothelium function, such as aging, hypertension, smoking, hypercholesterolemia, and diabetes, alter the balance between contraction and relaxation factors. These conditions cause circulatory and structural changes in penile tissues, resulting in arterial insufficiency and defective smooth muscle relaxation. In some patients, sexual dysfunction may be the presenting symptom of these disorders.
Treatment:
Sildenafil Citrate is the way to treat Erectile Dysfunction. Generic Viagra contains sildenafil citrate and contains same ingredients like branded drug.
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