Description
Looking for a pharmacy where you can order Altace online? You can go to link and go to the pharmacy with the cheepest prices. Anonymous delivery, quality drugs, complete confidentiality. Go to an online pharmacy and select the appropriate Altace dosage, and then the required number of tablets. The ordering process will be as secure and safe as possible. You can also order Altace with overnight delivery at the pharmacy, the drug will be delivered tomorrow. The order is made no because we trust you and understand that you already know which medicine you need.
Indications
– Arterial hypertension (in monotherapy or in combination with other antihypertensive drugs, for example, diuretics and blockers of “slow” calcium channels). – Chronic heart failure (as part of combination therapy, in particular in combination with diuretics). – Diabetic or non-diabetic nephropathy, preclinical and clinically pronounced stages, including those with pronounced proteinuria, especially when combined with arterial hypertension. – Reducing the risk of myocardial infarction, stroke or cardiovascular mortality in patients with high cardiovascular risk: in patients with confirmed coronary heart disease, myocardial infarction in the anamnesis or without it, including patients who have undergone percutaneous transluminal coronary angioplasty, coronary artery bypass grafting; in patients with a history of stroke; in patients with occlusive lesions of peripheral arteries in the anamnesis; in patients with diabetes mellitus with at least one additional risk factor (microalbuminuria, hypertension, increased plasma concentrations of OH, decreased plasma concentrations of HDL-C, smoking). – Heart failure with clinical manifestations that developed during the first few days (from the 2nd to the 9th day) after acute myocardial infarction.
Contraindications
– Hypersensitivity to ramipril, other ACE inhibitors or to any of the components of the drug; – angioedema (hereditary or idiopathic, as well as after taking ACE inhibitors) in the anamnesis – the risk of rapid development of angioedema; – hemodynamically significant renal artery stenosis (bilateral or unilateral in the case of a single kidney); – arterial hypotension (systolic blood pressure less than 90 mm Hg) or conditions with unstable hemodynamic parameters; – hemodynamically significant aortic or mitral valve stenosis or hypertrophic obstructive cardiomyopathy (HOCMP); – primary hyperaldosteronism; – severe renal insufficiency (CC less than 20 ml/min/1.73 m2 of body surface area) (clinical experience is insufficient); – hemodialysis (experience of clinical use is insufficient); – pregnancy; – breastfeeding period; – nephropathy, which is treated with glucocorticosteroids, nonsteroidal anti-inflammatory drugs, immunomodulators and / or other cytotoxic agents (clinical experience is insufficient); – chronic heart failure in the decompensation stage (experience of clinical use is insufficient); – age up to 18 years (experience of clinical use is insufficient); – hemodialysis or hemofiltration using some membranes with a negatively charged surface, such as high-flow polyacrylonitrile membranes (risk of severe anaphylactic reactions); – apheresis of low-density lipoproteins using dextran sulfate (risk of severe anaphylactoid reactions); – hyposensitizing therapy for hypersensitivity reactions to insect poisons, such as bees, wasps; – cardiogenic shock; – severe hepatic insufficiency (no experience of clinical use); – simultaneous use with aliskiren and drugs containing aliskiren in patients with diabetes mellitus and / or moderate and severe renal impairment (glomerular filtration rate (GFR) less than 60 ml / min / 1.73 m2 of body surface area); – simultaneous use with angiotensin II receptor antagonists (ARA II) in patients with diabetic nephropathy; – galactose intolerance, lactase deficiency and glucose-galactose malabsorption syndrome; – simultaneous use with neutral endopeptidase inhibitors (for example, with drugs containing sacubitril) due to the high risk of angioedema.
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