Is Ramipril dosage increase correct?

I am on 10mg of Ramipril twice/day. My doctor constantly monitors the meds I am on, as ell as my blood sugars.

My BP is fairly normal now. But even though it got under control for a couple weeks he increased the Ramipril anyways. But I am also on Verapamil for my BP as well.

Best bet it to go and talk to your doctor about it.

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Ramipril Dosage

Ramipril is an ACE inhibitor , it is used in diabetes to protect kidneys and prevent or halt the progression of proteinuria to end stage renal disease,

Why did his doctor increase the dose if 2.5mg is enough to control his blood pressure ?

1- May be the blood pressure has returned to normal level but still not in the preferred ranfge for diabetic hypertensive patients.In diabetics BP target is much less than in nondiabetic hypertensive patients.Less than 130/80 is always recommended in diabetics and 120\70-75 may be the golden readings desired...

2- If he had stroke or myocardial infarction the dose should be higher for secondary prevention regardless of the BP reading , here increasing the dose up to 10mg (maintenance dose) is recommended

goodluck

Ramipril is used not only for High blood pressure but for heart failure. It is in a classification of drugs called ACE inhibitors.

Ramipril is used for the treatment of congestive heart failure and high blood pressure. Ramipril also prevents heart attacks, strokes and deaths due to heart disease in patients who have risk factors for such events. After a heart attack, ramipril reduces progression to severe or resistant heart failure, hospitalization related to heart failure, and heart disease-related death. Like other ACE inhibitors, ramipril may slow the progression of kidney failure in patients with hypertension or diabetes by reducing the damage to the kidneys caused by high blood pressure.

The usual dose of ramipril is 2.5-20 mg a day as a single dose or two divided doses. Patients taking diuretics or who have renal artery stenosis (narrowing of the arteries going to the kidney) may require lower doses.

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Despite various researches done and precautions taken, one cannot predict who will suffer from diabetes. Depending on the type and severity, every diabetic patient should be given medications.

It has probably been increased to maintain the blood pressure at the right level. 5mg is still a fairly low dose

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though your doctors advice is usually the best they are not infallible so go back to your gp and question this decision and if necessary seek a second opinion from another doctor