Product image of Icomb 5 Mg/10 Mg Capsule Rigide (Ramipril, Amlodipine Besilate) supplied by GNH India

Icomb 5 Mg/10 Mg Capsule Rigide

Active Ingredient:
Ramipril, Amlodipine Besilate
Origin:
EU

Icomb 5 Mg/10 Mg Capsule Rigide (Ramipril, Amlodipine Besilate)

Ramipril and Amlodipine besilate, the active ingredients in Icomb 5 Mg/10 Mg Capsule Rigide, are an ACE inhibitor and a calcium channel blocker presented as a 5 mg/10 mg rigid capsule for oral use. They treat hypertension in adult patients, often as part of combination therapy to achieve target blood pressure.

GNH India supplies Icomb 5 Mg/10 Mg Capsule Rigide as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Egis Pharmaceuticals Plc

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Indications & Clinical Uses

Icomb combines ramipril and amlodipine to act on the renin‑angiotensin system and vascular calcium channels for the management of hypertension.

  • Essential hypertension: lowers systolic and diastolic blood pressure to achieve guideline‑recommended targets.
  • High blood pressure: provides sustained blood pressure control when monotherapy is insufficient.
  • Hypertension requiring combination therapy: offers a fixed‑dose option that simplifies dosing and improves adherence.

How It Works

  • Ramipril is a prodrug that is converted to ramiprilat, an inhibitor of angiotensin‑converting enzyme, reducing formation of angiotensin II and decreasing vasoconstriction and aldosterone release. Amlodipine besilate blocks L‑type calcium channels in vascular smooth muscle, causing arterial vasodilation. The complementary actions result in additive reduction of peripheral resistance and blood pressure.

Side Effects

The combination may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Cough: dry, persistent cough.
  • Dizziness or light‑headedness: especially after standing.
  • Headache: mild to moderate intensity.
  • Peripheral edema: swelling of ankles or feet.

Serious or Rare Side Effects

  • Angioedema: swelling of face, lips, tongue, or airway.
  • Severe hypotension: marked drop in blood pressure causing fainting.
  • Liver enzyme elevation: increased ALT or AST levels.
  • Neutropenia: reduced white blood cell count.

Precautions & Warnings

Before prescribing Icomb, clinicians should consider several safety precautions.

  • Monitor renal function: assess serum creatinine and eGFR periodically.
  • Check electrolytes: especially potassium levels to avoid hyperkalaemia.
  • Avoid in known hypersensitivity: discontinue if allergic reactions occur.
  • Use caution in elderly: start at lower doses and monitor for orthostatic hypotension.
  • Pregnancy and lactation: safety not established; avoid unless benefits outweigh risks.
  • Store at ambient temperature below 25 °C: keep in original container, protect from moisture and light.

Avoid Interactions

Icomb may interact with other medicines, influencing its efficacy or safety.

Major Interactions (Avoid)

  • Potassium‑sparing diuretics or supplements: increase risk of hyperkalaemia.
  • Concurrent use of another ACE inhibitor or ARB: additive renal impairment risk.
  • Lithium therapy: may raise lithium concentrations and toxicity.

Moderate Interactions (Monitor Closely)

  • NSAIDs (e.g., ibuprofen, naproxen): can blunt antihypertensive effect.
  • Strong CYP3A4 inhibitors (e.g., erythromycin, clarithromycin): raise amlodipine levels, increasing hypotension risk.
  • Thiazide or loop diuretics: may enhance blood‑pressure‑lowering effect, requiring dose adjustment.

Frequently Asked Questions

Icomb 5 Mg/10 Mg Capsule Rigide is a fixed‑dose combination of ramipril and amlodipine besilate indicated for the treatment of hypertension in adult patients. The two agents work together to lower blood pressure by targeting different physiological pathways, providing an effective option when monotherapy does not achieve target levels.

Ramipril is converted in the body to ramiprilat, which blocks the angiotensin‑converting enzyme, reducing angiotensin II formation and decreasing vasoconstriction and aldosterone‑mediated fluid retention. Amlodipine besilate inhibits L‑type calcium channels in vascular smooth muscle, causing arterial vasodilation. The combined effect produces an additive reduction in peripheral resistance and blood pressure.

The prescribed dose of Icomb is determined by the treating physician based on the patient’s blood‑pressure readings, comorbid conditions, and response to therapy. The product is supplied as a 5 mg ramipril/10 mg amlodipine capsule, and any adjustments are made under medical supervision.

Safety of Icomb in pregnancy and lactation has not been established. ACE inhibitors such as ramipril are generally contraindicated in the second and third trimesters because of fetal toxicity, and the benefits must be weighed against potential risks. Breastfeeding mothers should consult their healthcare provider before use.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and the necessary import documentation.

Icomb offers a single‑pill regimen that combines an ACE inhibitor with a calcium‑channel blocker, which can improve adherence compared with taking two separate tablets. Compared with monotherapy, the fixed‑dose combination often achieves greater blood‑pressure reduction and may be preferred when patients need multiple agents to reach target levels.

Store Icomb capsules at ambient temperature below 25 °C in the original blister pack, protected from moisture and direct light. Keep the container tightly closed and out of reach of children. Do not store in a refrigerator or freezer, as temperature extremes can affect capsule integrity.

Icomb is taken orally, usually once daily, with or without food, as directed by a healthcare professional. Swallow the rigid capsule whole; do not crush, chew, or split it, as this could affect the release characteristics of the medication.

Serious adverse reactions include angioedema (swelling of the face, lips, tongue, or airway), severe hypotension leading to fainting, significant liver enzyme elevations, and neutropenia. Patients should seek immediate medical attention if they experience swelling of the throat, sudden dizziness, or signs of infection such as fever with low white‑blood‑cell counts.

Icomb should be avoided in individuals with known hypersensitivity to ramipril, amlodipine, or any excipients in the capsule. It is also contraindicated in patients with a history of angioedema related to ACE‑inhibitor therapy, severe aortic stenosis, or those who are pregnant in the second or third trimester. Clinicians must assess each patient’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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