Product image of Lerimamed (Hydrochlorothiazide, Ramipril) supplied by GNH India

Lerimamed

Active Ingredient:
Hydrochlorothiazide, Ramipril
Origin:
EU

Lerimamed (Hydrochlorothiazide, Ramipril)

Hydrochlorothiazide and Ramipril, the active ingredients in Lerimamed, are a thiazide diuretic and an ACE inhibitor presented as a tablet for oral use. They treat hypertension and related edema in adult patients by lowering blood pressure and promoting fluid excretion.

GNH India supplies Lerimamed as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The product conforms to EU regulatory standards and is manufactured under GMP conditions.

Manufacturer / TM Owner

Medochemie Ltd.

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Indications & Clinical Uses

Lerimamed, a combination of an ACE inhibitor and a thiazide diuretic, is used to manage conditions related to high blood pressure.

  • Hypertension: lowers systolic and diastolic pressure, reducing cardiovascular strain.
  • Edema associated with hypertension: increases urinary sodium and water loss, decreasing swelling.
  • Cardiovascular risk reduction in hypertensive patients: helps prevent stroke and heart‑attack complications.

How It Works

  • Hydrochlorothiazide blocks NaCl reabsorption in the distal convoluted tubule, producing a diuretic effect that reduces plasma volume. Ramipril inhibits angiotensin‑converting enzyme, decreasing angiotensin II formation and lowering systemic vascular resistance. The combined actions result in reduced blood pressure and enhanced fluid elimination.

Side Effects

Lerimamed may cause a range of adverse reactions, from mild to serious.

Common Side Effects

  • Dizziness or light‑headedness
  • Headache
  • Persistent dry cough
  • Increased urinary frequency
  • Electrolyte disturbances (e.g., low potassium)
  • Fatigue

Serious or Rare Side Effects

  • Angioedema (swelling of face, lips, tongue)
  • Severe dehydration or hypotension
  • Hyperkalemia (high potassium levels)
  • Acute kidney injury
  • Anaphylactic reaction
  • Severe skin rash or Stevens‑Johnson syndrome

Precautions & Warnings

Before prescribing Lerimamed, clinicians should consider several safety factors.

  • Blood pressure monitoring: ensure adequate control without excessive drop.
  • Renal function assessment: check serum creatinine and eGFR regularly.
  • Electrolyte balance: monitor potassium and sodium levels.
  • Pregnancy: avoid use in pregnancy (Category D) due to fetal risk.
  • Elderly patients: start at lower dose and watch for orthostatic hypotension.
  • Store at room temperature: keep in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Lerimamed can interact with other medicines; some combinations should be avoided while others require close monitoring.

Major Interactions (Avoid)

  • Aliskiren (dual renin‑angiotensin blockade)
  • Potassium‑sparing diuretics (risk of hyperkalemia)
  • Lithium (increased lithium levels)
  • NSAIDs (may reduce antihypertensive effect and impair renal function)
  • Concurrent use of another ACE inhibitor or ARB

Moderate Interactions (Monitor Closely)

  • Loop diuretics (additive diuretic effect)
  • Beta‑blockers (enhanced blood‑pressure lowering)
  • Antihypertensive agents such as calcium channel blockers
  • Digoxin (possible increase in serum levels)
  • Antidiabetic drugs (may need dose adjustment due to blood‑pressure changes)

Frequently Asked Questions

Lerimamed is prescribed to treat high blood pressure (hypertension) and to reduce fluid retention (edema) that often accompanies hypertension. By lowering vascular resistance and promoting diuresis, it helps control blood pressure and decrease swelling in adult patients.

Hydrochlorothiazide inhibits sodium‑chloride reabsorption in the distal convoluted tubule, increasing urine output and lowering blood volume. Ramipril blocks the angiotensin‑converting enzyme, reducing angiotensin II production and relaxing blood vessels. Together they lower blood pressure and enhance fluid elimination.

The dose of Lerimamed is individualized by the prescribing clinician based on the patient’s blood‑pressure goals, renal function, and overall health. The prescriber determines the appropriate strength and frequency, and patients should follow the written prescription without alteration.

Lerimamed is classified as Pregnancy Category D, indicating evidence of fetal risk and it should be avoided during pregnancy. Safety during breastfeeding has not been established, so the medication is generally not recommended for nursing mothers unless the benefits outweigh the risks.

To request Lerimamed, 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 and any necessary import documentation.

Lerimamed combines an ACE inhibitor with a thiazide diuretic, offering dual mechanisms in a single tablet. Compared with monotherapy, the combination can achieve better blood‑pressure control and may simplify dosing. It differs from ARB‑diuretic combos by using an ACE inhibitor, which may cause cough but provides proven cardiovascular protection.

Store Lerimamed at room temperature, below 25 °C, in the original container to protect it from moisture and light. Keep the tablet out of reach of children and do not use if the packaging is damaged or the product appears discolored.

Lerimamed is taken orally, usually once daily or as directed by the prescriber. The tablet should be swallowed whole with a full glass of water, and it can be taken with or without food unless the doctor advises otherwise.

Serious risks include angioedema (rapid swelling of the face, lips, tongue or throat), severe dehydration or hypotension, hyperkalemia, and acute kidney injury. Patients should seek immediate medical attention if they experience swelling, difficulty breathing, sudden weakness, or a marked drop in urine output.

Lerimamed should be avoided in patients with known hypersensitivity to either component, those with severe renal impairment, hyperkalemia, or a history of angioedema related to ACE‑inhibitor therapy. It is also contraindicated during pregnancy and should be used with caution in the elderly.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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