关于拉米普利的常见问题

Ramipril is a type of medicine called an angiotensin-converting enzyme (ACE) inhibitor.

像其他ACE抑制剂一样，Ramipril放松并扩大您的血管。这会降低您的血压，使您的心脏更容易在身体周围抽血。

如果您要参加Ramiprilhigh blood pressure or after a心脏病发作，您可能没有任何症状。在这些情况下，当您服用Ramipril时，您可能没有任何不同。这并不意味着药物不起作用。继续服用很重要。

Ramipril starts to work within a few hours to reduce high blood pressure, but it may take a few weeks for full effect.

如果您要参加Ramiprilheart failure, it may take weeks, even months, before you feel better.

拉米普利通常很长时间以来安全。实际上，当您服用很长时间时，它最有效。

但是，长时间服用雷米普利有时会导致肾脏无法正常工作。您的医生会检查肾脏的定期血液检查如何。

如果您想停止去拉米普利，请与您的医生交谈。

Stopping ramipril may cause your blood pressure to rise. This may increase your risk of heart attack and stroke.

If you're bothered by side effects, your doctor may be able to prescribe you a different medicine.

Even if ramipril has successfully lowered your blood pressure, it's best to carry on taking it.

如果您停止服用Ramipril，您的血压可能会再次升高。

如果您需要降低血压的药物，则可能需要将它们终生服用。

Remember, by keeping your blood pressure low, you're protecting yourself against having a心脏病发作或者中风在将来。

There are several other angiotensin-converting enzyme (ACE) inhibitor medicines that work in the same way as ramipril. They include依那普利,lisinopril和perindopril.

There are also lots of other types of medicines that lower your blood pressure:

• calcium channel blockers likeamlodipine
• 血管紧张素受体阻滞剂（ARB）喜欢candesartan
• beta blockers喜欢Bisoproll
• medicines that make you pee more (diuretics) likebendroflumethiazide

如果由于副作用（例如干咳嗽），您无法服用Ramipril或其他ACE抑制剂药物，则可以改用另一种药物来降低血压。

This will usually be a medicine called an angiotensin receptor blocker, such ascandesartan,irbesartan,losartan或者valsartan.

拉米普里和其他ACE抑制剂（例如依那普利,lisinopril和perindoprilwhen you take it to lower blood pressure and for heart failure. The side effects are also similar to those of other ACE inhibitors.

There are a few differences between ramipril and other ACE inhibitors.

Ramipril is officially approved to be used for reducing the risk of having a heart attack or stroke, but other ACE inhibitors may not be.

它还被批准用于减少或延迟肾脏问题，但其他ACE抑制剂可能没有。

Tell your doctor that you're taking ramipril if you're going to be put to sleep for an operation or are going to have a major operation, such as a caesarean section, without a general anaesthetic.

Ramipril can reduce your blood pressure when it's used with ageneral anaesthetic.

您的医生可能建议您在手术前24小时停止服用。

不，没有证据表明雷米普利上瘾。

Ramipril will not affect any type of contraception.

But some types of hormonal methods of contraception, such as thecombined pill和contraceptive patch, are not usually recommended if you have high blood pressure.

如果您要服用或使用组合的荷尔蒙避孕药，请与您的医生交谈。

If ramipril makes you sick (vomit) or have severe diarrhoea for more than 24 hours, your contraceptive pills may not protect you from pregnancy. Look on the pill packet to find out what to do.

阅读有关您在服用药丸并且生病或腹泻时该怎么做的更多信息

Ramipril can cause blurred vision and make some people feel dizzy, especially when they first start taking it or after taking a bigger dose.

如果发生这种情况，请不要驾驶汽车，骑自行车或使用工具或机械。

If you’ve had a中风或者a心脏病发作那可能对您开车可能不安全。

如果您的安全驾驶能力受到影响，则驾驶汽车是一种冒犯。决定是否安全开车是您的责任。如果您有任何疑问，请不要开车。

如果您不确定在服用Ramipril时开车是否安全，请与您的医生或药剂师交谈。

Find out more about the law on driving:

• GOV.UK – medical conditions, disability and driving
• gov.uk - 毒品和驾驶：法律

Drinking alcohol can increase the effect of ramipril, so that it lowers your blood pressure too much, which can make you feel dizzy or lightheaded.

During the first few days of taking ramipril or after your dose increases, it's best to stop drinking alcohol until you see how the medicine affects you.

如果您发现Ramipril会让您感到头晕，最好停止喝酒。

Do not use salt substitutes such as Lo-Salt. This is because they're high in potassium. When mixed with ramipril, they may make the level of potassium in your blood too high.

The are no other foods or drinks you need to avoid while taking ramipril.

Eating well can help if you have high blood pressure or heart failure.

您可以通过改变一些关键的生活方式来增强心脏的健康。

These will also help if you havehigh blood pressure或者heart failure.

• Quit smoking- 吸烟会增加您的心率和血压。戒烟会减轻您的血压并缓解心力衰竭症状。尽量避免二手烟。
• 减少酒精- 随着时间的推移，喝过多的酒精会升高血压。这也使心力衰竭更糟。尝试遵守每周不超过14个单位酒精的推荐准则。一杯标准的葡萄酒（175毫升）为2个单位。一品脱的啤酒通常是2至3个单位的酒精。
• Exercise– regular exercise lowers blood pressure by keeping your heart and blood vessels in good condition. It does not need to be too energetic – walking every day will help.
• 18luck fyi- 旨在吃包括大量水果和蔬菜，全麦，无脂或低脂乳制品和瘦蛋白质的饮食。遵循这些是个好主意tips for a lower salt diet, too. Eating too much salt is the biggest cause of high blood pressure. The more salt you eat, the higher your blood pressure will be. Aim for no more than 6g of salt a day.
• Deal withstress– when you're anxious or upset, your heart beats faster, you breathe more heavily and your blood pressure often goes up. This can make heart failure worse, too. Find ways to reduce stress in your life. To give your heart a rest, try napping or putting your feet up when possible. Spend time with friends and family to be social and help avoid stress.
• Vaccinations– if you have heart failure, it's recommended that you have a流感疫苗每年和肺炎疫苗接种（也称为pneumococcal vaccine）一次。向您的医生询问这些疫苗。您可以在NHS上免费提供它们。冠状病毒（COVID-19）疫苗接种is recommended for most people. Make sure you've had all the doses that you are eligible for. Talk to your doctor if you think you might be in one of the at risk groups.