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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Nov 10, 2024 | 7:20 PM IST
Cardace H 5 Tablet is prescribed alone or in combination with other drugs to lower the raised blood pressure. It contains Ramipril and Hydrochlorothiazide, which relaxes the blood vessels and therefore helps lower high blood pressure. Also, it works by increasing the amount of urine passed out from the kidneys. It effectively reduces excess fluid overload in the body and treats oedema (swelling) associated with heart, liver, kidney, or lung disease. This reduces the heart's workload and makes the heart more efficient at pumping blood throughout the body. Sometimes, you may experience side effects such as headaches, tiredness, slow heart rate, and nausea.
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Manufacturer/Marketer

Sanofi India Ltd

Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Jan-27

for this medicine

About Cardace H 5 Tablet

Cardace H 5 Tablet is prescribed alone or in combination with other drugs to lower the raised blood pressure. Hypertension (High blood pressure) is a condition in which the force exerted by the blood against the artery walls becomes so high that it causes health problems, such as heart disease.

Cardace H 5 Tablet contains two medicines: Ramipril (blood pressure-lowering agent) and Hydrochlorothiazide (diuretics or water pills). Ramipril is an angiotensin-converting enzyme or ACE inhibitor that lowers increased blood pressure by blocking a naturally occurring substance known as angiotensin II (that tightens your blood vessels). It allows these constricted blood vessels to relax and, therefore, helps lower high blood pressure. On the other hand, Hydrochlorothiazide (diuretic) works by increasing the amount of urine passed out from the kidneys. It effectively reduces excess fluid overload in the body and treats oedema (swelling) associated with heart, liver, kidney, or lung disease. This reduces the heart's workload and makes the heart more efficient at pumping blood throughout the body. Thus, both help lower high blood pressure and reduce the chances of heart attacks or strokes. 

You can take Cardace H 5 Tablet with a meal or after/before a meal. Your doctor will advise you on the exact dosage and how often you have to take Cardace H 5 Tablet based on your medical condition. Sometimes, you may experience headaches, tiredness, slow heart rate, and nausea. Most of these side effects of Cardace H 5 Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor. Cardace H 5 Tablet may lower your blood pressure, especially if taken with alcohol. So, avoid driving and operating heavy machinery.

Try not to stop taking this medicine of your own. You should not stop using the Cardace H 5 Tablet even if your blood pressure becomes normal. Doing so may worsen your condition. Tell your doctor if you have had or currently have liver, kidney, or heart problems. Cardace H 5 Tablet is not recommended in pregnancy and lactation. You should regularly monitor your blood pressure and heart rate. Please tell your doctor if you are taking any other medicines or are allergic to Cardace H 5 Tablet . Reducing the amount of table salt (sodium chloride) in your food often relieves the body's swelling.

Uses of Cardace H 5 Tablet

Treatment of Hypertension (high blood pressure)

Medicinal Benefits

Cardace H 5 Tablet contains Ramipril and hydrochlorothiazide. Ramipril is an angiotensin-converting enzyme (ACE) inhibitor that lowers increased blood pressure by blocking a naturally occurring substance known as angiotensin II (that tightens your blood vessels). It allows these constricted blood vessels to relax and, therefore, helps lower high blood pressure. On the other hand, Hydrochlorothiazide (diuretic) works by increasing the amount of urine passed out from the kidneys. It effectively reduces excess fluid levels in the body and treats oedema (swelling) associated with heart, liver, kidney, or lung disease. This reduces the heart's workload and makes the heart more efficient at pumping blood throughout the body. Thus, both help lower high blood pressure, reducing the chances of heart attack or stroke. However, Cardace H 5 Tablet does not cure high blood pressure (hypertension) but does help control it. In addition to this, Cardace H 5 Tablet also reduces the physical effects of anxiety.

Directions for Use

Swallow Cardace H 5 Tablet as a whole with water; do not crush, break or chew it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Cardace H 5 Tablet

  • Feeling dizzy or lightheaded
  • Headache
  • Diarrhoea
  • Being sick
  • Mild skin rash
  • Blurred vision
  • Hypotension
  • Nausea (feeling sick)

Drug Warnings

Cardace H 5 Tablet should not be given to the people allergic to Cardace H 5 Tablet , have low blood pressure (less than 90 mm of Hg), have had a heart attack, diabetes, kidney disease, liver disease, are pregnant women, or planning to get pregnant and breastfeeding women. Cardace H 5 Tablet may alter your blood sugar level, so tell your doctor about this before using Cardace H 5 Tablet . Besides this, it is contraindicated in low blood pressure (hypotension), cardiogenic shock (sudden stopping of blood flow to the heart), anuria (patients with nil urine output), and aortic stenosis (heart valve problem). Cardace H 5 Tablet can pass into breast milk, but its effect on the baby is unknown. So, it is better to tell your doctor if you take Cardace H 5 Tablet and breastfeeding. Do not consume alcohol with Cardace H 5 Tablet as it may increase the risk of low blood pressure. Avoid potassium supplements with Cardace H 5 Tablet as they may lead to high potassium levels in the blood. Regular blood tests and blood pressure monitoring are recommended while taking Cardace H 5 Tablet . Drink a lot of fluids as Cardace H 5 Tablet can cause dehydration, so to avoid unpleasant side effects, increase the intake of fluids.

Drug Interactions

Drug-Drug Interactions: Cardace H 5 Tablet may interact with other diuretics, blood pressure-lowering drugs (aliskiren, metoprolol, sacubitril, sacuatorvastatin), anti-epilepsy medicines (carbamazepine, phenobarbital), anti-depression medicines (lithium), immune-suppressing drugs (cyclosporine), anti-diabetic drugs (metformin) and painkillers (ibuprofen, aspirin), anti-gout drugs (allopurinol), pain killers (diclofenac, ibuprofen), potassium supplements, birth control pills (drospirenone),  immune system affecting drugs (everolimus, sirolimus) etc. If you are taking any of the above, speak with your doctor.

Drug-Food Interactions: You are recommended not to consume alcohol along with Cardace H 5 Tablet to avoid unpleasant side effects.

Drug-Disease Interactions: Cardace H 5 Tablet should not be given to people with cardiogenic shock (when the heart fails to pump required blood to the body), heart valve problem (stenosis), low blood pressure (hypotension), coronary heart disease, liver disease, or heart failure, gout, sensitive skin to sunlight, low serum potassium (hypokalemia), patients with nil urine output (anuria), etc.

Drug-Drug Interactions Checker List

  • ATORVASTATIN
  • METOPROLOL
  • CARBAMAZEPINE
  • PHENOBARBITAL
  • LITHIUM
  • METFORMIN
  • DICLOFENAC
  • ALLOPURINOL
  • ASPIRIN
  • TACROLIMUS
  • DROSPIRENONE+ETHINYLESTRADIOL
  • DIAZOXIDE
  • PRAZOSIN

Habit Forming

No

Diet & Lifestyle Advise

  • Keep your weight under control with a body mass index (BMI) of 19.5-24.9.

  • Do regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week. Doing this can help lower your raised blood pressure by about 5 mm Hg.

  • Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.

  • Limit sodium chloride (table salt) intake in your daily diet to 2300 mg per day or less than 1500 mg is ideal for most adults.

  • If you are taking alcohol, then only one serving for women and two servings is advisable.

  • Quitting smoking is the best strategy to lower the risk of heart disease.

  • Avoid chronic stress as it can raise your blood pressure. Try to enjoy and spend time with your loved ones to cope with stress and practice mindfulness techniques.

  • Monitor your blood pressure daily and if there is too much fluctuation, immediately contact your doctor.

  • Including heart-healthy omega-3 fatty acid acid-containing foods in your daily diet.

  • Use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil to lower your elevated blood pressure.

Special Advise

  • Diagnostic tests like complete blood count (CBC), blood sodium and potassium levels, kidney function, and liver function should be closely monitored while taking treatment with Cardace H 5 Tablet to check for side effects and treatment progress.

Disease/Condition Glossary

Blood pressure is the measurement of the force our heart uses to pump blood to all body parts. Hypertension is a chronic condition when blood pressure is too high. This condition can lead to hardened arteries (blood vessels), decreasing the blood and oxygen flow to the heart. High blood pressure (hypertension) can cause chest pain (angina), heart attack (when blood supply to the heart is blocked), brain damage (stroke), and kidney failure. High blood pressure can be diagnosed with the help of a blood pressure monitor or sphygmomanometer. Systolic pressure is the pressure when the heart pumps blood out. On the other hand, diastolic pressure is when your heart is at the resting stage between heartbeats. If your blood pressure is 140/90 mm of Hg, it means the systolic pressure is 140 mm of Hg, and diastolic pressure is 90 mm of Hg. Ideal blood pressure should be between 90/60 mm of Hg and 120/80 mm of Hg.

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Alcohol

Unsafe

Cardace H 5 Tablet may enhance the hypotensive (low blood pressure) effect if alcohol is taken along with. For better advice, you should consult your doctor about whether you can take Cardace H 5 Tablet with alcohol.

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Pregnancy

Unsafe

The use of Cardace H 5 Tablet or any ACE inhibitors (Ramipril) is usually contraindicated during the second and third trimester of pregnancy. It may cause harm to the developing fetus. Hence, you should always consult your doctor before using Cardace H 5 Tablet .

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Breast Feeding

Caution

Use of Cardace H 5 Tablet is not recommended during the breastfeeding stage.

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Driving

Unsafe

Drive with caution, Cardace H 5 Tablet may cause blurry vision, and dizziness or weariness may occur.

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Liver

Caution

Rare elevation in the liver enzymes (like bilirubin) has been observed while taking Cardace H 5 Tablet , so it must be taken with caution. If you have a history of liver diseases/conditions, the dose may have to be adjusted by your doctor.

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Kidney

Caution

Cardace H 5 Tablet to be taken with caution, especially in case of severe kidney disease. The dose may have to be adjusted by your doctor. Cardace H 5 Tablet should be given with precaution in hemodialysis condition.

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Children

Caution

Cardace H 5 Tablet is not recommended for children. The safety and effectiveness of Cardace H 5 Tablet have not been established in children due to limited testing of this drug on children by competent authorities worldwide. If necessary, your doctor will decide whether to give Cardace H 5 Tablet or not.

Country of origin

INDIA

Manufacturer/Marketer address

CT Survey No.117-B, L&T Business Park, Saki Vihar Road, Powai, Mumbai 400072.
Other Info - CAR0060

Author Details

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FAQs

Cardace H 5 Tablet is used to treat Hypertension (High blood pressure).
Usually, Cardace H 5 Tablet is prescribed for a long-term treatment ranging from weeks to months or for life long also for treating lowering raised blood pressure, swelling due to fluid overload (oedema) and heart-related conditions. However, taking it on your own for years without a doctor's consent can be fatal. Hence, only take it as long as your doctor prescribes it.
Yes, Cardace H 5 Tablet can cause dizziness. It is advised to avoid driving or operating any heavy machinery while taking Cardace H 5 Tablet . In case you feel dizzy or lightheaded, it is recommended to rest for some time until you feel better.
It is advised to continue your medicine even after your blood pressure is under control or becomes normal, as blood pressure can shoot up at any time. If you have any discomfort, please consult your doctor immediately.
If you forget to take Cardace H 5 Tablet at any time, take it as soon as you remember, then continue to take it at the usual times. Do not take a double dose to make up for a forgotten dose.
No, it is a prescribed drug given by a physician to prevent specific medical conditions. Taking it on your own can cause unwanted side effects.
Yes, in some cases, Cardace H 5 Tablet may affect your serum potassium level, so consult your doctor before using potassium supplements or its salt substitutes.
Cardace H 5 Tablet should not be used if you have a history of a serious allergic reaction, including swelling of the face/lips/tongue/throat (angioedema) and an inability to make urine. Besides this, if you are using alcohol or recreational drugs, do not do hazardous work like driving a motor vehicle or operating heavy machinery. Before going outdoor in the sun, try to wear sunscreen (SPF) and avoid sunlamps and tanning booths as prolonged intake of Cardace H 5 Tablet may cause your skin to be sensitive to the sunlight.
Yes, if you have diabetes, Cardace H 5 Tablet may change your blood sugar level, so check your blood sugar regularly as directed. Tell your doctor if you have high blood sugar (hyperglycemia) symptoms like increased thirst/urination or signs of low blood sugar (hypoglycemia) such as sudden sweating, shaking, fast heartbeat, hunger, blurred vision, dizziness, or tingling hands/feet. Your doctor might adjust your dose of Cardace H 5 Tablet .
Cardace H 5 Tablet contains Ramipril (blood pressure-lowering agent) and Hydrochlorothiazide (diuretics or water pills). Ramipril is an angiotensin-converting enzyme or ACE inhibitor that lowers increased blood pressure by blocking a naturally occurring substance known as angiotensin II (that tightens your blood vessels). It allows these constricted blood vessels to relax and, therefore, helps lower high blood pressure. On the other hand, Hydrochlorothiazide works by increasing the amount of urine passed out from the kidneys. It effectively reduces excess fluid overload in the body and treats oedema (swelling) associated with heart, liver, kidney, or lung disease. This reduces the heart's workload and makes the heart more efficient at pumping blood throughout the body. Thus, both help lower high blood pressure and reduce the chances of heart attacks or strokes. 
The common side effects of Cardace H 5 Tablet include headaches, tiredness, slow heart rate, and nausea. Most of these side effects gradually resolve over time; however, if they persist, please inform your doctor.
No, you should not stop treatment with Cardace H 5 Tablet even if you feel an improvement in your symptoms because high blood pressure often has no symptoms and can shoot up at any time. Continue taking it for as long as it has been advised by your doctor.
Yes, you can take Cardace H 5 Tablet every day if advised by the doctor. Just make sure to follow your doctor’s instructions regarding how long to use it. Taking it for years on your own without your doctor’s approval could be fatal.

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