He aha ka ʻokoʻa ma waena o Ramipril a me nā kuʻikepili, he aha ka ʻōlelo a nā loiloi e ʻōlelo ai a pehea e hoʻohana ai e like me nā ʻōlelo kuhikuhi?

ʻO ka poli protein Plasma no ka ramipril he 73%, ʻo 56% ʻo ramiprilat. Bioavailability ma hope o ke ka waha waha he 2.5-5 mg o ramipril he 15-28%, no ramiprilat - 45%. Ma hope o ka lawe ʻana i ka hipa ramipril i kēlā me kēia lā ma kahi o 5 mg / lā, ka hoʻokele mau ʻana i ka plasma ramiprilate pae paʻa i ka lā 4.
T1 / 2 no ramipril - 5.1 h, ma ka māhele a me ka hoʻohemo ʻana, kahi emi ʻana o ka manaʻo o ka ramiprilat i loko o ka serum koko e loaʻa ana me T1 / 2 - 3 h, a laila heʻano hoʻololi me T1 / 2 - 15 h e ukali, a me kahi lōʻihi lōʻihi me ka haʻahaʻa haʻahaʻa ramiprilat i plasma a me T1 / 2 - 4-5 mau lā. Hoʻonui ka T1 / 2 i ka heʻe ʻole o ka renal hina ʻole. Vd ramipril - 90 l, ramiprilata - 500 l. ʻO 60% ka mea i hoʻopiʻi ʻia e nā keiki, 40% ma waena o nā mea kani (ʻoi aku ka nui o nā metabolites). Ma ka hana o ka hana renal impaired, hoʻonui ka paʻakela o ka ramipril a me nā metabolites i ka uku i ka emi ʻana o CC, inā i ka hana o ka puʻuwai maʻi, ʻo ka huli ʻana i ka ramiprilat e haʻahaʻa, a me ka puʻuwai puʻuwai, piʻi nui ka manaʻo o ka ramiprilat e 1.5-1.8 mau manawa.

Nā hōʻailona no ka hoʻohana ʻana:
Nā hōʻailona no ka hoʻohanaʻana i ka lāʻau lapaʻau ʻO Ramipril ka: hypertension, chronic heart failed, heart failed that develop in the first days after the myocardial infarction, diabetic and nondiabetic nephropathy, he hōʻemi ka hopena o ka myocardial infarction, stroke a me ka maʻi cardiovascular ma ka maʻi me nā mea maʻi o ka cardiovascular kiʻekiʻe, me nā mea maʻi me ka maʻi ʻeha coronary i hoʻopaʻa ʻia (me a ʻole a ka moʻaukala o ka hōʻeha ʻana i ka puʻuwai,) nā mea maʻi e hana ana i ka ʻonopala konumalile e noho ana ʻo percutanious. ia moʻolelo, a ma nā mea maʻi me kaʻike ākea arterial occlusive maʻi.

Ke ʻano o ka noi

Nā Palaki ʻO Ramipril lawe ʻia ma ke poʻo, me ke hypertension - ka maʻa mua - 2,5 mg hoʻokahi manawa i ka lā, me ka lāʻau lōʻihi - 2.5-20 mg / lā ma 1-2 mau wā. Me ka hikiʻole o ka puʻuwai ma ka wā post-infarction, ma kahi pākaukau o 2.5 mg 2 mau manawa i ka lā, i ka hihia o ka pilikia - 5 mg 2 mau manawa i kahi lā, me ka maʻi hypotension a kūʻē paha i ke kāʻina o ka diuretics - 1.25 mg 2 mau manawa i ka lā. In renal failed (glomerular filtration emi ma lalo o 40 ml / min a me ka pae creatinine ma mua o 0.22 mmol / l), ʻo ka hopena mua loa he 1/4 o ka paʻama maʻamau me ka hoʻonui pinepine ʻana i ka 5 mg / lā (ʻaʻole hou).

Nā hopena hopena

Mai ka pūnaehana cardiovascular: hypotension arterial, jarang - ʻeha ʻeha, tachycardia.
Mai ka ʻaoʻao o ka pūnaehana loko ma waena: nā dizzness, nawaliwali, hōʻeha, hōʻeha - nā pilikia hiamoe, nā mohena.
Mai ka pūnaehana hana ʻana: nāwaliwali, constipation, ka nalo ʻana o ka momona, ʻokoʻa - ka stomatitis, ka ʻōpū o ka ʻōpū, ka pancreatitis, ka maʻi palepa.
Mai ka papa hana hanu: mū maloʻo, bronchitis, sinusitis.
Mai ka urinary system: jarang - proteinuria, he nui hoʻi o ka neʻe ʻana o ka creatinine a me Urea i loko o ke koko (ka mea nui i nā mea maʻi me ka hana o ka renal impaired).
Mai ka pūnaehana hemopoietic: luhi - neutropenia, agranulocytosis, thrombocytopenia, anemia.
Ma ka ʻaoʻao o nā hōʻailona o ka laboratorium: hypokalemia, hyponatremia.
Nā maʻi kūloko: nā ana ka ʻili, ka angioedema a me nā hopena hypersensitivity ʻē aʻe.
ʻO nā mea'ē aʻe: hiki i nā mea pinepine - ke wuhina o ka naʻau, ka hemahema, ka alopecia.

Nā Hoʻohui

Nā maʻi hoʻohālikelike i ka hoʻohana ʻana i ka lāʻau ʻO Ramipril ka: renal renal a me ka hepatic dysfunction, bilateral renal aren stenosis a stenosis o hoʻokahi ʻōpala keiki hoʻokahi, ka maʻi ma hope o ka hoʻololi ʻana i ka maʻi, hyperaldosteronism nui, hyperkalemia, stenosis o ka orifice aortic, hapai, lactation (ʻōpū o ke keiki), keiki a me nā ʻōpio ma lalo o 18 makahiki, he nui ka hoʻowali ʻana i ka ramipril a me nā mea ʻē aʻe o ka ACE inhibitors.

Hoʻopili pū me nā lāʻau ʻē aʻe

Me ka hana like o ka diuretics potassium-sparing (me ka spironolactone, triamteren, amiloride), mākaukau paʻakai, nā paʻakai paʻakai a me nā meaʻono o ka meaʻai no ka ʻai, hiki i ka hyperkalemia hoʻomohala (ʻoiai i nā mea maʻi me ka hana pūpū i ʻole ke ahonui), no ka mea, Hoʻopili ka ACE inhibitors i nā mea e pili ana i ka aldoster, kahi e hiki ai ke lohi i ka paʻakai i loko o ke kino e kū'ē i ke kua o ka palena o ka paʻakai o ka paʻakai a i ʻole kāna kau hou.
Me ka hoʻohana like ʻana me NSAIDs, hiki ke hoʻemi i ka hopena antihypertensive o ka ramipril, hana kīnā ʻole o ka maʻi.
Me ka hana like me ka loop a i ʻole ka thiazide diuretics, hoʻonui ʻia ka hopena antihypertensive. ʻO ka hypotension arterial koʻikoʻi, ʻoi aku ma hope o ka lawe ʻana i ka hapa mua o kahi diuretic, ʻike ʻia i ka maʻi o ka hypovolemia, ka mea e alakaʻi ai i ka hoʻonui hou ʻana i ka hopena hypotensive o ramipril. Aia ka ʻokoʻa o ka hypokalemia. ʻO ka hoʻonui iki aʻe o ka hana renal i hana i ka pale.
Me ka hoʻohana pū ʻana me nā mea hoʻohana e loaʻa ai ka hopena hypotensive, hiki ke hoʻonui ʻia i ka hopena hypotensive.
Me ka hoʻohana pū ʻana me ka immunosuppressants, cystostatics, allopurinol, procainamide, hiki ke loaʻa ka nui aʻe o ka ulu ʻana o ka leukopenia.
Me ka hoʻohana pū ʻana o ka insulin, nā mālamalama hypoglycemic, sulfonylureas, metformin, hypoglycemia e ulu.
Me ka hoʻohana pū ʻana me ka allopurinol, cystostatics, immunosuppressants, procainamide, hiki ke hoʻonui ʻia ka nui o ka hoʻomohala ʻana i ka leukopenia.
I ka hoʻohana pū ʻana me ka lithium carbonate, hiki ke hoʻonui ʻia i loko o ka manaʻo lithium lithium.

Ke keu

Nā hōʻailona o kahi overdose o ka lāʻau ʻO Ramipril: hypotension arterial maʻi, pilikia cerebrovascular, angioedema, myocardial infarction, hoʻopiʻi thromboembolic.
Hoʻomaʻamaʻa: hōʻemi i ka hoʻoneʻe ʻana a hōʻemi paha i ka lāʻau lapaʻau, hoʻopau loa i ka palaka, hoʻoneʻe i ka mea maʻi i kahi kūlana, e lawe ana i nā hana e hoʻonui ai i ka BCC (ʻo ka lawelawe ʻana i ka sioteonic isiumonic solution, hiki ke hoʻokaʻa i nā wai ke hoʻololi i ke koko), nā hana hōʻailona: epinephrine (s / c a i ʻole iv). hydrocortisone (iv), antihistamines.

Ramipril - waiwai waiwai

E hoʻoholo ka hopena i ka waiwai hana i ka hoʻonohonoho ʻana. Hana nā papa lāʻau Ramipril ma muli o ka mea nui - ramipril.

Papa 1. ʻO ka mea ikaika o Ramipril a me nā hopena i loaʻa iā ia.

No ke aha e hoʻomoʻi ai nā peni me nā ramipril?

Ua hoʻokumu ka lāʻau lapaʻau ʻo Ramipril iā ia iho he lāʻau lapaʻau kiʻekiʻe kiʻekiʻe a me ka maikaʻi. I keʻano kūikawā, ua hoʻohana kūleʻa ʻia ka lāʻau lapaʻau no:

1. He koko koko nui. Mea hana, e like me nā ʻōkuhi, i kuhikuhi ʻia e hoʻokō i nā pahuhopu o ka systolic a me ka diastolic pressure.
2. Therapy o kekahi mau o nā puʻuwai cardiac. Pehea e lawe ai i nā papa Ramipril, ma ka mea a me ka mea e pane pololei ai ia i ka maʻi.
3. Ke mālama nei i ka pale ʻana o nā maʻi o ka puʻuwai a me nā kīʻaha koko me ka ʻike ʻana i nā pōpilikia.
4. ʻO ka pale ʻana i ka make ma muli o nā kumu cardiovascular.

E hoʻokuʻu i ke ʻano a me ka ʻano

Loaʻa ka hāmeʻa ma ka kumu o ka waihona hana like. I ke kūlike, ka helu ʻana ʻana a me ke ola lōʻihi i nā mea hou aku.

E like me nā kauoha no ka hoʻohana ʻana, ka nui o ka lāʻau Ramipril:

1. Lactose manuahi. ʻOi ʻia ka mea waiwai me ke kōpaʻa waiū. Hoʻohana ʻia e like me kahi hoʻopiha o ka papa ma nā hoʻomākaukau ʻaina papa, he kumu ia e hoʻonui ʻia ai ka ikehu.
2. ʻO Povidone. Hōʻike i nā enterosorbents, e hoʻolaha i ka hoʻokuʻu o ka mea hana.
3. Hewa Hoʻohana ʻia ma ke ʻano o ka pauna microcrystalline, e hiki ai i ka papa ke mālama i kona ʻano.
4. Stearic acid. Ka waikaʻa momona, emulsifier a me stabilizer.
5. Kūʻaiole. Hoʻonui i ka hoʻokuʻu a me ka hoʻoiho o ka mea ikaika.
6. ʻO ka sodium bicarbonate. ʻIke ʻia he pēpē palaoa, he paʻa ia.

Loaʻa ka Ramipril (puka puka - nā papa wale nō) i loko o kēia mau helu:

1. 2,5 mg ʻO nā papa keʻokeʻo / kokoke i ke keʻokeʻo, i hoʻopili ʻia i nā blisters a me kahi pahu pahu. Ma kēlā, 10, 14 a 28 paha mau ʻāpana.
2. Ramipril 5 mg. Iā nā keʻokeʻo / keʻokeʻo-hina, nā mea ʻole ʻole. I nā ʻili 10/14/28. Kūpono ʻia nā kāmele ma kahi pahu pepa. Aia i kēlā me kēia pā ka ʻōlelo kuhikuhi no ka hoʻohana ʻana.
3. Ramipril 10 mg. Loaʻa iā lākou ke keʻokeʻo a / ʻokeʻokeʻo keʻokeʻo, ʻaʻole i panipala. Aia nā papa i nā poli no 10/14/28 ʻāpana. Kahi i ka pahu pahu a me nā ʻōlelo aʻoaʻo no ka hoʻohana ʻana.

ʻO Ramipril, ka ʻōlelo a ka mea i hoʻoholo ʻia e kekahi loea, he laʻana.

ʻO Ramipril-sz

ʻO Ramipril-SZ a me Ramipril he mau hoʻopālike. Ke aʻo ʻana i nā ʻōkuhi no ka hoʻohana ʻana i nā lāʻau ʻelua, hiki iā mākou ke manaʻo a he like ka hui ʻana a me ka hopena like nō.

Maikaʻi ka loiloi maʻi maʻi. Ma kahi kikoʻī:

1. ʻO ka pāʻai mai Ramipril ka hopena o ka wikiwiki. Wahi a nā kuhikuhi no ka hoʻohana ʻana, ma hope o 15 mau minuke, hoʻomaka ke ʻano o ka mea maʻi.
2. ʻO ka hopena lōʻihi. Noho nā pahu no nā hola 12-24.
3. Ke kuhikuhi nei i kahi papa, aia ka hoʻomaikaʻi ma ke olakino holoʻokoʻa a me ka maikaʻi o ke ola.
4. Loaʻa nā hopena ʻaoʻao a loaʻa i kahi palapala ʻoluʻolu.

Kahi mea huahana ʻē aʻe i hoʻokuʻu ʻia ma lalo o kahi inoa kālepa ʻē aʻe. ʻO Pyramil a me Ramipril, ka ʻano like o nā meaʻokoʻa wale nō i nā mea kōkua o ke kōkua. Ke hōʻike nei ka lāʻau lapaʻau i nā hopena maikaʻi ma ka mālama ʻana i ka maʻi hypertension. Ke kauoha ʻia aku nei no:

• nā ʻano ʻano like me ka maʻi puʻuwai ischemic,
• Hoʻopau ʻole ka puʻuwai,
• nephropathy i kumu ʻia e ka maʻi maʻi,
• me nā ala vascular (stroke, maʻi),
• no ka pale ana i kekahi mau olelo a me ka make mai o lakou aku.

ʻO nā ʻike kikoʻī e pili ana i ka mea ʻo Pyramil, pehea e lawe pololei ai, a ma ia mau hihia ua pāpā ʻia, loaʻa nā ʻōlelo pili no ka hoʻohana.

ʻO kahi lāʻau lapaʻau maikaʻi i mālama i nā kūlana pathological he nui. Loaʻa ia ia kahi hopena like a me ka mea pili kokoke. Wahi a ka noiʻi i hana ʻia i ka 1990, ʻoi aku ka maikaʻi o ke kaomi ma mua o nā lāʻau he nui (e.g., enalapril). Loaʻa i nā meaʻino nui o Hartil kona kumukūʻai. I ka awelika, ʻo ka lāʻau lapaʻau e kūʻai aku i nā manawa he 3-4 ma mua o Ramipril (mau hōʻailona no ka hoʻohana ʻana i nā kālā he kūlike). Lele:

• nā wahine e hoʻolālā ana i kahi hāpai, hapai a mālama paha paha.
• na keiki a me na opio malalo o na makahiki he 18.

ʻO nā mea maʻi ma mua o 65 mau makahiki e pono e lawe iā Hartil me ka akahele. Pono ka ʻawa mua i ka ʻona ma lalo o ka nānā ʻana o kahi loea.

ʻO ia kahi lāʻau hoʻoikaika i ka lāʻau. ʻO ka hopena e hoʻopiʻi nui ʻia ma muli o ka hiki i ka pūnaehana o ka māhele diuretic - hydrochlorothiazide. Hāʻawi ka mea waiwai i ka hoʻohaʻahaʻa i ke koko me ka piʻi iki o ka diuresis.

Wahi a nā ʻōlelo kuhikuhi no ka hoʻohana ʻana, e inu ʻia ka lāʻau lapaʻau no nā mea maʻi i pale ʻia i ka lālani inhibitor ACE. No ka hoʻokō ʻana i kahi hopena ʻike nui, kauoha ʻia kahi papa hana ʻo Hartila-D.

ʻO ka mea nāna e hana i ka lāʻau kūlohelohe?

Nui nā huahana e hana ana i kahi lāʻau lapaʻau me kahi ʻano like, akā ma lalo o nā inoa like ʻole. ʻO Ramipril kahi lāʻau lapaʻau mua i hana ʻia ma Rusia. ʻO kahi ʻo kahi mea kūʻai huahana Tatkhimpharmpreparaty aia ma Kazan a ua holo no ka 85 makahiki. Hoʻohui ka hui i nā 100 o nā ʻano lāʻau lapaʻau a hōʻoia i ka palekana o ka huahana. Ma ka pūnaewele o ka hui hiki iā ʻoe ke loaʻa nā ʻōlelo aʻo piha no ka hoʻohana ʻana.

Nā hōʻailona no ka hoʻohana ʻana

ʻO Ramipril ka lāʻau lapaʻau, nā ʻōlelo e pili ana i ka hoʻohana no ka piha o kahi papa inoa o nā hōʻike, i kuhikuhi ʻia ma hope o ka hoʻokau a me ka maʻi. A kuhikuhi ʻia ke hāmeʻa no:

1. He maʻi haole. Kōkua ʻo Ramipril i ka hoʻemi ʻana i ka pilikia ma ke ʻano maʻamau o ka maʻi, i kū i kahi kaʻawale mai nā ala ʻē aʻe. Loaʻa ia i nā hopena kūpono no ka hypertension pae kino ma o nā pilikia o ka ʻōnaehana hoʻoponopono.
2. Hoʻopau ʻole nā ​​puʻuwai naʻau. Hoʻohana ʻia ia e like me kahi mahele o kahi ʻano hui.
3. ʻO ka maʻi ʻeha Coronary, ʻoiai ma hope o ka neʻe ʻana i ka myocardial infarction.
4. Ke hana nei i ka maʻi ma nā maʻi i pakele i nā hōʻola vascular (bypass surgery, angioplasty, etc.).
5. ʻO ka poʻe maʻi e loaʻa ana i ka palaka vascular, a me ka mōʻaukala o ke ahulau.
6. Ke mālama nei i ka mālama ʻana o nā pilikia o nā kīʻaha koko a me ka puʻuwai, e pale aku ai i ka make.
7. ʻO ka maʻi hānai.

ʻO ka mea e hoʻoholo ai i ke koko o ke kanaka

Nā ʻōkuhi no ka hoʻohana

Ma mua o ka lawe ʻana i ka lāʻau lapaʻau, pono ʻoe e familiarize iā ʻoe iho me nā ʻōlelo a ka mea hana hana. Aia nā ʻōlelo i hoʻohana ʻia i kahi papa inoa o nā kumu e pāpā ai i ka hoʻohana ʻana i ka lāʻau lapaʻau. Kaulana:

1. ʻO nā maʻi ʻōnaehana e pili ana i ka hoʻopili pili (lupus erythematosus, scleroderma).
2. Ka hoʻomanawanui ʻole o nā kūloko i nā ʻāpana, ʻo ia hoʻi me ka paʻa o ka lactose impaired.
3. ʻO ka edema Diagnosed a Quincke edema paha ka mea i hiki ma mua o ka lawe kālā ʻana e pili ana i ka ramipril.
4. Maʻi maʻi hypotonic.
5. Hoʻopiʻi ka naʻau ʻaʻai a me ka hana ʻana paha.
6. Stenosis o hoʻokahi / ʻelua mau ākau mokulele, hoʻomaʻamaʻa ʻōiwi hoʻololi i ka maʻi.
7. Hōʻea ka puʻuwai naʻau decompensated.
8. Hoʻohui nui o nā syntd.
9. Hoʻohana ma ka mea maʻi me ka maʻi maʻi e loaʻa ana i ka aliskeren a me nā mea ʻē aʻe.

Hāʻawi ʻia ka papa inoa holoʻokoʻa i nā ʻōlelo kuhikuhi no ka hoʻohana. Mai poina e heluhelu i ka annotation ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau.

Aia ka nui o ka lāʻau i ka maʻi o kēia manawa.

Palani 2. Nā helu hoʻohālike o Ramipril no nā maʻi like ʻole.

Wahi a nā noiʻi hope loa i nā kauoha no ka hoʻohana ʻana, pono e hoʻomaka ka lāʻau lapaʻau i ka inu me 1.25 mg i kēlā me kēia lā. Eia nō naʻe, ʻo ka hoʻoholo ma ka maʻi maʻi e hana ʻia e ke kauka. Hōʻike ʻia nā regimens i hōʻike ʻia i loko o ka helu.

Hoʻolaha ka waipuna

ʻAʻole pono e hoʻohui pū ʻia ka lāʻau me ka waiʻona no kekahi mau kumu:

1. Ke alakaʻi nei ka aloli i ka hopena hopena o ka lāʻau lapaʻau. ʻO ka hoʻohaʻahaʻa nui o ke koko hiki ke hōʻeha i nā hoʻopiʻi koʻikoʻi a iʻole paha e make i ka mea maʻi.
2. Hoʻopili i nā mea hoʻonā. ʻO ka lāʻau a me ka ethanol e hoʻonāukiuki i ke kino, e ʻoi aku ka nui o ka pale a alakaʻi i nā pilikia like ʻole.

Nā hōʻike hōʻike no ka poʻe maʻi e lawe i ka lāʻau lapaʻau no ka manaʻo kaumaha

ʻAʻole pono ka manaʻo o nā mea hoʻohana ma ka Pūnaewele ke kumu nui no ka loiloi ʻana i ka lāʻau. He koho kūʻokoʻa ka koho o ka lāʻau. Hoʻolako ʻia ʻo Ramipril, nā loiloi o ka pili ʻana o ka ʻikepili hakakā ʻana no ka:

• ka wikiwiki o ka hana
• hopena lōʻihi
• ka hopena o hoʻokahi ʻōhua,
• ke kumu kūʻai
• ka manawa kūpono e kūʻai aku ma kekahi kīleʻa.

Ua hōʻike kekahi mau maʻi ʻē aʻe i ka hopena i loaʻa ka hopena i makemake ʻia ma hope o ka hoʻokele ʻana a i ʻole alualu i nā hopena ʻaoʻao. Hoʻopiʻi pinepine ka poʻe ma ka:

• uō ʻeha
• ka pili ʻana o ka maikaʻi o ka moekolohe ʻana,
• hoʻonui hoʻonui ʻia.

Nā Hana Lūkini

Hoʻopili ʻia ʻo Ramipril (ʻeke i ka Latin - Tab. Ramiprili) e nā lehulehu. Kēia decryption kahi e hiki ai iā ʻoe ke wehewehe i ka like me ka mea ma lalo o nā inoa kālepa ʻokoʻa (synonyms). Akā naʻe, ʻaʻole kūʻai pono i ka lāʻau lapaʻau me ka ʻae ʻole o ka loea.

Nui kekahi mau lāʻau lapaʻau e like me ka hopena therapeutic like. ʻO Ramipril, nā analogues o lākou i hōʻike nui ʻia, hiki ke hoʻololi ʻia e ke kuʻikahi me kekahi kauka.

E noʻonoʻo nei iā Ramipril a me Enalapril, ʻoi aku ka maikaʻi o ka ʻōlelo paipai. He nui nā ʻokoʻa nā lāʻau lapaʻau:

1. ʻO ke ʻano waiwai. ʻO ka mea kūpono i ka mea hoʻohui o enalapril ʻo enalapril.
2. Manaʻo ʻia ʻo Enalapril he lāʻau liʻiliʻi loa, akā pili kēia manaʻo. I nā mea maʻi ʻē aʻe, ʻo ka hopena paha ka hopena.
3. Uila. ʻO Enalapril kekahi mea ʻokoʻa ma mua o ka lāʻau lapaʻau.

Lisinopril

Wahi a kahi noiʻi honua a NORA, ʻoi aku ka maikaʻi o Lisinopril ma mua o kāna hoʻohālikelike.

Ke noʻonoʻo nei iā Ramipril a me Lisinopril, ʻoi aku ka maikaʻi a me ka maikaʻi, ua hele nā ​​ʻepekema i ka hopena e hiki ai i ka lāʻau lapaʻau mua ke hoʻomaikaʻi i ka maikaʻi a me ka manaʻolana o ka mea maʻi me nā puʻuwai a me nā maʻi vascular. Ua aʻo ʻia ma ka haʻawina he 10 tausani kānaka.

Perindopril

Hōʻike ʻia ʻo Perindopril i ka hopena hypotensive nāwaliwali, ʻike maoli kēia no ka ʻoma mua. Hoʻomaopopo ʻia e koho iā ia i ka hihia o ka ukiuki o ka maʻi circulate. Hoʻohana pinepine ʻia e like me ke ʻāpana o ka hui pū ʻana me ka diuretics. ʻO ka hoʻohālikelike ʻana iā Ramipril a me Perindopril, ʻoi aku ka maikaʻi a me ka pono, ʻo ka hapanui o nā kauka ke mālama i ka lāʻau mua. Akā, ʻo ka hoʻoholo hope loa e hilinaʻi i ka hihia kikoʻī.