Europe — EMA
Icomb 10 Mg/5 Mg (Ramipril, Amlodipine Besilate)
GNH USA supplies Icomb 10 Mg/5 Mg (Ramipril/Amlodipine), an ACE inhibitor and calcium‑channel blocker for hypertension. Request a quote for global supply.
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What is Ramipril, Amlodipine Besilate?
Ramipril, the active ingredient in Icomb 10 Mg/5 Mg, is an ACE inhibitor presented as a 10 mg/5 mg tablet for oral use. It lowers blood pressure by inhibiting the renin‑angiotensin system and is indicated for the treatment of hypertension in adult patients.
GNH USA supplies Icomb 10 Mg/5 Mg as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable global distribution for this antihypertensive combination.
What is Ramipril, Amlodipine Besilate used for?
Icomb 10 Mg/5 Mg is used to manage hypertension, a condition involving elevated arterial pressure.
Essential hypertension: improves blood pressure control in patients with primary hypertension. Secondary hypertension: assists in lowering blood pressure when hypertension is caused by another underlying disorder. Hypertension with cardiovascular risk: provides combined ACE inhibition and calcium‑channel blockade to reduce overall cardiovascular strain.
What are the side effects of Ramipril, Amlodipine Besilate?
Common Side Effects: - Cough - Dizziness or light‑headedness - Peripheral edema - Flushing or warmth sensation - Headache - Fatigue
Serious or Rare Side Effects: - Angioedema (swelling of face, lips, tongue) - Severe hypotension - Hepatic enzyme elevation - Myocardial infarction - Cardiac arrhythmias - Neutropenia or other blood dyscrasias
What precautions apply to Ramipril, Amlodipine Besilate?
Before initiating therapy, consider the following precautions.
Monitor blood pressure regularly: ensure therapeutic effect and avoid excessive lowering. Assess renal function: dose adjustment may be needed in renal impairment. Check electrolyte levels: especially potassium, due to ACE‑inhibitor effect. Caution in heart failure patients: monitor for fluid retention. Avoid in patients with known hypersensitivity to ramipril, amlodipine, or any excipients. Store at ambient temperature: keep in the original pack, protect from moisture.
What does Ramipril, Amlodipine Besilate interact with?
Icomb 10 Mg/5 Mg may interact with several medicines; review patient medication lists.
Major Interactions (Avoid): - Aliskiren (dual renin‑angiotensin blockade) - Potassium‑sparing diuretics (risk of hyperkalaemia) - NSAIDs (may blunt antihypertensive effect and affect renal function) - High‑dose simvastatin (increased risk of myopathy) - Strong CYP3A4 inhibitors (e.g., itraconazole) affecting amlodipine levels
Moderate Interactions (Monitor Closely): - Thiazide diuretics (additive blood pressure lowering) - Beta‑blockers (enhanced hypotensive effect) - Lithium (increased lithium levels) - Rifampin (induces metabolism, may reduce efficacy) - Digoxin (monitor serum levels due to possible changes in clearance)



