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Altace HCT is a tablet medication made up of two active ingredients, ramipril and hydrochlorothiazide. Ramipril is an ACE inhibitor while hydrochlorothiazide is a diuretic (water pill). We carry the brand name Altace HCT in;

10mg/12.5mg, 10mg/25mg, 2.5mg/12.5mg, and 5mg/12.5mg  

This medication is used to treat high blood pressure. High blood pressure can cause a number of serious conditions, such as heart failure, stroke, and kidney failure. Often times this medication is prescribed when a person cannot achieve proper blood pressure levels by maintaining a healthy diet and exercise or when single active ingredient medications aren’t working to the full effect.

The ACE inhibitors work by replacing the blood vessels, making them wider and allowing easier blood flow. The water pills reduce blood pressure by reducing the amount of salt and water in your body.

Take the dose around the same day everyday (morning is best) to reduce the chances of missing a dose.

The usual recommendation is one tablet per day taken with or without food.

Do not chew or crush this medication. Swallow tablet whole.

Do not double your dose to make up for a missed one. Call your pharmacist or doctor for further instructions.

Store this medication at room temperature and keep out of reach of children.


Tell your doctor about all medications you are currently taking including prescription, over-the-counter, vitamins, and herbal remedies. Also include whatever drug allergies you may have, if you are pregnant, plan to be, or breastfeeding.

People who experience allergic reaction to sulfonamide also usually end up having a reaction to hydrochlorothiazide.

Increased cholesterol and triglyceride may occur while using this medication.

In rare cases, this medication has caused a low white blood cell count in the body.

The use of hydrochlorothiazide has been known to reduce the level of electrolytes (potassium, sodium, magnesium and chloride) and levels of calcium.

Side Effects

Please note not all side effects have been listed

Some side effects include;

  • headache
  • hair loss
  • muscle pain
  • muscle stiffness
  • nasal congestion
  • sensitivity to sunlight
  • sexual difficulties (for men)
  • unusual tiredness or weakness

Less common effects include;

  • abdominal pain
  • attention difficulties
  • breast enlargement (men)
  • dizziness, lightheadedness, or fainting when rising from a lying or sitting position
  • fast heartbeat, irregular heartbeat, or palpitations
  • signs of anemia (low red blood cells; e.g., dizziness, pale skin, unusual tiredness or weakness, shortness of breath)


What side effects indicate that I should stop taking this medication?

Abdominal pain (with or without nausea or vomiting), asthma flare-ups and any signs of allergic reaction, heart attack, stroke or severe skin reactions.


How long does this medication work to lower blood pressure?

It should start within a few hours but could take a few weeks to reach full effect.


How long should it take for heart failure?

It could take anywhere from a few weeks to a few months while take this medication before you feel better.


What is the best way to store this medication?

Store at room temperature in a location away from light and excessive heat.

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