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Why my doctor increased the dose of ramipril after heart attack ?

went to see a doctor last week ( not my regular one ) and checking my records found out that i had a heart attack last year ( i went with an unrelated problem ) and increased my dose of ramipril from 2.5mg to 10.0mg .(per day ) seems a big increase . until i see my regular doc i wont take the stronger ones . any ideas why he would do this ? ps. i went with a sprained achilles tendon .
Fri, 24 Aug 2012
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Internal Medicine Specialist 's  Response
After heart attack many drugs are to be taken continuously one of them is Ramipril there is scientific evidence to use as high dose as possible if tolerated by patient so disscuss with cardiologist it help to preserve cardiac function.The dose can be increase gradully instead of sudden increase in dose.
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  User's Response
10 mgs is indeed the correct cardiprotective dose. The fact that he picked up the fact that your lower dose was incorrect, when a)he is not your usual GP and b) you were in with a non related problems, speaks volumes for his being an above average quality GP. In fact it suggests that your regular GP is at best complacent.
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