SAMCARD 2.5MG TABLET should not be given to people allergic to SAMCARD 2.5MG TABLET, have low blood pressure (less than 90 mm of Hg), have had a heart attack, kidney disease, liver disease, pregnant women, or planning to get pregnant and breastfeeding women without the prescription of a doctor. Besides this, it is contraindicated in patients with aortic stenosis (heart valve problem). SAMCARD 2.5MG TABLET can pass into breast milk, but its effect on the baby is not known. So, it is better to tell your doctor if you are taking SAMCARD 2.5MG TABLET and breastfeeding. SAMCARD 2.5MG TABLET is not recommended for use in patients with a known history of hypotension or cardiogenic shock due to the increased risk of worsening the patient's condition. SAMCARD 2.5MG TABLET should be used with caution in patients with coronary artery disease due to the increased risk of worsening the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Drug-Drug Interactions: SAMCARD 2.5MG TABLET may interact with high blood pressure lowering pills (benazepril, metoprolol, ramipril, hydrochlorothiazide), drugs used to control lipid levels in the blood (atorvastatin, simvastatin), medicines to treat erectile dysfunction (sildenafil), antibiotics (clarithromycin, erythromycin, rifampin), antifungal (itraconazole, ketoconazole), anti-HIV drugs (ritonavir), anti-epilepsy medicines (carbamazepine, phenytoin, phenobarbital, primidone), immune-suppressing drugs (cyclosporine, tacrolimus), cardiac glycoside (digoxin), blood thinners (warfarin), and painkillers (ibuprofen, aspirin).

Drug-Food Interactions: Avoid foods with high fat or cholesterol. Avoid too much salt in your diet like pickles, and extra salt on salad. Avoid SAMCARD 2.5MG TABLET with grapefruit juice.

Drug-Disease Interactions: SAMCARD 2.5MG 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), liver disease, heart failure, kidney disease.

• Keep your weight under control with a 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 you to lower your raised blood pressure by about 5 mm of Hg.
• Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
• Limit intake of sodium chloride (table salt) 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 for men 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 spent 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, then immediately contact your doctor.
• Try to include heart-healthy omega-3 fatty acid-containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil to lower your elevated blood pressure.

• SAMCARD 2.5MG TABLET is generally advised for treatment of high blood pressure and other heart conditions.
• SAMCARD 2.5MG TABLET should be taken at the same time every day for its maximum effects to be seen and for increased compliance.
• Consumption of SAMCARD 2.5MG TABLET may cause dizziness. Avoid activities like driving while on this medication.
• A sudden drop in blood pressure may be seen while on this medication which might lead to dizziness. Changing your posture at a slower rate might help counter this. 
• Ankle swelling is sometimes seen as a side effect of this drug. Consult your doctor if this or other side effects cause trouble or are persistent.