Ramipril Oral : Uses, Side Effects, Interactions



Ramipril is used to treat high blood pressure (hypertension). Reducing hypertension helps prevent stroke, heart attack and kidney problems. Ramipril is also used to improve survival after heart attack. This high risk patients (such as heart disease / diabetic patients) can be used to help prevent heart attack and stroke. This drug can also be used to treat heart failure in patients who have recently suffered a heart attack.

Ramipril is an ACE inhibitor and works by resting blood vessels so that blood flowed more smoothly.

How to use Ramipril

Directly take Ramipril by mouth or by your doctor at the meal, usually daily or twice daily.

If you are taking capsule form of Ramipril, then swallow it completely. If you have difficulty in swallowing the capsule, then the capsule can be opened and the content is mixed in cold apple (about 4 oz) or half glass water or apple juice (4 ounces / 120 ml). Swallow or drink the whole mixture.

Dosage is based on your medical condition and treatment response.

To reduce your risk of side effects, your doctor may direct you to start this medication on low dose and gradually increase your dose. Follow your doctor’s instructions carefully.

Use Ramipril regularly so that it can get the most benefit. To help you remember, take it every day at the same time. It is important to continue taking this medicine even if you feel OK. Most people with high blood pressure do not feel sick.

For the treatment of hypertension, it may take several weeks for you to get the full benefit of this medicine. Tell your doctor if your condition does not improve or if it gets worse (such as your blood pressure readings are high or increased).

Side Effects

Dizziness, laziness, or tiredness may be felt because your body gets adjusted in medicine. Dry cough may also occur. If any of these effects persists or worsens, tell your doctor or pharmacist immediately.

Remember that your doctor has prescribed this drug because he or she has decided that your benefit is higher than the risk of side effects. Many people using this drug do not have serious side effects.

Tell your doctor immediately if there is no potential but serious side effect: unconsciousness, high potassium blood level symptoms (such as muscle weakness, slow / irregular heart beat)

Although Ramipril can be used to prevent kidney problems or to treat people with kidney problems, it can hardly cause serious kidney problems or make them worse. When you are taking Ramipril, your doctor will check your kidney function. Tell your doctor immediately if you have any symptoms of kidney problems such as changes in urine volume.

Ramipril can rarely cause serious (potentially fatal) liver problems. Tell your doctor immediately if you notice any of the following rare but serious side effects: Yellow eyes / skin, deep urine, severe stomach / stomach ache, persistent nausea / vomiting.

A very serious allergic reaction to Ramipril is rare. However, if you see symptoms of a serious allergic reaction, get medical help immediately, including: granular, itching / swelling (especially the face / tongue / throat), severe dizziness, shortness of breath

This is not a complete list of possible side effects. If you do not list other effects above, contact your doctor or pharmacist.

In the US – Call your doctor for medical advice about side effects. You can notify the FDA of side effects on 1-800-FDA-1088 or www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You can report the health effects of Canada on 1-866-234-2345.


Before taking Ramipril, tell your doctor or pharmacist whether you are allergic to it; Or for other ace inhibitors (such as benazepril); Or if you have any other allergens. This product may contain passive elements, which may cause allergic or other problems. Talk to your pharmacist for more details.

Before using Ramipril, tell your doctor or pharmacist your medical history, in particular: the history of an allergic reaction in which the swelling of face / lips / tongue / throat (angioedema), blood-filtering procedures (such as LDL  apheresis , Dialysis). High levels of potassium in the blood

Ramipril can make you feel dizzy. Alcohol or marijuana can make you feel more dizzy. Unless you can safely do this, do not drive, use machinery, or do anything that requires caution. Limit alcoholic beverages If you are using marijuana, talk to your doctor.

To reduce the risk of dizziness and lighthouse, slowly rise while sitting or lying down from the position of lying.

Due to excessive sweating, diarrhea, or vomiting, excessive body water (dehydration) can be damaged and your risk of lighthouse can increase. Give long-term diarrhea or vomiting report to your doctor. Be sure to drink enough liquids to prevent dehydration until your doctor directs you otherwise.

Before surgery, tell your doctor or dentist about all the products that you use (including prescription drugs, nonprescription drugs and herbal products).

This product can increase your potassium level. Consult your doctor or pharmacist before potassium supplements or potassium before using the option of salt.

Older adults may be more susceptible to the side effects of this drug, including dizziness and an increase in potassium levels.

Ramipril is not recommended for use during pregnancy. It can harm an unborn child. Consult your doctor for more details. (See also the warning section.)

It is unknown if this medicine passes in breast milk. Consult your doctor before breastfeeding.


See also the Precautions section.

Drug interactions can change how your medicines work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescriptions / non-prescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop or change any drug supplements without the approval of your doctor.

Some products that interact with Ramipril include: Aliskiren, some medicines which weaken the immune system / increase the risk of infection (such as everolimus, sirolimus), lithium, drugs that increase potassium levels in the blood (Such as ARB losartan/valsartan, birth control pills containing drospirenone), sacubitril, telmisartan.

Some products contain elements that can increase your blood pressure or cause bad heart failure. Tell your pharmacist what products you are using, and ask how to use them safely (especially cough-and-cold products, diet aids, or NSAIDs such as ibuprofen / naproxen).

If you are getting injections for beekeeping / wasp sting, you can get very serious reactions and take Ramipril too. Make sure all your doctors know what medicines you are using.

Over Dose

If someone is treated and has serious symptoms such as difficulty in getting out or breathing, call 911. Otherwise, call the Poison Control Center immediately, American residents can call their local toxin control center at 1-800-222-1222. Canadians can call a provincial poison control center. Symptoms of overdose may include: severe dizziness, unconsciousness


Do not share this medication with others.

Changes in lifestyle such as stress reduction programs, exercise and dietary changes can increase the effectiveness of this drug. Talk to your doctor or pharmacist about lifestyle changes that can benefit you.

Laboratory and / or medical tests (such as kidney function, potassium level) should be periodically to monitor your progress or to check side effects. Consult your doctor for more details.

Check your blood pressure regularly while taking this medication. Learn how to monitor your own blood pressure at home, and share the results with your doctor.

Missed Dose

If you miss a dose, then as soon as you remember it, take it. If it is near the next dose time, then leave the thesis dose and set your normal dose. Do not double the dose to catch up.


Store at room temperature away from light and moisture. If you are taking the form of the capsules of the Ramipril and have opened the capsule and mixed the material with food or liquid, then the mixture can be kept at room temperature for up to 24 hours or can be refrigerated for up to 48 hours. . Do not store in the bathroom. Keep all medications away from children and pets.

Until instructed to do so, do not flush the medicines under the toilet or drain them in the drain. When this period expires or is not required, leave this product appropriately. Consult your drug dealer or local waste disposal company to get more information about safely terminating your product.

Disclaimer: DrLinex has made every effort to ensure that all information is factually accurate, comprehensive and up-to-date. However, this article should not be used as a licensed health care professional’s choice of knowledge and expertise. You should always consult your doctor or other health care professional before taking any medication. The information given here is subject to change and it has not been used to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions or adverse effects. The lack of warning or other information for any drug does not indicate that the combination of medicine or medication is safe, effective or appropriate for all patients or all specific uses.

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