Generic Name: ramipril (RAM i pril)
Brand Name: Altace
Medically reviewed on October 2, 2017
What is ramipril?
Ramipril is an ACE inhibitor. ACE stands for angiotensin converting enzyme.
Ramipril may also be used for purposes not listed in this medication guide.
Do not use if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away.
You should not use ramipril if you have ever had angioedema. Do not take ramipril within 36 hours before or after taking medicine that contains sacubatril (such as Entresto).
Before taking this medicine
You should not use ramipril if you are allergic to it, or if:
you have a history of angioedema;
you recently took a heart medicine called sacubatril; or
Do not take ramipril within 36 hours before or after taking medicine that contains sacubatril (such as Entresto).
If you have diabetes, do not use ramipril together with any medication that contains aliskiren (such as Tekturna or Tekamlo).
You may also need to avoid taking ramipril with aliskiren if you have kidney disease.
To make sure ramipril is safe for you, tell your doctor if you have ever had:
kidney disease (or if you are on dialysis);
Do not use if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away. Ramipril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester.
It is not known whether ramipril passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using this medicine.
How should I take ramipril?
Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not take this medicine in larger or smaller amounts or for longer than recommended.
Ramipril can be taken with or without food.
Swallow the ramipril tablet whole.
You may open the ramipril capsule and sprinkle the medicine into a half-cup (4 ounces) of water, apple juice, or applesauce to make swallowing easier. Swallow without chewing. You may store the mixture for up to 24 hours at room temperature, or up to 48 hours in a refrigerator.
Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking ramipril. This can lead to very low blood pressure, electrolyte disorders, or kidney failure.
Your blood pressure will need to be checked often, and you may need frequent blood tests to check your potassium levels.
Drink plenty of water each day while you are taking this medication.
If you need surgery, tell the surgeon ahead of time that you are using ramipril.
If you are being treated for high blood pressure, keep using this medication even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.
Store at room temperature away from moisture, heat, and light. Keep the bottle tightly closed when not in use.
What happens if I miss a dose?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
What should I avoid while taking ramipril?
Do not use salt substitutes or potassium supplements while taking ramipril, unless your doctor has told you to.
Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.
Ramipril side effects
Get emergency medical help if you have signs of an allergic reaction: hives; severe stomach pain; difficult breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have:
a light-headed feeling, like you might pass out;
jaundice (yellowing of your skin or eyes);
little or no urination;
fever, chills, sore throat, cold or flu symptoms; or
high potassium--nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement.
Common side effects may include:
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also: Side effects (in more detail)
What other drugs will affect ramipril?
Other drugs may interact with ramipril, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Copyright 1996-2018 Cerner Multum, Inc. Version: 14.03.
More about ramipril
- Ramipril Side Effects
- During Pregnancy or Breastfeeding
- Dosage Information
- Drug Images
- Drug Interactions
- Support Group
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- Drug class: Angiotensin Converting Enzyme Inhibitors
Other brands: Altace