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What is Ramipril?

Ramipril oral capsule is a prescription drug that’s available as the brand-name drug Altace. It’s also available as a generic drug. Generic drugs usually cost less. In some cases, they may not be available in every strength or form as the brand.

Dosage

Take this medication by mouth with or without food as directed by your doctor, usually once or twice daily.

If you are taking the capsule form of ramipril, swallow it whole. If you have difficulty swallowing the capsule, the capsule may be opened and the contents sprinkled onto cool applesauce (about 4 ounces) or mixed in half a glass of water or apple juice (4 ounces/120 milliliters). Swallow or drink the whole mixture.

The dosage is based on your medical condition and response to treatment.

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

Use this medication regularly in order to get the most benefit from it. To help you remember, take it at the same time(s) each day. Keep taking this medication even if you feel well. Most people with high blood pressure do not feel sick.

For the treatment of high blood pressure, it may take several weeks before you get the full benefit of this medication. Tell your doctor if your condition does not improve or if it worsens (such as your blood pressure readings remain high or increase).

Side Effects

Rampiril can cause mild or serious side effects. The following list contains some of the key side effects that may occur while taking rampiril. This list does not include all possible side effects.

For more information on the possible side effects of rampiril, or tips on how to deal with a troubling side effect, talk with your doctor or pharmacist.

More common side effects

If these effects are mild, they may go away within a few days or a couple of weeks. If they’re more severe or don’t go away, talk to your doctor or pharmacist. The more common side effects that occur with ramipril include:

  • dizziness or faintness due to low blood pressure
  • cough
  • dizziness
  • chest pain
  • nausea
  • vomiting
  • diarrhea
  • weakness or tiredness

Serious side effects

Call your doctor right away if you have any of these serious side effects. Call 911 if your symptoms feel life threatening or if you think you’re having a medical emergency. Serious side effects and their symptoms can include the following:

  • Low blood pressure. This is more common when you’re starting the drug or increasing doses. Symptoms include:
    • dizziness
    • lightheadedness
  • Allergic or hypersensitivity reaction (angioedema). Symptoms include:
    • swelling of your face, lips, tongue, or throat
    • trouble breathing
    • stomach pain with or without nausea and vomiting
  • Liver problems (jaundice). Symptoms include:
    • yellowing of your skin or the whites of your eyes
    • stomach pain
    • fatigue
  • Swelling (edema). Symptoms include:
    • swelling of your feet, legs, or hands
  • Low white blood cell count. Symptoms include:
    • sore throat
    • fever
  • Purple spot on your skin caused by internal bleeding (purpura)
  • Fast or abnormal heart rate or palpitations. Symptoms include:
    • feeling like your heart is fluttering
  • High potassium levels. Symptoms include:
    • weakness
    • arrhythmia (irregular heart rate)
  • Worse kidney function. Symptoms include:
    • nausea and vomiting
    • decreased urine output when urinating
    • fatigue
    • loss of appetite

Precautions

Before taking ramipril, tell your doctor or pharmacist if you are allergic to it; or to other ACE inhibitors (such as benazepril); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: history of an allergic reaction which included swelling of the face/lips/tongue/throat (angioedema), blood filtering procedures (such as LDL apheresis, dialysis), high level of potassium in the blood.

This drug may make you dizzy. Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Too much sweating, diarrhea, or vomiting may cause loss of too much body water (dehydration) and increase your risk of lightheadedness. Report prolonged diarrhea or vomiting to your doctor. Be sure to drink enough fluids to prevent dehydration unless your doctor directs you otherwise.

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

This product may increase your potassium levels. Before using potassium supplements or salt substitutes that contain potassium, consult your doctor or pharmacist.

Older adults may be more sensitive to the side effects of this drug, including dizziness and increases in potassium level.

This medication is not recommended for use during pregnancy. It may harm an unborn baby. Consult your doctor for more details. (See also Warning section.)

It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.

Interactions

Drug interactions may change how your medications 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 prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Some products that may interact with this drug include: aliskiren, certain drugs that weaken the immune system/increase the risk of infection (such as everolimus, sirolimus), lithium, drugs that may increase the level of potassium in the blood (such as ARBs including losartan/valsartan, birth control pills containing drospirenone), sacubitril, telmisartan.

Some products have ingredients that could raise your blood pressure or worsen your 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).

A very serious reaction may occur if you are getting injections for bee/wasp sting allergy (desensitization) and are also taking ramipril. Make sure all your doctors know which medicines you are using.

Overdose

If you take too much ramipril, you could have dangerous levels of this drug in your body. You may have the following symptoms:

  • very low blood pressure
  • dizziness
  • kidney damage. Symptoms may include:
    • nausea and vomiting
    • decreased urine output when urinating
    • fatigue
    • loss of appetite

If you think you’ve taken too much of the drug, act right away. Call your doctor or local poison control center, or go to the nearest emergency room.

Missed Dose

If you forget to take your dose, take it as soon as you remember. If it’s just a few hours before the time for your next dose, then wait and only take one dose at that time. Never try to catch up by taking two doses at once. This could cause toxic side effects.

Storage

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

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

Disclaimer of liability

Pfizer is not affiliated with this site. The brand name and logos and images used are the property of Pfizer. The content of this site is for informational purposes only. We do not supply, market or ship medicines ourselves and refer you to reputable web stores on the Internet. Always consult a physician when using medicines.

On this website we do not sell any medications and refer visitors to trusted Internet providers. In this way, we save you and the best price to people many problems and you can easily and legally obtain this powerful medicine.


Frequently asked questions

  1. What is Ramipril?

    Ramipril oral capsule is a prescription drug that’s available as the brand-name drug Altace. It’s also available as a generic drug. Generic drugs usually cost less. In some cases, they may not be available in every strength or form as the brand. Look at all the different types of Ramipril here.

  2. What if u take too much Ramipril?

    If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call the emergency number in your country. Otherwise, call a poison control center right away. Symptoms of overdose may include: severe dizziness, fainting.

  3. What to do if you miss a dose?

    If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

  4. What to do if you want to stop taking this medicine?

    Do you want to stop taking Ramipril? Then talk to your doctor or pharmacist. Together you will agree on the best way to stop. You will often stop taking Ramipril within 2 weeks. See how you react and tell your doctor or pharmacist. They can help you if you develop symptoms. Look at all the different dosages of Ramipril.

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Last Updated on September 11, 2021 by

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