What is Ramipril?

Ramipril is in a group of drugs called ACE inhibitors. ACE stands for angiotensin converting enzyme.
Ramipril is used to treat high blood pressure (hypertension) or congestive heart failure, and to improve survival after a heart attack.
Ramipril may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Ramipril?

Do not use ramipril if you are pregnant. Stop using this medication and tell your doctor right away if you become pregnant.
Avoid drinking alcohol. It can further lower your blood pressure and may increase some of the side effects of ramipril.
Do not use salt substitutes or potassium supplements while taking ramipril, unless your doctor has told you to.
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 this medication, which can lead to severely low blood pressure or a serious electrolyte imbalance.
Your blood pressure will need to be checked often. Your kidney or liver function may also need to be tested. Visit your doctor regularly.
If you need surgery, tell the surgeon ahead of time that you are using ramipril. You may need to stop using the medicine for a short time.
If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms.

What should I discuss with my healthcare provider before taking Ramipril?

You should not use this medication if you are allergic to ramipril or to any other ACE inhibitor, such as benazepril (Lotensin), captopril (Capoten), fosinopril (Monopril), enalapril (Vasotec), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), or trandolapril (Mavik).
If you have any of these other conditions, you may need a dose adjustment or special tests to safely use ramipril:

kidney disease (or if you are on dialysis)
liver disease
diabetes
a connective tissue disease such as Marfan syndrome, Sjogren’s syndrome, lupus, scleroderma, or rheumatoid arthritis
if you are also taking telmisartan (Micardis); or
if you have ever had a severe allergic reaction

FDA pregnancy category D. Do not use ramipril if you are pregnant. Stop using this medication and tell your doctor right away if you become pregnant. Ramipril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. Use effective birth control while taking ramipril.
Ramipril can pass into breast milk and may harm a nursing baby. You should not breast-feed while taking ramipril.

Ramipril Side Effects

What are the possible side effects of Ramipril?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; severe stomach pain; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any of these serious side effects:

feeling like you might pass out
dry mouth, thirst, confusion, swelling, and urinating less than usual or not at all
fever, chills, body aches, flu symptoms, sores in your mouth and throat
easy bruising or bleeding
pale skin, dark colored urine, fever, confusion or weakness
jaundice (yellowing of the skin or eyes); or
chest pain

Less serious side effects may include:

cough
tired feeling, headache
dizziness, spinning sensation; or
nausea, vomiting

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.

Ramipril Interactions

What other drugs affect Ramipril?

Tell your doctor about all other medicines you use, especially:

a diuretic (water pill)
gold injections to treat arthritis
lithium (Lithobid, Eskalith)
a potassium supplement such as K-Dur, Klor-Con
salt substitutes that contain potassium; or
aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Motrin, Advil), diclofenac (Voltaren), etodolac (Lodine), indomethacin (Indocin), ketoprofen (Orudis), naproxen (Aleve, Naprosyn), and others

This list is not complete and other drugs may interact with ramipril. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

What should I avoid while taking Ramipril?

Avoid drinking alcohol. It can further lower your blood pressure and may increase some of the side effects of 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 Dosage

How should I take Ramipril?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.
Your doctor may occasionally change your dose to make sure you get the best results.
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 this medication, which can lead to severely low blood pressure or a serious electrolyte imbalance.
To be sure this medication is helping your condition, your blood pressure will need to be checked often. Your kidney or liver function may also need to be tested. Visit your doctor regularly.
If you need surgery, tell the surgeon ahead of time that you are using ramipril. You may need to stop using the medicine for a short time.
If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms.
Store at room temperature away from moisture and heat.

What happens if I overdose on Ramipril?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Overdose symptoms may include feeling extremely dizzy or light-headed, or fainting.

What happens if I miss a dose of Ramipril?

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.
Sourced from everydayhealth.com

Ramipril