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ramipril medication class

Heart disease, a heart attack, heart failure, a stroke, kidney failure, vision loss, and other issues can result from damage to these organs. Untreated high blood pressure is a common condition that can harm the kidneys, brain, heart, blood vessels, and other body organs. Altering your lifestyle will aid in blood pressure control in addition to taking medication. It is also used to improve survival in patients with heart failure following a heart attack and to lower the risk of heart attack and stroke in patients at risk for these issues. It works by decreasing certain chemicals that tighten the blood vessels, so blood flows more smoothly and the heart can pump blood more efficiently. Ramipril is in a class of medications called angiotensin-converting enzyme (ACE) inhibitors. To treat high blood pressure, ramipril may be taken either on its own or in combination with other drugs. A low-fat and salt diet, maintaining a healthy weight, exercising for at least 30 minutes most days, quitting smoking, and drinking in moderation are some of these changes.

Other names for this medication:
Altace, Altace HCT

Similar Products:
Plavix, Coumadin, Lanoxin, Clopidogrel


To learn more, consult your physician or pharmacist. A prescription drug called ramipril is used to treat high blood pressure, treat heart failure following a heart attack, reduce the risk of heart attacks, strokes, and death from cardiovascular (heart or blood vessel) causes, and it may also be given for other purposes.


Carefully adhere to your doctor's instructions. Prior to experiencing the full benefits of this medication for the treatment of high blood pressure, it may take several weeks. Ramipril capsules should be swallowed whole if you're taking them. 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). Even if you feel fine, continue taking this medication. Most people with high blood pressure do not feel sick. Consume the entire mixture whole. Take this medication by mouth once or twice daily, usually with or without food, as prescribed by your doctor. Inform your doctor if your condition doesn't get better or gets worse (for example, if your blood pressure readings stay high or rise). Your medical condition and treatment response will determine the dosage. Take it at the same time(s) every day to help you remember. 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. For maximum benefit, take this medication on a regular basis.

Missed dose

Never take two doses at once to make up for missed ones. If the next dose is almost due, skip the missed one and carry on with your regular dosing schedule. If you miss a dose, take it as soon as you remember.


Residents of Canada can dial a regional poison control center. As long as you are taking this medication, check your blood pressure frequently. For more information, speak to your doctor. For more information on how to properly dispose of your product, talk to your pharmacist or the neighborhood waste management company. In order to catch up, do not double the dose. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. This medication should not be given to anyone else. Place nowhere near a bathroom. Skip the missed dose if the time for the subsequent dose is approaching. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. If you are taking ramipril as a capsule and have opened the capsule and mixed the contents with food or liquid, you can store the mixture for up to 24 hours at room temperature or up to 48 hours in the refrigerator. Take the missed dose as soon as you remember if you forget. Keep kids and pets away from all medications. To track your development or look for side effects, routine laboratory and/or medical tests (such as kidney function and potassium levels) should be carried out. Learn how to check your own blood pressure at home, then inform your doctor of the results. The effectiveness of this medication may be increased by incorporating stress management techniques, exercise, and dietary changes into one's lifestyle. If not, immediately dial a poison control number. When it is no longer needed or has expired, properly dispose of this product. Away from light and moisture, keep items at room temperature. The following are possible overdose symptoms: extreme dizziness, fainting. When the time comes, take your next dose. Talk to your doctor or pharmacist about lifestyle changes that might benefit you. US citizens can dial 1-800-222-1222 to reach their regional poison control center.


For more information on how to properly discard your product, speak with your pharmacist or the neighborhood waste management company. Unless specifically instructed to do so, avoid flushing medications down the toilet or pouring them into drains. Keep out of the bathroom. If you are taking ramipril as a capsule and have opened the capsule and mixed the contents with food or liquid, you can store the mixture for up to 24 hours at room temperature or up to 48 hours in the refrigerator. Keep kids and pets away from all medications. When it is no longer needed or has expired, properly dispose of this product. Store in a dark, dry place away from light and moisture.

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Side effects

Ask your doctor or pharmacist for more information. For medical advice about side effects, contact your doctor. Ramipril frequently causes headaches, fatigue, dizziness, and cough. See the section titled "Ramipril Precautions." Altace has been associated with serious side effects. The side effects of ramipril are not all listed here. Call 1-800-FDA-1088 to contact the FDA and report side effects.


If you are receiving injections for bee/wasp sting allergy (desensitization) and taking ramipril at the same time, a very serious reaction could happen. Without your doctor's approval, never start, stop, or change the dosage of any medications. Drug interactions could alter how your medications function or raise the possibility of serious negative side effects. Keep a list of everything you use, including herbal products, prescription and over-the-counter medications, and give it to your doctor and pharmacist. Make sure the medical professionals you see are aware of the medications you take. See also Precautions section. There are some ingredients in products that may cause blood pressure to rise or heart failure to get worse. Aliskiren, some anti-infective medications (like everolimus, sirolimus), lithium, medications that could raise blood potassium levels (like ARBs containing losartan and valsartan, birth control pills containing drospirenone), sacubitril, and telmisartan are a few examples of products that could interact with this medication. Inform your pharmacist of the products you use and ask how to use them safely, especially if you use diet supplements or NSAIDs like ibuprofen or naproxen. Not every possible drug interaction is covered in this document.


(See also Warning section.) You may feel more lightheaded after consuming alcohol or cannabis. Unless your doctor instructs you to do otherwise, make sure to drink enough liquids to prevent dehydration. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Inform your doctor or pharmacist if you have any allergies before taking ramipril, as well as any other ACE inhibitors (such as benazepril). Consult your doctor or pharmacist before using any potassium supplements or salt substitutes. Before taking this medication, consult your doctor or pharmacist about your medical history, especially of: blood filtering procedures (such as LDL apheresis, dialysis), high levels of potassium in the blood, and history of an allergic reaction that included swelling of the face, lips, tongue, and throat (angioedema). Prior to breastfeeding, consult your doctor. For further information, talk to your doctor. Until you can do something safely, avoid operating machinery, driving, or doing anything else that requires alertness. The risks and advantages of this medication should be discussed with your doctor as soon as you find out you're pregnant. It is unknown if this medication passes into breast milk. Be careful with alcohol. Elderly people may be more sensitive to this medication's side effects, such as dizziness and potassium level increases. A fetus could suffer from ramipril's negative effects. Contact your doctor if you experience persistent diarrhea or vomiting. If you use marijuana (cannabis), speak with your doctor. Talk to your pharmacist for more details. Tell your doctor if you are pregnant or plan to become pregnant. This drug may make you dizzy. Inactive ingredients in this product could result in allergic reactions or other issues. This product may increase your potassium levels. When getting out of a sitting or lying position, take it slowly to lessen the chance of feeling lightheaded and dizzy. Dehydration and an increased risk of lightheadedness can result from excessive sweating, diarrhea, or vomiting. You should not become pregnant while using ramipril.

Is weight gain a side effect of ramipril?

Check with your doctor right away if you have lower back or side pain, decreased frequency or amount of urine, bloody urine, increased thirst, swelling of the face, fingers, or lower legs, weight gain, or increased blood pressure.

Are there any contraindications for ramipril?

Hypersensitivity: Hypersensitivity to ramipril, other ACE-i, or any component of the formulation is a major contraindication. Hyponatremia: Angiotensin II results in increased release of aldosterone from the adrenal glands. In the absence of angiotensin II, there is low production of aldosterone.

What is ramipril HCTZ used for?

This medication is used to treat high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains 2 medications, ramipril and hydrochlorothiazide.

What foods should I avoid while taking ramipril?

Drug Name : Ramipril Potassium Rich Foods: Ramipril increases blood potassium level which can lead to irregular heartbeat. It is better to avoid potassium-rich foods like bananas, oranges, green leafy vegetables and salt substitutes containing potassium when you are on ramipril.

Where is ramipril manufactured?

Customer service at Hikma informs me that my ramipril was made in their Columbus, Ohio, plant.

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DarkGL Jul 20, 2015, 2:29:48 PM

Ramipril belongs to the class of medications called ACE inhibitors. • Ramipril - hydrochlorothiazide is used to treat high blood pressure. It works by relaxing blood vessels and by making the heart pump more efficiently.

Prashanth Jan 19, 2010, 9:35:21 AM

Effect of the ACE inhibitor lisinopril on mortality in diabetic patients with acute myocardial infarction: data from the GISSI-3 study. Telmisartan, ramipril, or both in patients at high risk for vascular events. Lessons from HOPE and MICRO‐HOPE R. Heinig 2002 Experimental and clinical evidence suggest that angiotensin converting enzyme (ACE) inhibition may reduce cardiovascular risk by directly affecting endothelial dysfunction, atherosclerosis and thrombus formation, in addition to effects on vascular tone or pressure. Aspirin effects on mortality and morbidity in patients with diabetes mellitus.

prahlad st Jan 31, 2021, 8:41:34 PM

However, data on its effect upon the renal function are conflicting. Like many ACE inhibitors, this prodrug is converted to the active metabolite spiraprilat following oral administration. Unlike other members of the group, it is eliminated both by renal and hepatic routes, which may allow for greater use in patients with renal impairment. Spirapril, sold under the brand name Renormax among others, is an ACE inhibitor antihypertensive drug used to treat hypertension.

ensabahn Sep 8, 2015, 2:51:14 PM

If you have COVID-19, or think you might have it, keep taking your blood pressure medicines as usual. There is no clear evidence that taking angiotensin-converting enzyme (ACE) inhibitors like ramipril will cause complications.

akatkinson May 29, 2010, 6:42:57 PM

In patients with diabetes and at least one cardiovascular risk Starting dose: The recommended initial dose is 2.5mg of ramipril once daily. The safety and efficacy of Ramipril in children aged 2 – 16 years has not yet been established. Currently available data are described in sections 4.8, 5.1, 5.2, and 5.3 but no recommendation on posology can be made. The maintenance dose is divided in 2 administrations per day where possible.

MizBitzy CoinMaker Jan 18, 2012, 9:03:25 AM

Depending on the patient's tolerability to the active substance, the dose is subsequently increased. Initial doses should be lower and subsequent dose titration should be more gradual because of greater chance of undesirable effects especially in very old and frail patients. Secondary prevention after acute myocardial infarction and with heart failure After 48 hours, following myocardial infarction in a clinically and haemodynamically stable patient, the starting dose is 2.5 mg twice daily for three days. If the initial 2.5 mg dose is not tolerated a dose of 1.25 mg twice a day should be given for two days before increasing to 2.5 mg and 5 mg twice a day. The safety and efficacy of Ramipril in children has not yet been established.

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