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Ramipril is available as a 1.25 mg, 2.5 mg, 5 mg, and 10 mg capsule.

Ramipril is an angiotensin-converting enzyme (ACE) inhibitor that is used to treat high blood pressure and heart failure after a heart attack.

Ramipril is an angiotensin-converting enzyme (ACE) inhibitor. It blocks ACE, a protein in your body that tightens blood vessels. In doing so, Ramipril relaxes your blood vessels and causes your blood pressure to go down.

Ramipril is typically started at a dose of 2.5 mg to 20 mg once daily. Your dose may be adjusted based on your blood pressure after 2 to 4 weeks.

Ramipril is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. It should not be taken if you experienced angioedema related to previous treatment with an ACE inhibitor, or you have a history of hereditary or idiopathic angioedema. You should also not take Ramipril along with sacubitril or aliskiren (if you are diabetic).

Common side effects of Ramipril include:

• Headache
• Dizziness
• Feeling tired or weak
• Low blood pressure
• Cough
• Dizziness

Serious side effects are rare with Ramipril. Contact your healthcare provider immediately if you experience any of the following.

• Angioedema (severe swelling): swelling of the face, arms or legs, lips, tongue, or throat
• Serious liver problems: swelling of your stomach, yellowing of your skin or the whites of your eyes, confusion, dark or brown urine
• High blood potassium levels: nausea, muscle weakness, abnormal heartbeat
• Serious kidney problems: urinating less often than usual, swelling in your feet, ankles, or hands, unexplained weight gain
• Dangerously low blood pressure: dizziness, lightheadedness, pale skin, feeling faint
• Severe allergic reaction: swelling of your lips, tongue, throat, or face, trouble breathing, rash

The following medications may interact with Ramipril:

• Diuretics – Possibility of excessive hypotension
• Lithium – Use with caution
• Gold – Nitritoid reactions have been reported
• NSAIDS – Use may lead to increased risk of renal impairment and loss of antihypertensive effect
• mTOR inhibitor or neprilysin inhibitor – Use may increase angioedema risk

Various FDA-approved generic manufacturers

Ramipril may cause harm to your unborn baby. You should discontinue this medication immediately if you become pregnant.

• Altace