Ramipril (By mouth)
Uses of This Medicine
Ramipril is used alone or together with other medicines to treat high blood pressure (hypertension). High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. Lowering blood pressure can reduce the risk of strokes and heart attacks.
Ramipril is an angiotensin-converting enzyme (ACE) inhibitor. It works by blocking a substance in the body that causes blood vessels to tighten. As a result, ramipril relaxes the blood vessels. This lowers blood pressure and increases the supply of blood and oxygen to the heart.
Ramipril is also used in some patients after a heart attack. After a heart attack, some of the heart muscle is damaged and weakened. The heart muscle may continue to weaken as time goes by. This makes it more difficult for the heart to pump blood. Ramipril may be started within the first few days after a heart attack to increase survival rate.
Ramipril is also used to lessen the chance of heart attacks or strokes in patients 55 years of age or older and have serious heart disease.
This medicine is available only with your doctor’s prescription.
Other uses (PubMed Health)
How To Use
Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.
Capsule or tablet: Swallow the capsule or tablet whole. If you cannot swallow the capsule, you may open it and mix the medicine with 4 ounces (½ cup) of applesauce, water, or apple juice. Eat or drink this mixture all at once so you get all of the medicine. You may also store the mixture for 24 hours at room temperature or up to 48 hours in the refrigerator.
Missed dose:Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
Drugs and Foods to Avoid
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Some medicines can affect how ramipril works. Tell your doctor if you are using any of the following:Aliskiren Lithium Telmisartan or other angiotensin receptor blocker medicine Temsirolimus A diuretic (water pill) An NSAID pain or arthritis medicine (such as aspirin, celecoxib, diclofenac, ibuprofen, naproxen)
Ask your doctor before you use any medicine, supplement, or salt substitute that contains potassium.
When Not To Use
It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant.
Tell your doctor if you are breastfeeding, or if you have kidney problems, liver disease, congestive heart failure, heart or blood vessel disease, diabetes, low blood pressure, or a collagen-vascular disease (such lupus or scleroderma).
This medicine may cause the following problems:Intestinal swelling Liver problems Kidney problems
This medicine could lower your blood pressure too much, especially when you first use it or if you are dehydrated. Stand or sit up slowly if you feel lightheaded or dizzy.
Tell any doctor or dentist who treats you that you are using this medicine. You may need to stop using this medicine several days before you have surgery or medical tests.
Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
Keep all medicine out of the reach of children. Never share your medicine with anyone.
Possible side effects
Summary More details
Call your doctor right away if you notice any of these side effects:
Change in how much or how often you urinate
Confusion, weakness, uneven heartbeat, trouble breathing, or numbness in your hands, feet, or lips
Lightheadedness, dizziness, or fainting
Severe stomach pain
If you notice these less serious side effects, talk with your doctor:
If you notice other side effects that you think are caused by this medicine, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
More side effects of this drug
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There may be other brand names for this medicine.