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ramipril

Pronunciation: RAM i pril

Brand: Altace

Altace 1.25 mg

yellow, capsule, imprinted with ALTACE 1.25 mg, MP

Image of Altace 1.25 mg
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Altace 10 mg

blue, capsule, imprinted with ALTACE 10 MG, HOECHST

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Altace 2.5 mg

orange, capsule, imprinted with ALTACE 2.5 mg, MP

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Altace 5 mg

red, capsule, imprinted with ALTACE 5 mg

Image of Altace 5 mg
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Ramipril 1.25 mg-APO

capsule, white/yellow, imprinted with APO, 1.25

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Ramipril 1.25 mg-COB

capsule, white/yellow, imprinted with LOGO, RP 1.25

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Ramipril 1.25 mg-ROX

capsule, yellow, imprinted with 54 328

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Ramipril 10 mg-APO

blue/white, imprinted with APO, 10

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Ramipril 10 mg-COB

capsule, blue/white, imprinted with LOGO, RP 10

Image of Ramipril 10 mg-COB
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Ramipril 10 mg-ROX

capsule, blue, imprinted with 54 602

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Ramipril 10 mg-TEV

capsule, blue, imprinted with 93 7438

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Ramipril 2.5 mg-APO

red/white, imprinted with APO, 2.5

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Ramipril 2.5 mg-COB

capsule, orange/white, imprinted with LOGO, RP 2.5

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Ramipril 2.5 mg-ROX

capsule, orange, imprinted with 54 794

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Ramipril 2.5 mg-TEV

capsule, yellow, imprinted with 93 7436

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Ramipril 5 mg-APO

red/white, imprinted with APO, 5

Image of Ramipril 5 mg-APO
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Ramipril 5 mg-COB

capsule, red/white, imprinted with LOGO, RP 5

Image of Ramipril 5 mg-COB
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Ramipril 5 mg-ROX

capsule, orange, imprinted with 54 145

Image of Ramipril 5 mg-ROX
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Ramipril 5 mg-TEV

capsule, pink, imprinted with 93 7437

Image of Ramipril 5 mg-TEV
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What is the most important information I should know about ramipril?

Multum nopreg

Do not use ramipril if you are pregnant. Stop using this medication and tell your doctor right away if you become pregnant.

Multum noalcohol

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

Multum donot

Do not use salt substitutes or potassium supplements while taking ramipril, unless your doctor has told you to.

Conditions that may cause very low blood pressure include: vomiting, diarrhea, heavy sweating, dehydration, a low salt diet, or taking diuretics (water pills). Tell your doctor if you have a prolonged illness that causes diarrhea or vomiting.

Your blood pressure will need to be checked often. Your kidney or liver function may also need to be tested. Visit your doctor regularly.

Multum emt

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 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 purposes not listed in this medication guide.

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

Multum donot

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).

To make sure you can safely take ramipril, tell your doctor if you have any of these other conditions:

  • 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.
Multum nopreg

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.

Multum nobrfeed

Ramipril can pass into breast milk and may harm a nursing baby. You should not breast-feed while taking ramipril.

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.

Conditions that may cause very low blood pressure include: vomiting, diarrhea, heavy sweating, dehydration, a low salt diet, or taking diuretics (water pills). Tell your doctor if you have a prolonged illness that causes diarrhea or vomiting.

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.

Multum emt

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.

Multum rt

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

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.

What happens if I overdose?

Multum emt

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 should I avoid while taking ramipril?

Multum noalcohol

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

Multum donot

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.

What are the possible side effects of ramipril?

Multum emt

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.

Multum donot

Stop taking ramipril and call your doctor at once if you have a serious side effect such as:

  • feeling like you might pass out;
  • high potassium level (slow heart rate, weak pulse, muscle weakness, tingly feeling;
  • dry mouth, thirst, confusion, swelling, and urinating less than usual or not at all;
  • pale skin, dark colored urine, easy bruising or bleeding;
  • jaundice (yellowing of the skin or eyes); or
  • fever, chills, body aches, flu symptoms, sores in your mouth and throat.

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.

What other drugs will 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 (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Cataflam, Voltaren), indomethacin (Indocin), meloxicam (Mobic), 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.

Where can I get more information?

Your pharmacist can provide more information about ramipril.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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