Information about Ramipril

Ramipril Uses

Ramipril is used in the treatment of Hypertension (high blood pressure), prevention of heart attack and stroke and Heart failure.

How Ramipril works

Ramipril is an angiotensin converting enzyme (ACE) inhibitor. It works by reducing stress on the heart and relaxing blood vessel so that blood flows more smoothly and the heart can pump blood more efficiently.

Common side effects of Ramipril

Dizziness, Drowsiness, Dry cough, Headache, Fatigue, Nausea, Vomiting, Decreased blood pressure
Written By
MDS (Oral Pathology & Microbiology), BDS
Reviewed By
MD Pharmacology, MBBS
Last updated
29 Sep 2021 | 07:22 AM (UTC)

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Available Medicine for Ramipril

CardaceSanofi India Ltd
78 to ₹4075 variant(s)
RamcorIpca Laboratories Ltd
46 to ₹2234 variant(s)
RamipresCipla Ltd
52 to ₹2144 variant(s)
MacprilMacleods Pharmaceuticals Pvt Ltd
47 to ₹814 variant(s)
HopaceMicro Labs Ltd
46 to ₹2455 variant(s)
RamisaveEris Lifesciences Ltd
58 to ₹1393 variant(s)
CardioprilDr Reddy's Laboratories Ltd
31 to ₹2004 variant(s)
ZiramFDC Ltd
25 to ₹573 variant(s)
ZoremIntas Pharmaceuticals Ltd
52 to ₹2064 variant(s)
RamistarLupin Ltd
87 to ₹3734 variant(s)

Expert advice for Ramipril

  • Ramipril can make you feel dizzy for the first few days, so rise slowly if you have been sitting or lying down. You can also prefer taking it at bedtime to avoid dizziness throughout the day.
  • Let your doctor know about any cough, or throat irritation that does not go away.
  • It may increase the level of potassium in blood. Avoid taking potassium supplements and potassium-rich foods such as banana and broccoli.
  • Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.

Frequently asked questions for Ramipril


Q. I have been diagnosed with heart failure and the doctor has prescribed me Ramipril. Why?

Ramipril belongs to the angiotensin-converting enzyme (ACE) inhibitor group of drugs. It relaxes and widens the blood vessels, making it easier for the blood to pass through the vessels. As a result of this, the heart does not have to work more to push the blood. Since the workload on the heart is reduced, it is beneficial in heart failure. Additionally, it is also used to lower blood pressure and prevent stroke.

Q. When can I expect my blood pressure to be normal after starting Ramipril?

Ramipril takes a few hours to reduce high blood pressure but since there are no symptoms, you will not notice any difference. It takes a few weeks for the blood pressure to get fully controlled. Do not stop taking the medicine. Keep taking it even if you feel better or if your blood pressure is normalized.

Q. Can Ramipril increase potassium levels? If yes, what should be done?

Ramipril may increase potassium levels in the blood, especially if you have uncontrolled diabetes mellitus, kidney problems, and dehydration. Potassium levels may also increase in patients using potassium salts or medicines which increase potassium levels or are aged more than 70 years of age. If you have any of these conditions and are using Ramipril, you need to be careful and get regular blood tests done to monitor potassium levels.

Q. Ever since I started taking Ramipril, I noticed that I have developed a dry cough which is very irritating and is not relieved by any medicine. Why is it?

Ramipril commonly is responsible for dry cough which can be persistent and is not relieved by any medicine. Talk to your doctor if it bothers you or you have trouble sleeping, as another medicine may be better. Even if you stop taking Ramipril, the cough may take a few days to a month to go away.

Q. I accidentally took a 25 mg Ramipril tablet instead of one 5 mg. Will it have any harmful effects?

Yes, you may feel lightheaded, dizzy, your pulse may become slow and you may even faint. You should take the help of a relative or friend for an emergency or seek immediate medical support.

Q. I have diabetes. Does Ramipril have any effect on blood sugar levels?

Yes, Ramipril may have some effect on antidiabetic medicines and insulin and may lower your blood sugar levels. Therefore, you need to check your blood sugar levels regularly.

Q. I have been using Ramipril for blood pressure for some time, but now I have noticed that I often have a sore throat along with fever. I want to stop Ramipril and see if this goes, can I stop Ramipril?

No, you should not stop Ramipril suddenly as this may cause a sudden increase in your blood pressure which may be harmful to you. In addition to this, Ramipril can very rarely decrease your white blood cell count which is important to fight infections in your body. Consult your doctor and get a blood test done. If your white cell count is decreased, it could be due to Ramipril. Ask your doctor for alternative medicine for blood pressure. You can continue taking Ramipril if your investigations are normal.

Q. Is it safe to take Ramipril for a long time?

Yes, Ramipril is safe and works best if taken for a long time. But, taking Ramipril for a long time can sometimes affect the working of your kidneys. To keep track of this, your doctor will get regular blood tests done and check how well your kidneys are working.

Q. Can Ramipril affect my fertility?

There is no evidence that Ramipril has any effect on fertility in both men and women. However, if you are planning to get pregnant, talk to your doctor first because Ramipril is not recommended in pregnancy.

Q. Will there be any problem if I am taking Ramipril and I have surgery scheduled in a week?

Inform your doctor that you are taking Ramipril. Ramipril can reduce your blood pressure when it is used with a general anesthetic. Your doctor may advise you to stop taking it 24 hours before surgery.


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