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    Ramipril

    Information about Ramipril

    Ramipril uses

    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, Headache, Cough, Fatigue, Decreased blood pressure, Nausea, Vomiting, Diarrhea, Abdominal pain
    Content Details
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    Written By
    Dr. Betina Chandolia
    MDS, BDS
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    Reviewed By
    Dr. Varun Gupta
    MD (Pharmacology), MBBS
    Last updated on:
    09 Oct 2019 | 08:49 PM (IST)
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    Expert advice for Ramipril

    • Ramipril can make you feel dizzy for the first few days. Take it preferably at bedtime and rise slowly if you have been sitting or lying down.
    • Let your doctor know about any dizziness, 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.
    • Do not take it during pregnancy or breastfeeding. Tell your doctor if you become pregnant while taking Ramipril.

    Frequently asked questions for Ramipril

    Ramipril

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

    Ramipril belongs to 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, and keep taking it even if you feel better or if your blood pressure is normalised.

    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 dry cough which is very irritating and is not relieved by any medicine. Why is it?

    Ramipril commonly is responsible for dry cough which is 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 25 mg Ramipril tablet instead of one 5 mg. Will it have any harmful effects?

    Yes, you may feel lightheaded, dizzy, your pulse will be slow and you may even faint. You should take the help of a relative or friend for 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 glucose levels. Therefore, you need to check your blood glucose levels regularly,

    Q. I have been using Ramipril for blood pressure since sometime, 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 for you. In addition to this, Ramipril can very rarely decrease your white blood cell count which are important to fight infections in your body. Consult your doctor and get a blood test done. If your white cell count is decreased, then it could be due to Ramipril. Ask your doctor for an 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 cause your kidneys to not work as well as they should. To keep a 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 a 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.

    Content on this page was last updated on 09 October, 2019, by Dr. Varun Gupta (MD Pharmacology)