Ramipril

What is Ramipril?

  • Ramipril is a medication commonly given for high blood pressure, heart failure, after heart attacks and kidney problems

  • It belongs to a class of drugs known as the ACE inhibitors

How Does it Work and Why is it Important to Take?

  • Ramipril helps lower blood pressure by relaxing blood vessels.

  • It also supports heart function and is important for managing heart failure and recovering after a heart attack.

  • Additionally, it helps preserve kidney health, which is vital for overall heart and kidney wellness

The Dose of The Medication

  • The typical starting dose is 1.25mg or 2.5mg a day

  • The maximum dose ranges from 5mg twice a day or 10mg once a day.

How and When to Take It

  • It's best to take ramipril at night initially to minimise dizziness.

  • After the first dose, take it at the same time each day.

What to Expect

  • You may not notice immediate changes, but continue taking Ramipril as prescribed.

  • Its full effects may take several weeks to become noticeable.

What to Do if You Miss a Dose

  • If you forget a dose, take it when you remember.

  • If it's close to your next scheduled dose, skip the missed one—never double up.

Possible Side Effects

  • A dry, thickly cough

  • Lightheadedness or dizziness

  • Headaches

  • Feeling or being sick

  • Diarrhoea

  • Mild skin rash

  • Blurred vision

Management of Side Effects

  • Click here for common side effects and how to manage them.

  • If you develop a dry cough while on this medication, it may improve by itself but could persist. Typical cough remedies might not help. If it persists, consult your GP clinician

  • Some side effects improve as your body adjusts.

  • If severe, persistent or bothersome side effects occur, consult your GP, local pharmacy, or NHS 111.

Common Interactions

  • Inform your healthcare provider about all medications you're taking, including over-the-counter and herbal supplements.

  • Avoid over-the-counter ibuprofen or aspirin unless advised by a clinician.

Special Warnings

  • Drinking alcohol can enhance the effects of ramipril; consider limiting or avoiding alcohol until you understand how your body responds.

  • Seek urgent medical attention if you experience severe allergic reactions or symptoms such as stomach pains or facial swelling.

  • Dehydration can affect kidney function; if you experience vomiting or diarrhoea, follow 'Sick Day Rules' here.

Monitoring Your Progress

  • Regular check-ups with your GP clinician are essential to monitor blood pressure, kidney function, and overall health.

Where to Find More Information and Who to Contact

  • Refer to the patient information leaflet and the NHS website for more details.

  • If you have questions or experience unusual symptoms, contact your GP clinician, local pharmacy, or NHS 111.