About ramipril
ACE inhibitor
Used for
- High blood pressure
- Heart failure
- Reducing cardiovascular risk in people at increased risk
- Kidney protection in some people with diabetes or kidney disease
Usual adult dose
Usually starts at 1.25–2.5 mg once daily; adjusted gradually. Usual maintenance is 2.5–10 mg daily, once or divided.
Usual dose in children
Not routinely used in children; specialist dosing depends on age, weight, and condition.
Common side effects
- Dry cough
- Dizziness or low blood pressure
- High potassium
- Worsening kidney function
Important warnings
- Can cause serious harm or death to an unborn baby; stop promptly if pregnancy occurs.
- Risk of facial or throat swelling; seek emergency care if this occurs.
- May cause very low blood pressure, especially with dehydration or diuretics.
- Kidney function and potassium may need monitoring.
Pregnancy
Avoid during pregnancy, especially after the first trimester; can injure or kill the developing baby.
Breastfeeding
Small amounts may enter breast milk. Use during breastfeeding requires clinician consideration, especially for newborn or premature infants.
Interactions
- Potassium supplements or potassium-sparing diuretics can raise potassium.
- NSAIDs, including ibuprofen, may worsen kidney function.
- Lithium levels may rise.
- Sacubitril/valsartan increases angioedema risk; allow at least 36 hours between treatments.
AI-generated from general medical knowledge, not from this product's official leaflet. It may be incomplete or out of date. Not medical advice — ask a pharmacist or doctor before making any decision.