What is Ramipril?
- High blood pressure
- Heart Failure
- Renal disease
- Glomerular diabetic nephropathy
- Preventive treatment after an acute myocardial infarction
Ramipril is commonly used for the long-term treatment of high blood pressure (hypertension) in men and women under the age of 55. High blood pressure is a potentially fatal condition that may be caused by a genetic predisposition, an unhealthy lifestyle, or as a side effect of some medicines. Ramipril is an ACE inhibitor type of medicine that works by inhibiting the conversion of angiotensin, a substance that narrows the blood vessels. As your blood vessels widen again, it becomes easier for your heart to pump blood around the body. This lowers your blood pressure, reducing the risks of heart attacks, strokes and other medical emergencies.
What is the active ingredient of Ramipril?
Ramipril is named after its active ingredient (also called ramipril). This belongs to a group of medicines called ACE inhibitors (Angiotensin Converting Enzyme Inhibitors). Ramipril works by targeting a substance called angiotensin that narrows your blood vessels. As the blood vessels relax and widen, the strain on your heart is reduced, lowering your blood pressure.
How does Ramipril work?
High blood pressure (hypertension) occurs when your body’s blood vessels become narrow and your heart has to work harder to pump blood around your body. The consequences of hypertension can include heart attacks, strokes and other debilitating conditions. Ramipril tablets combat high blood pressure by inhibiting the conversion of angiotensin (the substance that narrows blood vessels). As your blood vessels relax and widen, blood flows more freely around your body and your blood pressure lowers. You may not feel any physical changes as Ramipril takes effect, but even a small reduction in blood pressure can significantly reduce your chances of suffering fatal or life-changing illnesses.
Who can take Ramipril?
Our online GPs are usually able to consider prescribing Ramipril to men and women under the age of 55 who have high blood pressure, providing that there are no prior health conditions that make Ramipril unsafe for you to use. If you are over 55, or you are of African or Afro-Carribean origin, you may need a different medication. If you are allergic to the active ingredient Ramipril or are pregnant you cannot take Ramipril tablets.
When you complete the short online medical questionnaire, you will be asked about any relevant medical conditions and prescription medications that you are taking. The duty GP will only prescribe Ramipril if it is safe for you to use.
What doses of Ramipril are available?
To treat high blood pressure (hypertension) a single Ramipril tablet is taken orally once a day. This treatment is continued for as long as you are suffering from high blood pressure. In some cases, that may be for the rest of your life. Ramipril tablets are available in the following dosages:
- Ramipril 1.25mg
- Ramipril 2.5mg
- Ramipril 5mg
- Ramipril 10mg
If you have high blood pressure, your online GP will consider your personal health situation. If it is safe for you to take Ramipril, you’ll be prescribed a dosage that meets your individual needs. A typical prescription might be:
- The starting dose of Ramipril is one 2.5 mg capsule, orally, every day in patients who are taking it as monotherapy without a diuretic.
- The starting dose of Rampril is 1 capsule of 1.25 mg, orally, every day in patients who are taking other hypertensive drugs such as a diuretic.
- Individualised therapy is administered depending on the levels you need to keep high blood pressure level adequately. It usually varies from 2.5 to 20 mg/ day taken orally.
How do I take Ramipril?
If your online GP is able to prescribe you Ramipril, you will be given precise individual instructions about how to take the tablets. Generally, when beginning treatment, a single Ramipril tablet is swallowed once a day (at the same time every day) with a glass of water. A subsequent maintenance dosage may require a single tablet taken twice a day. An online GP will always be available to answer any questions about your prescription and medication.
Can I take Ramipril and drink alcohol?
Our online GPs generally do not recommend drinking alcohol while you are taking any prescription medicine. Drinking alcohol with Ramipril capsules may cause unwelcome side effects and the combination of the two may be addictive. If you want to drink alcohol while taking Ramipril, you should consult your online GP for advice about any related health issues.
What are the side effects of Ramipril?
Your Ramipril tablets will come with a patient leaflet giving detailed information about the medication, its ingredients, possible side effects, and contraindications. Please read this leaflet carefully before you take any tablets. Keep the leaflet with the medication for future reference.
If you take Ramipril exactly as directed by our online GP, you are unlikely to experience any significant unwelcome side effects. A small minority of patients may experience some minor side effects.
Common (may affect up to 1 in 10 people)
- Headache or feeling tired
- Feeling dizzy. This is more likely to happen when you start taking Ramipril capsules or start taking a higher dose
- Fainting, hypotension (abnormally low blood pressure), especially when you stand or sit up quickly
- Dry tickly cough, inflammation of your sinuses (sinusitis) or bronchitis
- Stomach or gut pain, diarrhoea, indigestion, feeling or being sick
- Skin rash with or without raised area
- Cramps or pain in your muscles
- Blood tests showing more potassium than usual in your blood.
Uncommon (may affect up to 1 in 100 people)
- Balance problems (vertigo)
- Itching and unusual skin sensations such as numbness, tingling, pricking, burning or creeping on your skin (paraesthesia)
- Loss or change in the way things taste
- Sleep problems
- Feeling depressed, anxious, more nervous than usual or restless
- Blocked nose, difficulty breathing or worsening of asthma
- A swelling in your gut called “intestinal angioedema” presenting with symptoms like abdominal pain, vomiting and diarrhoea
- Heartburn, constipation or dry mouth
- Passing more water (urine) than usual over the day
- Sweating more than usual
- Loss or decrease of appetite (anorexia)
- Increased or irregular heartbeats
- Swollen arms and legs. This may be a sign of your body holding onto more water than usual
- Blurred vision
- Pain in your joints
- Impotence in men, reduced sexual desire in men or women
- An increased number of certain white blood cells (eosinophilia) found during a blood test
- Blood tests showing changes in the way your liver, pancreas or kidneys are working.
If you experience serious discomfort we recommend that you go straight to your nearest casualty department. In an emergency dial 999.
When should I not take Ramipril?
You cannot take Ramipril if you are allergic to the active ingredient (also called ramipril) or if you are pregnant or breastfeeding. If you are over 55 years old or you are of African or Afro-Carribean origin, you may also be unable to take Ramipril.
If you suffer from any of the following medical conditions, or are taking any of the following medications, you should mention them when you complete the short online health questionnaire. You may still be able to take Ramipril, but your online GP will only prescribe the medication if it is safe for you to use.
- Have heart, liver or kidney problems.
- Have lost a lot of body salts or fluids (through being sick (vomiting), having diarrhoea, sweating more than usual, being on a low salt diet, taking diuretics (water tablets) for a long time or having had dialysis).
- Are going to have treatment to reduce your allergy to bee or wasp stings (desensitization).
- Are going to receive an anaesthetic. This may be given for an operation or any dental work. You may need to stop your Ramipril capsules treatment one day beforehand; ask your doctor for advice.
- Have high amounts of potassium in your blood (shown in blood test results).
- Have collagen vascular disease.
- Medicines used to relieve pain and inflammation
- Medicines for cancer (chemotherapy/Temsirolimus).
- Medicines to stop the rejection of organs after a transplant such as Ciclosporin and tacrolimus.
- Diuretics (water tablets) such as furosemide.
- Medicines which can increase the amount of potassium in your blood such as spironolactone, triamterene, amiloride.
- Potassium salts and heparin (for thinning blood).
- Steroid medicines for inflammation such as prednisolone.
- Allopurinol (used to lower the uric acid in your blood).
- Procainamide (for heart rhythm problems).
- Medicines for infections caused by bacteria (Trimethoprim and CoTrimoxazole).
- Medicines to prevent graft rejection (Everolimus).
- Medicines for diabetes such as oral glucose lowering medicines and insulin.
- Lithium (for mental health problems).
Any specific warnings - please mention any medication specific warning if they are
The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine. It is written for patients and gives information about taking or using a medicine. It is possible that the leaflet in your medicine pack may differ from the PDF-version from this website because it may have been updated since your medicine was packaged or the medicine is from another brand.