Ramipril (By mouth)

There may be other brand names for this medicine.

This medicine is not right for everyone. Do not use it if you had an allergic reaction to ramipril or another ACE inhibitor, or if you are pregnant.

Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.
Capsule or tablet : Swallow the capsule or tablet whole. If you cannot swallow the capsule, you may open it and mix the medicine with 4 ounces (½ cup) of applesauce, water, or apple juice. Eat or drink this mixture all at once so you get all of the medicine. You may also store the mixture for 24 hours at room temperature or up to 48 hours in the refrigerator.
Missed dose :Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

Do not use this medicine together with aliskiren if you have diabetes.
Some medicines can affect how ramipril works. Tell your doctor if you are using any of the following:
- Aliskiren
- Lithium
- Telmisartan or other angiotensin receptor blocker medicine
- Temsirolimus
- A diuretic (water pill)
- An NSAID pain or arthritis medicine (such as aspirin, celecoxib, diclofenac, ibuprofen, naproxen)
Ask your doctor before you use any medicine, supplement, or salt substitute that contains potassium.

It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant.
Tell your doctor if you are breastfeeding, or if you have kidney problems, liver disease, congestive heart failure, heart or blood vessel disease, diabetes, low blood pressure, or a collagen-vascular disease (such lupus or scleroderma).
This medicine may cause the following problems:
- Intestinal swelling
- Liver problems
- Kidney problems
This medicine could lower your blood pressure too much, especially when you first use it or if you are dehydrated. Stand or sit up slowly if you feel lightheaded or dizzy.
Tell any doctor or dentist who treats you that you are using this medicine. You may need to stop using this medicine several days before you have surgery or medical tests.
Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
Keep all medicine out of the reach of children. Never share your medicine with anyone.

Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
Blistering, peeling, or red skin rash
Change in how much or how often you urinate
Confusion, weakness, uneven heartbeat, trouble breathing, or numbness in your hands, feet, or lips
Dark urine or pale stools, nausea, vomiting, loss of appetite, stomach pain, yellow skin or eyes
Fever, chills, sore throat, and body aches
Lightheadedness, dizziness, or fainting
Severe stomach pain

Last Updated: 1/27/2017