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What is Ramipril for?
Ramipril belongs to a class of medications called angiotensin-converting enzyme inhibitors (ACEIs). ACEIs block the substances that constrict the blood vessels and hence more blood and oxygen can reach the heart. Ramipril is therefore used in treating and preventing heart conditions, such as heart failure and myocardial infarction.
How to use it?
Ramipril is taken by mouth as tablets or capsules. It may be taken with or without food. The dosage may be adjusted by your doctor depending on your medical condition and response to medication.
High blood pressure
Adult
Initially 2.5 mg once daily, with the first dose preferably given at bedtime. Maintenance dose is 2.5-5 mg daily as a single dose, up to 10 mg daily as needed.
Heart failure
Adult
Initially 1.25 mg once daily. Maximum dose is 10 mg daily. Doses over 2.5 mg may be given in single or 2 divided doses.
Post-myocardial infarction
Adult
Initially 2.5 mg twice daily, may increase to 5 mg twice daily after 2 days. Start treatment 3-10 days after infarction. Maintenance dose is 2.5-5 mg twice daily.
Prevention of cardiovascular events in high-risk patients
Adult
Initially 2.5 mg once daily, may increase to 5 mg once daily after 1 week if tolerated. Maintenance dose is 10 mg once daily after a further 3 weeks.
What are the side effects of Ramipril?
Common side effects of Ramipril include muscle spasm, low blood pressure, angioedema, kidney impairment, dry cough, and elevated potassium levels.
Who should not take Ramipril?
- People allergic to Ramipril, other angiotensin-converting enzyme (ACE) inhibitors, or any formulation ingredient
- Patients with angioedema caused by prior ACE inhibitor use
- Patients on Aliskiren with poor kidney function or diabetes
- Pregnant women and those who are trying to get pregnant
Pharmacist Tips:
- This medication can make you dizzy. Avoid driving or operating machinery until you know how you respond to Ramipril.
- Report to your doctor immediately if you experience symptoms of angioedema (deep swelling around the eyes and lips) when you use this medication.
- This medication may cause dry cough. Tell your doctor if you have a sustained or persistent cough.
- Do not stop the medication abruptly if you have used Ramipril over long periods of time.
Common dosing schedule:
Ramipril may be taken with or without food.
This schedule is for reference only, adjustments may be made according to individual needs.
Some common medications Ramipril may interact with:
- Potassium supplements
- Lithium
- Aliskiren
- Angiotensin II receptor blockers, e.g. Losartan, Telmisartan
- Other medicines for treating hypertension, such as nitrates and calcium channel blockers
- Non-steroidal anti-inflammatory drugs, e.g. Ibuprofen, Mefenamic Acid
Ramipril can interact with a number of drugs. Please notify your doctor or pharmacist if you are taking the above medication, dosage adjustments might be needed.
Where to buy Ramipril in Hong Kong?
In Hong Kong, Ramipril is a prescription only medicine, and requires a prescription from a doctor to be purchased in a pharmacy. It can also be obtained from doctors. To find a pharmacy near you, refer to the list of pharmacies (“Authorized Sellers of Poisons”) from the Hong Kong Department of Health.
For more information about drug names and ingredients, you can visit Hong Kong’s Drug Office at https://www.drugoffice.gov.hk
Need more information?
For detailed information about the use of Ramipril in children, pregnancy and breastfeeding, and for questions about drug interactions, please check with your pharmacist or doctor.
Disclaimer: our goal is to provide you with the most relevant drug information and common dosage for Hong Kong. This information does not constitute medical advice. For specific treatment recommendations and advice, always discuss with your doctor or pharmacist, and follow the instructions included with your specific medicine.
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