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Ramipril

Ramipril is a medication taken by patients with high blood pressure. It helps the heart to pump blood more effectively by preventing the body from producing substances that could disrupt it. This medicine can also be used to treat kidney problems and reduce the risk of a heart attack or stroke. Ramipril capsules come in a few different strengths and may possibly be offered under a different name besides its generic title.



Ramipril Capsules Patient Information Leaflet

Last Patient Information Leaflet Review: 23/01/2020

£ 12.99 InStock
Please note a final decision on a suitable medicine for your condition will be made by our prescriber once you have completed a consultation PLEASE CLICK HERE TO ANSWER SOME QUESTIONS ABOUT YOUR SYMPTOMS
Please note all the answers are reviewed by a doctor to assess eligibility
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  • Allergy to ramipril
  • Allergy to other ACE inhibitors
  • History of angioedema
  • Receiving dialysis
  • Undergoing any type of blood filtration
  • Renal artery stenosis
  • Low blood pressure (hypotension)
  • You have diabetes or impaired kidney function and you are treated with aliskiren
  • Problems with your heart, liver or kidneys
  • Dehydration
  • Recent vomiting or diarrhoea
  • Due to have desensetization therapy for insect stings
  • Due to receive anaesthesia
  • High amounts of potassium in your blood
  • Collagen vascular disease
  • Sclerodema
  • Systemic lupus erythematosus
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  • Sacubitril
  • Valsartan
  • Aliskiren
  • Diuretics
  • Medicines which may decrease sodium levels in your body
  • Tesirolimus
  • Everolimus
  • Sirolimus
  • Vidagliptin
  • Neprilysin inhibitors
  • Racecadotril
  • Angiotensin II receptor blockers
  • Telmisartan
  • Irbesartan
  • NSAIDs
  • Medicines for cancer (chemotherapy)
  • Ciclosporin
  • Furosemide
  • Spironolactone
  • Triamterene
  • Amiloride
  • Potassium salts
  • Trimethoprim
  • Sulfamethoxazole
  • Heparin
  • Steroid medicines
  • Prednisolone
  • Allopurinol
  • Procainamide
  • Oral glucose lowering medicines
  • Insulin
  • Lithium
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Please use a minimum of 1 words.

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Please use a minimum of 1 words.

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  • You have an allergy to ramipril
  • You've taken this medication in the past and suffered from serious side effects
  • You're already taking Ramipril in another medicinal form or to treat another condition
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Dr Daniel Cichi has 20 years experience as a doctor and now he is a senior GP. He worked in A&E departments, GP surgeries and on cruise ships.

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Shamir is a well-respected pharmacist with extensive experience running online pharmacies in the UK.

What is Ramipril?

Ramipril is a medication used to treat high blood pressure and reduce the chance of experiencing symptoms linked to this condition. As well as helping to keep your blood pressure in check, Ramipril reduces the risk of having a stroke, a heart attack or a heart failure. It can also reduce the risk or delay the worsening of kidney problems.

This drug belongs to a group of medicines called ACE inhibitors, which is short for Angiotensin Converting Enzyme inhibitors. In short, this medication makes adjustments to your body so that your heart is more relaxed in the way it works and is less likely to be influenced by other substances you produced from within.

How does Ramipril work?

The ACE inhibitor agent contained in Ramipril works to prevent a blood pressure regulation hormone called angiotensin from transforming into angiotensin II via enzymatic conversion. It is this latter stage hormone which can prompt high blood pressure by causing blood vessels to compress.

By preventing the transformation of this hormone, Ramipril decreases the body’s production of substances that can raise blood pressure. Additional benefits are that the blood vessels will relax and widen and it becomes easier for the heart to pump blood around your body.

How do I take Ramipril?

The exact dosage that you’ll be recommended will depend on factors such as the symptoms your treating, your age and your current state of health. There are a few different strengths you can get Ramipril capsules in. Whichever one is deemed most suitable for you, you’ll typically take one tablet at around the same time each day. The tablets are swallowed whole with liquid.

When treating high blood pressure or kidney problems, the usual starting dose is 1.25mg or 2.5mg once daily. Your dosage may be adjusted up to 5mg or 10mg once daily. When taking Ramipril to reduce the chance of a heart attack or stroke, the usual starting dose is 2.5mg once daily which may then be increased to 10mg daily later on. When treating kidney issues, the usual starting dose can be 1.25mg or 2.5mg daily and the daily dose later can go up to 5mg or 10mg.

For treating heart failure, the usual starting dose could be 1.25mg or 2.5mg daily and the maximum daily dose later can be 10mg, spread over two administrations per day. If you are taking this medicine because you’ve had a heart attack.

What are the side effects of Ramipril?

Numerous side effects are possible when taking Ramipril, but you may not experience any yourself. The most common side effects associated with this medication include the following:

  • Headache, dizziness or feeling tired
  • Fainting
  • Dry tickly cough or inflammation of your sinuses
  • Stomach or gut pain (possible diarrhoea)
  • Skin rash
  • Cramps or pain in your muscles
  • Blood tests showing more potassium than usual in your blood

Other side effects are possible but are much rarer. If you experience any side effects that are alarming or surprisingly prolonged, then contact your doctor or pharmacist as soon as you can. You should stop taking this medication and speak to your doctor straight away if you notice swelling around your face, lips or throat which make breathing difficult (signs of an allergic reaction). The same applies if you experience a severe skin reaction that includes a rash, ulcers in your mouth, reddening or blistering.

Can I use Ramipril?

Ramipril is recommended only for adults aged 18 years old or above. Even when someone is old enough to take it, certain health conditions or other medicine they are taking may make it unsafe to use Ramipril anyway.

You should avoid taking this medication and inform your doctor in advance if you have any of the following conditions:

  • You’ve previously had a serious allergic reaction called angioedema
  • You have a kidney problem which reduces blood supply to your kidney (renal artery stenosis)
  • Your blood pressure is abnormally low or unstable
  • You have diabetes or impaired kidney function treated with a blood pressure lowering medicine
  • You are in the last six months of pregnancy
  • You are currently breast-feeding
  • You are having dialysis or any other type of blood filtration
  • You have a long-term chronic heart failure issue treated with sacubitril/valsartan

Even if any of the above do not apply to you, you should make your doctor aware of any health conditions you have or any health-related circumstances you think could be influence by this medicine, as the doctor may need to factor them in. There are also certain medications which you should let your doctor know about before starting Ramipril. That’s because certain treatments can diminish the effects of Ramipril, or increase the chance of side effects, or alternatively certain medicines could be weakened by Ramipril. Inform your doctor if you are taking any of the following:

  • Medicines used to relieve pain and inflammation (such as ibuprofen and aspirin)
  • Medicines used for low blood pressure, shock, asthma or allergies (such as ephedrine or adrenaline)
  • Medicines for cancer (such as temsirolimus)
  • Medicines for diabetes (such as insulin and vildagliptin)
  • Medicines to stop the rejection of organs after a transplant (such as ciclosporin)
  • Medicines that increase potassium in the blood (such as triamterene and amiloride)
  • Diuretics (water tablets) including furosemide
  • Steroid medicines for inflammation (such as prednisolone)
  • Allopurinol (reduces uric acid in your blood)
  • Sirolimus and everolimus (for preventing graft rejection)
  • Racecadotril (for treating diarrohoea)
  • Lithium (for mental health problems)

What if I take too much Ramipril or forget a dose?

If you take more Ramipril than you’re meant to, tell a doctor immediately or go to your nearest hospital casualty department straight away. Get somebody else to take you to the hospital or call for an ambulance if needed. Take the medicine pack you’ve used with you so the doctor knows exactly what you’ve taken.

If you forget to take a daily dose of this medication, just take the next one when it is next due. Don’t take a double dose to make up for a forgotten capsule.

Dosage Instructions
Starting dose: 1.25mg or 2.5mg ONCE daily Maximum dose 10mg DAILY
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Ramipril Dosage Quantity Cost Including Consultation
Ramipril 1.25mg 28 Capsules £12.99
Ramipril 1.25mg 28 Tablets £14.99
Ramipril 2.5mg 28 Capsules £12.99
Ramipril 2.5mg 28 Tablets £14.99
Ramipril 5mg 28 Capsules £13.99
Ramipril 5mg 28 Tablets £15.99
Ramipril 10mg 28 Capsules £13.99
Ramipril 10mg 28 Tablets £15.99
Ramipril 1.25mg 56 Capsules £16.99
Ramipril 1.25mg 56 Tablets £18.99
Ramipril 2.5mg 56 Capsules £16.99
Ramipril 2.5mg 56 Tablets £18.99
Ramipril 5mg 56 Capsules £17.99
Ramipril 5mg 56 Tablets £19.99
Ramipril 10mg 56 Capsules £17.99
Ramipril 10mg 56 Tablets £19.99
Ramipril 1.25mg 84 Capsules £18.99
Ramipril 1.25mg 84 Tablets £20.99
Ramipril 2.5mg 84 Capsules £18.99
Ramipril 2.5mg 84 Tablets £20.99
Ramipril 5mg 84 Capsules £19.99
Ramipril 5mg 84 Tablets £21.99
Ramipril 10mg 84 Capsules £19.99
Ramipril 10mg 84 Tablets £21.99
Ramipril 1.25mg 168 Capsules £24.99
Ramipril 1.25mg 168 Tablets £26.99
Ramipril 2.5mg 168 Capsules £24.99
Ramipril 2.5mg 168 Tablets £26.99
Ramipril 5mg 168 Capsules £25.99
Ramipril 5mg 168 Tablets £27.99
Ramipril 10mg 168 Capsules £25.99
Ramipril 10mg 168 Tablets £27.99

Delivery Charges

The following delivery methods are currently available within the UK: All orders are sent in discreet, plain packaging.

UK Standard Delivery, £1.99

Order before 12pm to have your order delivered using Royal Mail Tracked 48 Service

standard UK delivery within 3-5 working days

Additional terms and conditions apply.

UK Express Delivery, £2.99

Order before 12pm to have your order delivered using the Express delivery service* (deliveries are made Monday - Saturday)

If you order after 12pm, your order will be dispatched the next working day and will be with you within 48 hours once dispatched. This excludes weekends and bank holidays

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Royal Mail Special Delivery Next Day Anytime, £4.99 (This service includes Saturday)

Order before 12pm to have your order delivered using Royal Mail Special Delivery Service, which includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 1pm, £7.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 1pm next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 9am, £14.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 9am next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

DPD Next Day Delivery, £4.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 12 Noon, £9.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 12 noon the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 10:30am, £14.99  (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, £14.99

Orders signed by the doctor before 12 noon the day before will be delivered the following Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply

DPD Saturday Delivery, by 12:00am, £21.99

Orders signed by the doctor before 12 noon the day before will be delivered by 12:00am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, by 10:30am, £29.99

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply, please see below.

US and outside the UK

Unfortunately, we can't process orders from outside the UK at this time.


Terms and Conditions

Delivery options exclude Bank Holidays, public holidays and Sundays.All deliveries are subject to Doctor-4-u successfully receiving payment and prescription being approved by the doctor.

All purchases require additional approval, which will involve completion of an online questionnaire and any subsequent approval.

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