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High Blood Pressure

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



This medicine is no longer available to request via our online service. If you are still having trouble with your symptoms please visit the NHS website for services in your area.


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Dr. Diana Gall GMC No. 7685129

Dr Diana Gall graduated from medical school in 2005 and has since undertaken further intensive training in many different areas of medicine. Dr Diana has reached consultant level and has practiced medicine all over Europe.

Shamir Patel GPHC No. 2049338

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.

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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

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

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

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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.

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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

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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

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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

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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

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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

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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

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