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Ramipril >> Consumer Information
Ramipril CAS number 87333-19-5
WARNING: This drug can cause
serious (possibly fatal) harm to an unborn baby if used during pregnancy.
Therefore, it is important to prevent pregnancy while taking this
medication. Consult your doctor for more details and to discuss the use of
reliable forms of birth control while taking this medication. If you are
planning pregnancy, become pregnant, or think you may be pregnant, contact
your doctor immediately.
USES: This drug belongs to a group of medications called ACE
inhibitors. It is used to treat high blood pressure (hypertension). It works
by relaxing blood vessels, causing them to widen. Lowering high blood
pressure helps prevent strokes, heart attacks and kidney problems.
This medication is also used to prevent heart problems (such as heart
attacks) and/or strokes in certain high risk patients, and with other drugs
(e.g., "water pills"/diuretics, digoxin) to treat congestive heart failure.
HOW TO USE: Take this medication by mouth, usually once or twice a
day; or as directed by your doctor. You may take this drug with or without
food. Use this medication regularly in order to get the most benefit from
it. Remember to use it at the same time(s) each day.
Swallow the capsule form whole. If you cannot swallow the capsule, open it
and sprinkle the contents on a small amount (4 ounces) of applesauce or mix
with apple juice or water. Swallow or drink the entire mixture.
Do not take potassium supplements or salt substitutes containing potassium
without talking to your doctor or pharmacist first. This medicine can raise
your potassium levels, which rarely can cause serious side effects such as
muscle weakness or very slow heartbeats. Tell your doctor immediately if
these effects occur.
The dosage is based on your medical condition and response to therapy. For
the treatment of high blood pressure, it may take several weeks before the
full benefit of this drug occurs or several weeks to months when used for
congestive heart failure.
SIDE EFFECTS: You may experience dizziness, light-headedness,
fatigue, nausea, vomiting, diarrhea, dry cough or blurred vision as your
body adjusts to the medication. If any of these effects persist or worsen,
notify your doctor or pharmacist promptly.
This drug may rarely cause serious (possibly fatal) liver problems. If you
notice any of the following highly unlikely but very serious side effects,
seek immediate medical attention: yellowing eyes or skin, dark urine,
stomach/abdominal pain, persistent fatigue, persistent nausea.
A serious allergic reaction to this drug is unlikely, but seek immediate
medical attention if it occurs. Symptoms of a serious allergic reaction
include: rash, itching, swelling (especially of the face, lips, tongue, or
throat), severe dizziness, trouble breathing.
PRECAUTIONS: Before taking ramipril, tell your doctor or pharmacist
if you are allergic to it; or to other ACE inhibitors (e.g., benazepril,
captopril); or if you have any other allergies (including an allergic
reaction after exposure to certain membranes used for blood filtering).
Before using this medication, tell your doctor or pharmacist your medical
history, especially of: kidney disease, liver disease, high blood levels of
potassium, heart problems, severe dehydration (and loss of electrolytes such
as sodium), diabetes (poorly controlled), strokes, blood vessel disease
(e.g., collagen vascular diseases such as lupus, scleroderma).
This drug may make you dizzy; use caution engaging in activities requiring
alertness such as driving or using machinery. Limit alcoholic beverages.
To minimize dizziness and light-headedness due to lowering of your blood
pressure, get up slowly when rising from a seated or lying position. Serious
loss of body fluids can also lower your blood pressure and worsen dizziness.
Drink adequate fluids to prevent from becoming dehydrated. If you are on
restricted fluid intake, consult your doctor for further instructions. Be
careful not to become too overheated during exercise which can lead to
excessive sweating. Consult your doctor if you experience severe vomiting or
Before having surgery, tell your doctor or dentist that you are taking this
Caution is advised when using this drug in the elderly because they may be
more sensitive to its effects, especially dizziness.
MISSED DOSE: If you miss a dose, use it as soon as you remember. If
it is near the time of the next dose, skip the missed dose and resume your
usual dosing schedule. Do not double the dose to catch up.
STORAGE: Store at room temperature between 59-86 degrees F (15-30
degrees C) away from light and moisture. Do not store in the bathroom. If
you have opened the capsule form and mixed it with food or liquid, this
mixture can be kept at room temperature for 24 hours or refrigerated for 48
hours. Keep all medicines away from children