Ramipril is an ACE (angiotensin converting enzyme) inhibitor used to treat hypertension, congestive heart failure, and improve survival following a heart attack.

Inform your doctor of your medical history before using ramipril, including if you become pregnant or breastfeed. Swallow the tablet whole; if you cannot swallow this medicine, you can open the capsule and sprinkle it into other substances like juice or applesauce to make swallowing easier. These mixtures can be stored up to 24 hours at room temperature or up to 48 hours in a refrigerator. Do not stop taking ramipril without your doctor’s approval.

Do not use ramipril if you’re allergic to it or you’ve ever had angioedema, within 36 hours before/after a medication containing sacubatril and, if you have diabetes, together with a medication that contains aliskiren. You should also inform your doctor if you have kidney or liver disease, if you’re on dialysis, if you have a connective tissue disease, and if you also take telmisartan. Ramipril can be fatal to unborn babies. Dehydration is easy on this medication, so drink plenty of water. Do not use potassium or salt substitutes unless directed by your doctor. Avoid alcohol. Avoid getting up too quickly.

Find emergency help if you suspect an overdose or allergic reaction. Contact your doctor immediately if you encounter a serious side effect, such as: lightheadedness, jaundice, little to no urination, cold/flu-like symptoms, and symptoms of excessive potassium. Other side effects may include headache, cough, fatigue, dizziness, and weakness. Ramipril may interact with other drugs, so inform your doctor of other drugs you may be taking alongside ramipril.