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Ramipril: uses, side effects & brands
Ramipril is a widely used ACE inhibitor for blood pressure and heart protection. It belongs to the ACE inhibitor (blood pressure) group. ACE inhibitors relax blood vessels to lower blood pressure and protect the heart and kidneys.
Drug type — dosing is set by your doctor
| Measure | Range |
|---|---|
| Drug class | ACE inhibitor (blood pressure) |
| Type | Prescription |
| Dose | Individual — ask your doctor or pharmacist |
What it is used for
- High blood pressure
- Heart failure
- After a heart attack
- Lowering the risk of heart attack and stroke in people at high risk
- Protecting the kidneys in diabetes
Common brand names
- India: Cardace, Ramistar, Hopace
- Worldwide: Altace, Tritace
Common side effects
- A persistent dry, tickly cough
- Dizziness, especially after the first doses
- Headache or tiredness
- Rarely, raised blood potassium
Before taking it — precautions
- Not to be used in pregnancy — tell your doctor if you are pregnant or planning to be
- Kidney function and blood potassium are checked with blood tests
- Avoid potassium supplements or salt substitutes unless your doctor agrees; tell your doctor about pain killers (NSAIDs) and water tablets
When to see a doctor urgently
- Swelling of the face, lips, tongue or throat, or trouble breathing (urgent)
- Fainting or feeling very faint (very low blood pressure)
- Muscle weakness, irregular heartbeat or palpitations (possible high potassium)
Frequently asked questions
Why does ramipril sometimes cause a dry cough?
It can raise a natural substance (bradykinin) that irritates the airways. If the cough is troublesome, your doctor may switch you to an ARB such as telmisartan or losartan.
Can I stop ramipril once my blood pressure is normal?
No — a normal reading usually means the medicine is working. Stopping can let your blood pressure rise again, so talk to your doctor first.
Is ramipril only for blood pressure?
No. It is also used in heart failure, after a heart attack and to protect the heart and kidneys in people at high risk, even if their blood pressure is normal.
Explore more
Sources & further reading
- World Health Organization (WHO)
- MedlinePlus — U.S. National Library of Medicine
- Ministry of Health & Family Welfare, India
- Indian Council of Medical Research (ICMR)
Reviewed by Dr. Sanjay Anbu, MBBS. MedDroid is an AI medical assistant and can make mistakes. It provides general health information, not a diagnosis or medical advice — always consult a qualified clinician. In an emergency, contact your local emergency number immediately.