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Ramipril Coupon - Ramipril 10mg capsule

ramipril

Generic Altace
Used for Heart Attack, Hypertension, Coronary Artery Disease
Used for Heart Attack, Hypertension, Coronary Artery Disease

Ramipril is an angiotensin-converting enzyme (ACE) inhibitors. This medication treats high blood pressure by relaxing blood vessels. It can also ease heart failure symptoms after a heart attack. Ramipril is taken by mouth, typically once or twice daily, by adults. Some of the more common side effects of this medication include headache, dizziness, and feeling tired. Ramipril is generic only because the brand name Altace is no longer available.

Reviewed by:
reviewer
Kristianne Hannemann, PharmD
reviewer
Connie Zheng, PharmD
Last reviewed on December 7, 2023
BasicsSide effectsPros & consPharmacist tipsFAQsWarningsDosageInteractionsCostContraindicationsAlternativesLatest newsImagesReferencesPricesMedicare
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What is Ramipril?

What is Ramipril used for?

How Ramipril works

Ramipril is an angiotensin-converting enzyme (ACE) inhibitor. It blocks ACE, a protein in your body that tightens blood vessels. In doing so, ramipril relaxes your blood vessels and causes your blood pressure to go down.

Drug Facts

Common BrandsAltace
Drug ClassACE inhibitor
Controlled Substance ClassificationNot a controlled medication
Generic StatusLower-cost generic available
AvailabilityPrescription only

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What are the side effects of Ramipril?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

High blood pressure
  • Headache (5%)
  • Dizziness (2%)
  • Feeling tired or weak (2%)
Heart failure after heart attack
  • Low blood pressure (11%)
  • Cough (8%)
  • Dizziness (4%)

Other Side Effects

  • Nausea
  • Vomiting
  • Chest pain
  • Fainting

Serious Side Effects

Contact your healthcare provider immediately if you experience any of the following.
  • Angioedema (severe swelling): swelling of the face, arms or legs, lips, tongue, or throat
  • Serious liver problems: swelling of your stomach, yellowing of your skin or the whites of your eyes, confusion, dark or brown urine
  • High blood potassium levels: nausea, muscle weakness, abnormal heartbeat
  • Serious kidney problems: urinating less often than usual, swelling in your feet, ankles, or hands, unexplained weight gain
  • Dangerously low blood pressure: dizziness, lightheadedness, pale skin, feeling faint
  • Severe allergic reaction: swelling of your lips, tongue, throat, or face, trouble breathing, rash

Source: DailyMed

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The following side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Blurred vision

confusion

dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position

sweating

unusual tiredness or weakness

Less common

Arm, back, or jaw pain

chest pain or discomfort

chest tightness or heaviness

chills

cloudy urine

cold sweats

decrease in urine output or decrease in urine-concentrating ability

diarrhea

fainting

fast or irregular heartbeat

shortness of breath

Rare

Seizures

unexplained bleeding or bruising

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Cough

Less common

Nausea

vomiting

Rare

Feeling of constant movement of self or surroundings

muscle pain or stiffness

sensation of spinning

stomach pain

weight loss

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

pros-and-cons

Pros and cons of Ramipril

thumbs-up

Pros

Taken by mouth

Capsules can be opened and sprinkled on applesauce or water for those with trouble swallowing

Available as a lower-cost generic

thumbs-down

Cons

More likely to cause a dry cough, compared to ARBs

Not safe to use if you're pregnant

Might not work as well for lowering blood pressure in Black people

pharmacist-tips

Pharmacist tips for Ramipril

pharmacist

  • If you have trouble swallowing ramipril capsules whole, you can open the capsule up and mix its contents with 4 fluid ounces (1/2 cup) water, apple juice, or applesauce. You can prepare this ahead of time and store it for up to 24 hours at room temperature or 48 hours in the refrigerator.

    • Like many blood pressure medications, ramipril can cause dizziness the first few days you are taking it because your body is not used to having lower blood pressure. Be careful when getting up from a lying down or seated position so you don't get too dizzy or fall.

      • When ramipril is being used for heart failure, you should take your first dose in your provider's office. You'll need to stay at the office for 2 hours so they can make sure your blood pressure doesn't go too low.

        • Tell your healthcare provider about any throat irritation, rash, swelling in your lips, or stomach pain. These could be a sign of a serious side effect or allergic reaction. If you have trouble breathing after taking ramipril, get medical help right away.

          • Call to your healthcare provider right away if you become pregnant or would like to become pregnant as ramipril can harm your unborn baby. Your provider can talk with you about safer options to lower blood pressure during pregnancy.

            • Some people get a dry cough within the first few months of taking ramipril. This ranges from a mild tickle in the throat to a persistent, hacking cough. Let your provider know if you have a cough that's bothersome to you; they can recommend other blood pressure medications that's less likely to cause cough, like angiotensin II receptor blockers (ARBs).

              faqs

              Frequently asked questions about Ramipril

              Is ramipril a beta blocker?
              No, ramipril isn't a beta blocker; it's an ACE inhibitor. Ramipril and other ACE inhibitors lower blood pressure by relaxing blood vessels. But beta blockers do so mainly by slowing heart rate.
              Is ramipril a blood thinner?
              No. Ramipril isn't a blood thinner. This medication typically doesn't affect how well your blood clots.
              How long does ramipril take to kick in?
              Ramipril starts to lower your blood pressure within 1-2 hours. But it can take 3 to 6 hours before you experience the full effect after a dose. If you're starting ramipril for the first time, your provider might adjust the dose over the course of a few weeks before they find one that works best for you.
              What are the most common side effects of ramipril?
              Some of the more common side effects of ramipril include headache, dizziness, feeling tired or weak, and cough. Most of these side effects, like dizziness or headache, should get better after your body gets used to the medication. But if you have a bothersome dry cough, it's unlikely to go away until your provider switches you to a different medication. Talk with your provider if you've questions about a particular side effect.
              What foods should be avoided when taking ramipril?
              There aren't any specific foods that are known to interact with ramipril. But if you have high blood pressure or heart failure, you should eat a balanced diet that's low in salt to help your condition. It's best to avoid or limit canned foods, processed foods, or pickled foods because these are typically high in salt content. And if you're using salt substitutes, choose one that doesn't contain potassium to lower your risk of high potassium levels from ramipril.
              What medications shouldn't I take with ramipril?
              Ramipril can interact with some medications, so it's a good idea to share a current list of what you're taking with your provider. For example, if you take ramipril with other blood pressure medications, you might experience more dizziness. And if you take ramipril with medications that can also raise your potassium levels, then your potassium levels can get too high, which can be dangerous. Lastly, your provider might ask you to avoid taking ramipril with medications that are tough on the kidneys, such as NSAIDs, because doing so might worsen kidney problems. These aren't all possible interactions. Your provider can help you identify and manage potential interactions with your other medications.
              Should I take ramipril in the morning or at night?
              You should take ramipril as directed by your provider. If you're taking ramipril twice daily, you might take it morning and evening. But if you're taking ramipril once daily, you can discuss with your provider when's the best time to take it. In general, evidence is mixed on whether you should take your blood pressure medication in the morning or at night. The most important thing is to take your dose at a time that you can remember to do so consistently.
              Are ramipril and lisinopril the same?
              Ramipril and lisinopril (Zestril) are 2 different ACE inhibitors that are used to treat high blood pressure. There's no strong evidence that one is better than the other. You and your provider might choose one over the other based on personal preferences or needs. Typically, lisinopril (Zestril) is taken once daily, whereas ramipril might need to be taken twice daily depending on the dose. Also, lisinopril (Zestril) comes as a tablet and liquid solution, but ramipril only comes as a capsule (but if needed, you can open it and sprinkle the contents in water or over applesauce). In addition, lisinopril (Zestril) can be taken by children with high blood pressure, whereas ramipril is for adults only. Your provider can talk more with you about the differences between ramipril and lisinopril (Zestril).
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              warings-icon

              What are the risks and warnings for Ramipril?

              Ramipril can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

              risk-warning

              Not for use during pregnancy

              Ramipril can cause severe and sometimes life-threatening harm to unborn babies so it shouldn't be used during pregnancy. If you find out that you're pregnant while taking ramipril, stop and let your provider know right away. If you're pregnant before starting ramipril or thinking of becoming pregnant during treatment, discuss with your provider about safer options to treat your blood pressure.

              risk-warning

              Angioedema (swelling)

              • Risk factors: Black people | Older adults | Female | Having angioedema in the past

                People who take an ACE inhibitor, like ramipril, can experience a rare, but serious side effect called angioedema. This involves swelling in different parts of the body, including the face, throat, and tongue. Swelling of the tongue or throat area can be potentially life-threatening, since it can make it difficult to breathe.

                Angioedema can happen at any time during treatment. Your provider will ask you to stop the medication if you have symptoms. Get medical attention right away if you experience swelling in any of the areas mentioned above, stomach pain, or difficulty breathing.

                risk-warning

                Severe allergic reaction

                Although rare, ramipril can cause a life-threatening allergic reaction (e.g., anaphylaxis). If you experience trouble breathing, hives, or swelling in your face or throat, get medical help right away.

                risk-warning

                Liver problems

                • Risk factors: History of liver problems | Drinking large amounts of alcohol

                  In some rare cases, people who took ramipril have developed life-threatening liver problems. If you notice symptoms of liver problems, such as nausea, stomach pain, or yellowing of your skin or whites of your eyes, let your provider know right away.

                  risk-warning

                  Worsening kidney problems

                  • Risk factors: Severe heart failure | Kidney problems | Not enough fluid in your body | Taking other medications that can cause kidney damage | History of blocked kidney blood vessels (renal artery stenosis)

                    Ramipril is usually good for the kidneys. But in some cases, it can make kidney problems worse. The risk is higher for people who have certain types of kidney problems, such as renal artery stenosis or very severe heart failure. Your provider might order lab tests every so often to make sure your kidneys are healthy and working properly. Your provider will check your kidneys before starting ramipril and regularly as needed. Let your provider know if you're urinating less often than usual, as this could be a sign that your kidneys aren't working as well.

                    risk-warning

                    Lower blood cell counts

                    Let your provider know if you've collagen-vascular condition, such as lupus or rheumatoid arthritis. If so, you might be at higher risk for developing lower blood cell counts while taking ramipril, especially if you also have kidney problems. Your provider might order blood tests more often to check you blood cell counts.

                    risk-warning

                    Low blood pressure

                    • Risk factors: Not enough fluid in your body | Having diarrhea or vomiting for a long time | Low salt levels in your body | Taking higher doses of diuretic medications

                      Sometimes, taking ramipril can cause your blood pressure to drop too much. This can cause you to feel dizzy, tired, or lightheaded. This side effect is more common when you first start ramipril or when the dose is raised. Make sure to stay well-hydrated. If your blood pressure drops too much and you feel dizzy, make sure to sit down slowly while holding onto something and let your provider know. If you fall and hit your head, get medical help right away. If you feel dizzy, lightheaded, faint, tired, or confused while taking ramipril, contact your provider right away.

                      risk-warning

                      Heart problems due to high potassium

                      • Risk factors: Diabetes | Kidney problems | Taking other medications that also raise potassium

                        Some people who took ramipril developed high potassium levels, which can be dangerous. The risk is higher for people who've diabetes, kidney problems, or are taking other medications that also raise potassium levels. For this reason, make sure your provider knows your full medical history and what medications you're taking before starting ramipril. If you experience signs of high potassium levels, such as nausea, muscle weakness, or abnormal heartbeat, tell your healthcare provider right away.

                        risk-warning

                        Cough

                        Taking ramipril can cause dry cough. This side effect can happen anytime after you start taking the medication. This isn't a side effect your body will adjust to. If it's bothersome, your provider might recommend that you take a different blood pressure or heart failure medication. This cough should go away after stopping the medication.

                        More on Ramipril warnings

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                        Is It Safe to Take ACE Inhibitors or ARBs During Pregnancy?

                        Written by Timothy Aungst, PharmD
                        dosage

                        Ramipril dosage forms

                        The average cost for 30 capsules of 10mg of Ramipril is $4.00 with a free GoodRx coupon. This is 88.11% off the average retail price of $33.64.
                        capsule
                        Capsule
                        DosageQuantityPrice as low asPrice per unit
                        1.25mg90 capsules$27.90$0.31
                        2.5mg90 capsules$10.00$0.11
                        5mg90 capsules$10.00$0.11
                        10mg30 capsules$4.00$0.13

                        Typical dosing for Ramipril

                        • High blood pressure: The typical dose is 2.5 mg to 20 mg by mouth total per day. Smaller doses are usually taken once a day, but larger doses can be split into two doses throughout the day.

                        • Heart failure after heart attack: The typical starting dose is 2.5 mg by mouth twice a day. After 1 week, your provider might slowly raise your dose over time. The typical maintenance dose is 5 mg twice daily.

                        Your dose might differ if you have kidney problems.

                        More on Ramipril dosage forms

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                        Ramipril Dosages for Adults: Your GoodRx Guide

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                        interactions

                        Interactions between Ramipril and other drugs

                        Ramipril may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Ramipril. Please note that only the generic name of each medication is listed below.

                        Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

                        Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                        Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

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                        contraindications-icon

                        Ramipril contraindications

                        Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Ramipril will not be safe for you to take.
                        alternatives

                        What are alternatives to Ramipril?

                        There are a number of medications that your doctor can prescribe in place of Ramipril. Compare a few possible alternatives below.
                        Ramipril
                        Used for:
                        $4.00 Lowest GoodRx priceView Prices
                        Lisinopril (Zestril)
                        Used for:

                        • High blood pressure

                        • Heart failure

                        • Lower the risk for death after a heart attack

                        $7.34 Lowest GoodRx priceView Prices
                        Losartan (Cozaar)
                        Used for:
                        $6.60 Lowest GoodRx priceView Prices
                        latest news

                        What is the latest news about Ramipril?

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                        images

                        Ramipril images

                        Blue D 08 - Ramipril 10mg Capsule
                        This medicine is Blue Capsule Imprinted With "D 08".Blue D 08 - Ramipril 10mg Capsule
                        Blue Lupin Ramipril 10Mg - Ramipril 10mg Capsule
                        This medicine is Blue Capsule Imprinted With "Lupin Ramipril 10Mg".Blue Lupin Ramipril 10Mg - Ramipril 10mg Capsule
                        Blue And White Za-46 10Mg - Ramipril 10mg Capsule
                        This medicine is Blue And White Capsule Imprinted With "Za-46 10Mg".Blue And White Za-46 10Mg - Ramipril 10mg Capsule
                        Blue 54 602 54 602 - Ramipril 10mg Capsule
                        This medicine is Blue Capsule Imprinted With "54 602 54 602".Blue 54 602 54 602 - Ramipril 10mg Capsule

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                        References

                        Best studies we found

                        Chartwell RX, LLC. (2020). Ramipril- ramipril capsule [package insert]. DailyMed.

                        Chartwell RX, LLC. (2023). Ramipril capsule [package insert]. DailyMed.

                        MedlinePlus. (2023). Collagen vascular disease.

                        View All References (1)

                        Schoolweth, A. C., et al. (2001). Renal considerations in angiotensin converting enzyme inhibitor therapy. Circulation.

                        GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.
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