Ramipril can be used:
To treat high blood pressure (hypertension)
To reduce the risk of you having a heart attack or stroke
To reduce the risk or delay the worsening of kidney problems
To treat heart failure
As treatment following a heart attack (myocardial infarction) complicated with heart failure.

Do not take Ramipril:

If you are allergic to Ramipril, any other ACE inhibitor medicine or any of the other ingredients of this medicine.
If you have ever had a serious allergic reaction called “angioedema”.
If you have taken or are currently taking sacubitril/valsartan.
If you are having dialysis or any other type of blood filtration.
If you have kidney problems where the blood supply to your kidney is reduced
During the last 6 months of pregnancy.
If your blood pressure is abnormally low or unstable.
If you have diabetes or impaired kidney function and you are treated with a blood pressure lowering medicine containing aliskiren.

Warnings & Precautions:

Talk to your doctor or pharmacist before taking Ramipril:
If you have heart, liver or kidney problems
If you have lost a lot of body salts or fluids through being sick (vomiting), having diarrhea, sweating more than usual, being on a low salt diet, taking diuretics for a long time
If you are going to have treatment to reduce your allergy to bee or wasp stings
If you are going to receive an anaesthetic.
If you have high amounts of potassium in your blood (shown in blood test results)
If you are taking medicines which may decrease sodium levels in your blood.
If you are taking medicines that may increase the risk of angioedema.
If you have a collagen vascular disease such as scleroderma or systemic lupus erythematosus.
You must tell your doctor if you think that you are (or might become) pregnant.
Ramipril is not recommended in the first 3 months of pregnancy and may cause serious harm to your baby after 3 months of pregnancy.
If you are taking any of the following medicines used to treat high blood pressure: an angiotensin II receptor blocker (ARBs), aliskiren.

Possible Side Effects:

These include headache or feeling tired, feeling dizzy, fainting, hypotension, dry tickly cough, inflammation of your sinuses (sinusitis) or bronchitis, shortness of breath, stomach or gut pain, diarrhea, indigestion, feeling or being sick, skin rash with or without raised area, chest pain, cramps or pain in your muscles, blood tests showing more potassium than usual in your blood, balance problems (vertigo), itching and unusual skin sensations such as numbness.

Other medicines and Ramipril:

Tell your doctor or pharmacist if you are taking:
Medicines used to relieve pain and inflammation such as ibuprofen or indometacin
Medicines used for the treatment of low blood pressure, shock, cardiac failure, asthma or allergies such as ephedrine, noradrenaline or adrenaline.
Sacubitril/valsartan – used for treating a type of long term (chronic) heart failure in adults.
Medicines used to relieve pain and inflammation (e.g. Non-Steroidal Anti- Inflammatory Drugs (NSAIDs) such as ibuprofen or indometacin and aspirin)
Medicines for cancer (chemotherapy)
Medicines to stop the rejection of organs after a transplant such as ciclosporin
Diuretics (water tablets) such as furosemide
Medicines which can increase the amount of potassium in your blood
Steroid medicines for in ammation such as prednisolone
Allopurinol (used to lower the uric acid in your blood)

How to take Ramipril:

Treatment of high blood pressure
The usual starting dose is 1.25 mg or 2.5 mg once daily.
Your doctor will adjust the amount you take until your blood pressure is controlled.
The maximum dose is 10 mg once daily.
To reduce the risk of you having a heart attack or stroke
The usual starting dose is 2.5 mg once daily.
Your doctor may then decide to increase the amount you take.
The usual dose is 10 mg once daily.
Treatment to reduce or delay the worsening of kidney problems
You may be started on a dose of 1.25 mg or 2.5 mg once daily.
Your doctor will adjust the amount you are taking.
The usual dose is 5 mg or 10 mg once daily.
Treatment of heart failure
The usual starting dose is 1.25 mg once daily.
Your doctor will adjust the amount you take.
The maximum dose is 10 mg daily. Two administrations per day are preferable.
Treatment after you have had a heart attack
The usual starting dose is 1.25 mg once daily to 2.5 mg twice daily.
Your doctor will adjust the amount you take.
The usual dose is 10 mg daily. Two administrations per day are preferable.

How to store Ramipril:

Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the cartons and blister packs after EXP.
The expiry date refers to the last day of that month.
This medicine does not require any special storage conditions.

Ramipril Sandoz 10mg Tablet 20