Thursday, 12th September, 2019
What is ramipril?
Ramipril is used to lower high blood pressure. It can also be used to treat heart failure and after having a heart attack. It’s part of a group of drugs called ACE inhibitors - ACE stands for Angiotensin Converting Enzyme.
What does ramipril do?
Ramipril lowers your blood pressure by blocking one of the body’s processes that can lead to a build-up of a substance called angiotensin II that makes your arteries get tighter and smaller which leads to higher blood pressure.
How do I take ramipril?
Ramipril is usually a capsule or tablet that you take once a day when used for treating high blood pressure. The effect on lowering your blood pressure can be very strong the first time you take it, so it’s often recommended to have this first dose at night, just before you lie down – as it can make you feel very dizzy. Your body will normally adjust to this from about the second or third time you take it so you can switch to taking it in the morning at that stage.
Common side effects
Most people taking ramipril feel fine while they are taking it. You may experience some of these side effects, but often they subside after a few days once your body is used to it. Common side effects include:
Other side effects
Stop taking ramipril and call a doctor straight away if you get:
Ramipril and what you eat
For all of us, and especially anyone with high blood pressure, it’s important to watch how much salt you have in the food you eat. This includes salt you add, as well as “hidden salt” that might already be in your food.
There’s advice here about how to control the amount of salt in what you eat. Ideally, it should be under 6g a day – check the info to see what that actually means.
If you’re taking ramipril and want to control your salt intake, don’t switch to substitutes like Lo-Salt as it’s high in potassium. Ramipril and related medicines can lead to a very slight and gradual build-up of potassium in your body. Your doctor will arrange blood tests to check this but it’s also worth going easy on potassium-rich foods like bananas.
Ramipril and drinking alcohol
Drinking alcohol can increase the blood pressure-lowering effect of ramipril, which can make you feel dizzy or lightheaded.
During the first few days of taking ramipril or after a dose increase, it's best to stop drinking alcohol until you see how the medicine affects you.
If you find ramipril makes you feel dizzy, it's best to stop drinking alcohol.
Want to learn more about ramipril and to see what your daily recommended salt intake actually looks like? Watch our two-minute video with Alistair Murray, Chief Pharmacist at Echo, speaking about ramipril.
Healthy living advice
The NHS has a wealth of information on making sure you have a balanced diet. Check out this link for quick and healthy recipes, meal planning and much more. For more information on high blood pressure, and what you can do to prevent it, check out the NHS website.
Who is Alistair?
Alistair Murray - MRPharmS
Chief Pharmacist- Echo Pharmacy
Alistair is a seasoned healthcare professional with over 20 years' experience working with community and digital pharmacy, third-level education and the NHS. He completed his pharmacy training at Boots and spent 15 years as a pharmacist working in community pharmacies and GP surgeries before joining the founding team of Echo in 2015. He is an honorary lecturer at UCL and the University of Nottingham, the latter where he received his masters in pharmacy.
Alistair is passionate about adherence and making sure that people are making informed choices when it comes to their health.
Want to take the hassle out of your repeat prescriptions? Click here to sign up to Echo today.