Ramipril

generic for Altace

Ramipril Side Effects

Dizziness, lightheadedness, or tiredness may occur as your body adjusts to the medication. Dry cough may also occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if any of these unlikely but serious side effects occur: fainting, symptoms of a high potassium blood level (such as muscle weakness, slow/irregular heartbeat).

Although ramipril may be used to prevent kidney problems or treat people who have kidney problems, it may also rarely cause serious kidney problems or make them worse. Your doctor will check your kidney function while you are taking ramipril. Tell your doctor right away if you have any signs of kidney problems such as a change in the amount of urine.

This drug may rarely cause serious (possibly fatal) liver problems. Tell your doctor right away if you notice any of the following rare but serious side effects: yellowing eyes/skin, dark urine, severe stomach/abdominal pain, persistent nausea/vomiting.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
  • hypoglycemic disorder
  • hyperkalemia
  • hemolytic anemia
  • pancytopenia
  • purpura
  • thrombocytopenic disorder
  • agranulocytosis
  • neutropenic disorder
  • depression
  • visual changes
  • tinnitus
  • hearing loss
  • angina
  • hypersensitivity angiitis
  • orthostatic hypotension
  • hypotension
  • laryngeal edema
  • eosinophilic pneumonia
  • sialorrhea
  • xerostomia
  • dyspepsia
  • gastroenteritis
  • constipation
  • hepatic failure
  • hepatitis
  • obstructive hyperbilirubinemia
  • acute pancreatitis
  • acute renal failure
  • erectile dysfunction
  • skin photosensitivity
  • pemphigus
  • erythema multiforme
  • toxic epidermal necrolysis
  • Stevens-Johnson syndrome
  • pruritus of skin
  • onycholysis
  • urticaria
  • arthritis
  • arthralgia
  • myalgia
  • neuralgia
  • drowsy
  • memory impairment
  • syncope
  • seizure disorder
  • vertigo
  • dizziness
  • insomnia
  • fever
  • fatigue
  • hyperhidrosis
  • tremor
  • dysgeusia
  • skin rash
  • anorexia
  • weight gain
  • headache disorder
  • palpitations
  • dyspnea
  • cough
  • nausea
  • vomiting
  • dysphagia
  • diarrhea
  • abnormal hepatic function tests
  • nervousness
  • anaphylaxis
  • angioedema
  • paresthesia
  • malaise
  • acute abdominal pain
  • intestinal angioedema
  • head and neck angioedema
  • symptoms of anxiety
  • peripheral sensory neuropathy

Drug Interactions

See also Precautions section.

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Some products that may interact with this drug include: aliskiren, certain drugs that weaken the immune system/increase the risk of infection (such as everolimus, sirolimus), lithium, drugs that may increase the level of potassium in the blood (such as ARBs including losartan/valsartan, birth control pills containing drospirenone), sacubitril, telmisartan.

Some products have ingredients that could raise your blood pressure or worsen your heart failure. Tell your pharmacist what products you are using, and ask how to use them safely (especially cough-and-cold products, diet aids, or NSAIDs such as ibuprofen/naproxen).

A very serious reaction may occur if you are getting injections for bee/wasp sting allergy (desensitization) and are also taking ramipril. Make sure all your doctors know which medicines you are using.