Prescription onlyLower-cost generic available

Altace

(Ramipril)

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Lowers blood pressure.

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Prescription onlyLower-cost generic available

Our pharmacists’ bottom line

Altace (Ramipril) is a good blood pressure-lowering medicine that protects kidney function. Easy to use if you can't swallow whole capsules.

  • A first-choice blood pressure treatment for many people.
  • Lowers the risk of heart attack and stroke.
  • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
  • Recommended for anyone with heart failure since it lowers the risk of death and further damage to your heart.
  • The only ACE inhibitor that comes in a capsule that you can sprinkle in applesauce or water.
  • Up to 1 and 10 people can get a dry cough with this medicine. It ranges from a mild tickle in the throat to a persistent hacking cough.
  • Requires a yearly blood test to see how the medicine is affecting your body.
  • Not safe to use if you're pregnant.

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Side effects for Altace (Ramipril)

From clinical trials of Altace / Reduce risk of heart attack and stroke ( 1986)

  • Low blood pressureLow blood pressure11% for Ramipril vs.5% for placebo
  • Cough increasedCough increased8% for Ramipril vs.4% for placebo
  • CoughCough7% for Ramipril vs.2% for placebo
  • DizzinessDizziness4% for Ramipril vs.3% for placebo
  • Heart-related chest painHeart-related chest pain3% for Ramipril vs.2% for placebo
  • FaintingFainting2% for Ramipril vs.1% for placebo
  • Positional low blood pressurePositional low blood pressure2% for Ramipril vs.1% for placebo
  • FatigueFatigue2% for Ramipril vs.1% for placebo
  • VomitingVomiting2% for Ramipril vs.1% for placebo
  • VertigoVertigo2% for Ramipril vs.1% for placebo

Manufacturers don’t say how common these side effects are

  • Deep skin swelling

What to expect when you take Altace (Ramipril)

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Tips from our pharmacists
  • Can cause dizziness in the first few days.
  • Check your blood pressure one week after starting this medication, and tell your doctor if it hasn't improved.
  • Requires routine blood tests to check how your kidneys are working.
  • Don't take if you are pregnant.

Risks and Warnings for Altace (Ramipril)

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    • Higher risk if:
    • Women of childbearing age

    Altace (Ramipril) can cause birth defects. If you're pregnant or considering having a baby, talk to your doctor about alternative medicines.

    This is a black box warning. The FDA requires this warning when there is a significant risk of serious or life-threatening effects that anyone taking the drug should consider.

Means that some groups have a high risk of experiencing this side effect

Tips from pharmacists and people taking Altace (Ramipril)

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The FDA category for this medication is D. It is advised that you: Weigh risks vs. benefits
Pregnancy
Kidneys & liver
  • Upsides and downsides from our pharmacists
  • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
  • Tips from our pharmacists
  • Requires routine blood tests to check how your kidneys are working.
  • Risks from our pharmacists
  • Altace (Ramipril) has a risk of making your kidneys not work as well. It's important to get blood work done to check your kidney function before starting Altace (Ramipril) and at least yearly after.