Prescription onlyLower-cost generic availableClass: Cardiovascular



Prescription onlyLower-cost generic availableClass: Cardiovascular
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Lowers blood pressure.

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Our bottom line

Altace (ramipril) is a good blood pressure-lowering medicine that protects your kidney function. It's also a good option if you have trouble swallowing pills since you can open the capsules.

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  • Altace (ramipril) is a first-choice blood pressure treatment for many people.
  • It lowers your risk of heart attack and stroke.
  • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
  • It's recommended for anyone with heart failure since it lowers the risk of death and further damage to your heart.
  • Altace (ramipril) is the only ACE inhibitor that you can open and sprinkle in applesauce or water.


  • Some people can get a dry cough while using this medicine. It ranges from a mild tickle in the throat to a persistent hacking cough.
  • You'll need to get routine blood tests to see how this medicine is affecting your body.
  • Women, be sure to use contraception while taking this medication since it can harm a fetus. It's also not safe to use if you're already pregnant.
How it works

Altace (ramipril) is an angiotensin converting enzyme (ACE) inhibitor. It blocks a chemical that usually tightens blood vessels. By making blood vessels relax, it lowers blood pressure and allows more blood and oxygen to get to your heart and other organs.

What to expect when you take Altace (ramipril) for High blood pressure

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Side effect rates for Altace (ramipril)

1986 From clinical trials of Altace / Reduce risk of heart attack and stroke
  • Low blood pressure
  • Increased cough
  • Dizziness
  • Chest pain
  • Nausea
  • Low blood pressure when standing up
  • Fainting
  • Vomiting
  • Vertigo

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 different 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

Common concerns from people taking Altace (ramipril)

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Kidneys and liver
  • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
  • Requires routine blood tests to check how your kidneys are working.