Ramipril
Brand: Altace
Boxed warning
Fetal toxicity: stop as soon as pregnancy is detected because it can injure or kill the developing fetus.
- Caution
- Angioedema can occur at any time; contraindicated with a history of ACE inhibitor angioedema.
- Pregnancy
- Avoid in pregnancy: fetal toxicity (boxed); stop as soon as pregnancy is detected.
Common side effects
- Dry persistent cough
- Dizziness
- Elevated potassium
- Headache
Key interactions
- NSAIDs blunt the blood-pressure effect
- Avoid potassium supplements and salt substitutes
- Additive potassium rise with spironolactone
Counseling points
- A dry cough is a class effect. Report it rather than treating it
- Report swelling of face, lips, or tongue urgently
- Rise slowly to reduce dizziness
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