Ramipril lowers blood pressure by inhibiting the production of angiotensin II. In some cases, this will cause some side effects. If you experience any side effects, be sure to tell your doctor.
Common side effects can include:
- a dry, irritating, and persistent cough
- dizziness, especially when sitting or standing up suddenly
- blurred vision
- tiredness or weakness
- mild skin rash
- raised potassium levels in your blood
Coughing is a common side effect that is often temporary and does not respond well to cough medicine. If it persists, consult your doctor. You may need to be switched to other medication to manage your blood pressure. The cough may persist for a while longer even if you stop taking ramipril. If you have a cough you should discuss with your doctor about the cause.
Headaches can often be relieved by drinking more fluids and taking over the counter painkillers, but if you feel the headaches are persisting, you must talk to your doctor for an assessment. If experiencing diarrhoea or vomiting, try to drink more fluids to prevent dehydration, but also contact your doctor straight away for advice about the cause of your condition. Consult with your pharmacist or doctor to find out which options are best and before taking any other medication. You may be advised to stop taking ramipril until you recover.
Uncommon side effects of ramipril can include:
- chest pain or tightness
- cold sweats
- irregular heartbeat
- reduced urination
- back, arm, or jaw pain
- Rare side effects can include:
- unexplained bruising or bleeding
Some of the milder side effects may not require medical attention. They may disappear with time as your body adjusts to the medication. For instance, dizziness is common for first time users of ramipril and when the dosage is being adjusted upward. If the symptoms persist, be sure to inform your doctor.
If you experience serious symptoms, please call your doctor right away.
These can include:
- yellowing of skin or eyes indicating liver problems
- tiredness, dizziness, sore throat, and fever could indicate a blood disorder
- irregular heartbeat and chest pain or tightening could indicate heart problems
- blood in urine could indicate kidney problems
- blurred vision, weakness in arms, and slurred speech could be signs of stroke
It is also possible to suffer an allergic reaction to ramipril. This rare occurrence may take the form of anaphylaxis. Anaphylaxis tends to happen quickly and has symptoms such as breathing difficulty, an itchy rash, hives, a fast heartbeat, lightheadedness, confusion, and loss of consciousness. If you suspect such a reaction, call for medical help right away.
Erectile dysfunction and ramipril
It is uncommon for erectile dysfunction (ED) to occur when taking ramipril. Ramipril helps to relax blood vessels and increase blood flow.
Ramipril and other medication
Some drugs may also affect how ramipril works. These drug interactions can be mild to severe. Make sure to notify your doctor of all medications you are taking.
This includes any:
- anti-inflammatories (NSAIDS) such as ibuprofen
- allergy medicine
- asthma medication
- other heart medication
- antidepressants or lithium
- blood thinners
- gout medication
- diabetes medication
After taking ramipril for some time, your blood pressure should drop and stabilise, but you should not stop taking your medication. Once you stop taking the medication, your blood pressure could start rising again. If you need to stop taking ramipril due to persistent or serious side effects, consult your doctor. There are other blood pressure medications you can be prescribed, and also lifestyle measures to help you reduce your blood pressure and keep healthy in other ways.
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