Ramipril Capsules or Tablets

What is this medication?

RAMIPRIL (ra MI pril) is an ACE inhibitor. It treats high blood pressure and heart failure. It can treat heart damage after a heart attack.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME(S): Altace

What should I tell my care team before I take this medication?

They need to know if you have any of these conditions:

• diabetes
• heart or blood vessel disease
• immune system disease like lupus or scleroderma
• kidney disease
• liver disease
• low blood pressure
• previous swelling of the tongue, face, or lips with difficulty breathing, difficulty swallowing, hoarseness, or tightening of the throat
• an unusual or allergic reaction to lisinopril, other ACE inhibitors, insect venom, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medication?

Take this drug by mouth. Take it as directed on the prescription label at the same time every day. Do not cut, crush or chew this drug. Swallow the capsules whole. You may open the capsule and put the contents in 1 teaspoon of applesauce. Swallow the drug and applesauce right away. Do not chew the drug or applesauce. Keep taking it unless your health care provider tells you to stop.

Talk to your health care provider about the use of this drug in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medication?

Do not take this medication with any of the following medications:

• sacubitril; valsartan

This medicine may also interact with the following:

• diuretics
• everolimus
• lithium
• NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
• over-the-counter herbal supplements like hawthorn
• potassium supplements
• salt substitutes
• sirolimus
• temsirolimus

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medication?

Visit your doctor or health care professional for regular check ups. Check your blood pressure as directed. Ask your doctor what your blood pressure should be, and when you should contact him or her. If you are diabetic, check your blood sugar as directed.

Women should inform their doctor if they wish to become pregnant or think they might be pregnant. There is a potential for serious side effects to an unborn child. Talk to your health care professional or pharmacist for more information.

Check with your doctor if you have severe diarrhea or vomiting, or if you sweat a lot or become dehydrated. The loss of body fluids can be dangerous while taking this medicine.

A few patients have had strong allergic reactions during desensitization treatment with hymenoptera venom and during some kinds of dialysis. Talk to your doctor if you are going to have either of these procedures.

If you are going to have surgery, tell your doctor or health care professional that you are taking this medicine.

What side effects may I notice from receiving this medication?

Side effects that you should report to your doctor or health care professional as soon as possible:

• abdominal pain with or without nausea or vomiting
• allergic reactions like skin rash or hives, swelling of the hands, feet, face, lips, throat, or tongue
• dark urine
• difficulty breathing
• dizzy, lightheaded or fainting spell
• fever or sore throat
• irregular heart beat, chest pain
• numbness or tingling in fingers or toes
• pain or difficulty passing urine
• unusually weak
• yellowing of the eyes or skin

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• change in sex drive or performance
• change in taste
• cough
• headache
• tired

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medication?

Keep out of the reach of children and pets.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused drug after the expiration date.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.