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RAMIPRIL (ramipril)
- Hypertension
- Chronic heart failure following myocardial infarction
- Left ventricular dysfunction following MI
- Myocardial infarction prevention
- Prevention of cerebrovascular accident
1.25 mg capsule
- 1 capsule (1.25 mg) by oral route once daily
10 mg capsule
- 1 capsule (10 mg) by oral route once daily
2.5 mg capsule
- 1 capsule (2.5 mg) by oral route once daily
5 mg capsule
- 1 capsule (5 mg) by oral route once daily
1.25 mg capsule
- 1 capsule (1.25 mg) by oral route once daily
10 mg capsule
- 1 capsule (10 mg) by oral route once daily
2.5 mg capsule
- 1 capsule (2.5 mg) by oral route once daily
5 mg capsule
- 1 capsule (5 mg) by oral route once daily
Chronic heart failure
- 2 capsules (5 mg) by oral route 2 times per day
- 1 capsule (5 mg) by oral route 2 times per day
- 1 capsule (1.25 mg) by oral route 2 times per day
- 2 capsules (2.5 mg) by oral route 2 times per day
- 1 capsule (2.5 mg) by oral route 2 times per day
Chronic heart failure following myocardial infarction
- 2 capsules (5 mg) by oral route 2 times per day
- 1 capsule (5 mg) by oral route 2 times per day
- 1 capsule (1.25 mg) by oral route 2 times per day
- 2 capsules (2.5 mg) by oral route 2 times per day
- 1 capsule (2.5 mg) by oral route 2 times per day
Hypertension
- 2 capsules (5 mg) by oral route 2 times per day
- 1 capsule (5 mg) by oral route 2 times per day
- 2 capsules (5 mg) by oral route once daily
- 1 capsule (5 mg) by oral route once daily
- 2 capsules (10 mg) by oral route once daily
- 2 capsules (10 mg) by oral route 2 times per day
- 1 capsule (10 mg) by oral route once daily
- 1 capsule (10 mg) by oral route 2 times per day
- 2 capsules (20 mg) by oral route once daily
- 1 capsule (1.25 mg) by oral route once daily
- 1 capsule (1.25 mg) by oral route 2 times per day
- 2 capsules (2.5 mg) by oral route once daily
- 2 capsules (2.5 mg) by oral route 2 times per day
- 1 capsule (2.5 mg) by oral route once daily
- 1 capsule (2.5 mg) by oral route 2 times per day
Left ventricular dysfunction following MI
- 2 capsules (5 mg) by oral route 2 times per day
- 1 capsule (5 mg) by oral route 2 times per day
- 2 capsules (2.5 mg) by oral route 2 times per day
- 1 capsule (2.5 mg) by oral route 2 times per day
Myocardial infarction prevention
- 2 capsules (5 mg) by oral route 2 times per day
- 1 capsule (5 mg) by oral route 2 times per day
- 2 capsules (5 mg) by oral route once daily
- 1 capsule (5 mg) by oral route once daily
- 2 capsules (10 mg) by oral route once daily
- 1 capsule (10 mg) by oral route once daily
- 1 capsule (1.25 mg) by oral route 2 times per day
- 2 capsules (2.5 mg) by oral route once daily
- 2 capsules (2.5 mg) by oral route 2 times per day
- 1 capsule (2.5 mg) by oral route once daily
- 1 capsule (2.5 mg) by oral route 2 times per day
Prevention of cerebrovascular accident
- 2 capsules (5 mg) by oral route 2 times per day
- 1 capsule (5 mg) by oral route 2 times per day
- 2 capsules (5 mg) by oral route once daily
- 1 capsule (5 mg) by oral route once daily
- 2 capsules (10 mg) by oral route once daily
- 1 capsule (10 mg) by oral route once daily
- 1 capsule (1.25 mg) by oral route 2 times per day
- 2 capsules (2.5 mg) by oral route once daily
- 2 capsules (2.5 mg) by oral route 2 times per day
- 1 capsule (2.5 mg) by oral route once daily
- 1 capsule (2.5 mg) by oral route 2 times per day
- None
Contraindicated
- aliskiren
- aliskiren-amlodipin-hcthiazide
- aliskiren-amlodipine
- aliskiren-hydrochlorothiazide
- Amturnide
- Curad Enema
- Disposable Enema
- Enema
- Enema Disposable
- Fleet Enema
- Fleet Enema Extra
- Fleet Pediatric
- lithium carbonate
- lithium citrate
- Lithobid
- Oral Saline Laxative
- Osmoprep
- Phosphate Laxative
- Preparation Cleansing
- Ready-to-use Enema
- sod phos mono-sod phos dibasic
- sodium phosphates
- Tekamlo
- Tekturna
- Tekturna Hct
Severe
Moderate
- Added Strength Headache Relief
- Added Strength Pain Reliever
- Alka-seltzer
- Alka-seltzer Extra Strength
- Alka-seltzer Original
- Alka-seltzer Plus C/c(pe,dm)
- Alka-seltzer Plus Cold (pe)
- Alka-seltzer Plus Day-night
- Alka-seltzer Plus Night
- Alka-seltzer Pm
- Anacin
- Anacin Maximum Strength
- Analgesic
- Angeliq
- Antacid & Pain Relief
- ASA-acetaminophen-caff-buffers
- ASA-acetaminophen-salicyl-caff
- Ascomp With Codeine
- Aspir-trin
- aspirin
- aspirin, buffered
- aspirin-acetaminophen-caffeine
- aspirin-caffeine
- aspirin-diphenhydramine
- aspirin-diphenhydramine citrat
- aspirin-sod bicarb-citric acid
- Azasan
- azathioprine
- azathioprine sodium
- Back & Body Pain Reliever
- Bactrim
- Bactrim Ds
- Bayer Advanced
- Bayer Aspirin
- Bayer Aspirin (with Caffeine)
- Bayer Back & Body
- Bayer Plus Extra Strength
- Bayer Pm
- Bc
- Bc Arthritis
- Beyaz
- Buffered Aspirin
- Bufferin
- bumetanide
- Butalbital Compound W/codeine
- Butalbital Compound-codeine
- butalbital-aspirin-caffeine
- carisoprodol-ASA-codeine
- carisoprodol-aspirin
- chlorphen-phenyleph-DM-aspirin
- chlorphenir-phenylephrn-aspirn
- codeine-butalbital-ASA-caff
- Cold Relief
- Cold Relief Plus
- Demadex
- dihydrocodeine-aspirin-caff
- doxylamine-phenylep-DM-aspirin
- drospirenone-e.estradiol-lm.FA
- drospirenone-estradiol
- drospirenone-ethinyl estradiol
- E.c. Prin
- Ecotrin
- Efferves Pain Relief Antacid
- Effervescent Antacid
- Effervescent Pain Relief
- Effervescent Pain Reliever
- Endodan
- ethacrynate sodium
- Excedrin Extra Strength
- Excedrin Migraine
- Extra Strength Bayer
- Fiorinal
- Fiorinal-codeine #3
- furosemide
- Gianvi (28)
- Goody's Extra Strength
- Goody's Migraine Relief
- Headache Formula
- Headache Formula Added Str
- Headache Relief
- Imuran
- Lasix
- Levacet
- Lite Coat Aspirin
- Loryna (28)
- Medi-seltzer
- mercaptopurine
- Migraine Formula
- Migraine Pain Reliever
- Migraine Relief
- Ocella
- Orphenadrine Compound Forte
- Orphenadrine Compound-ds
- orphenadrine-ASA-caffeine
- oxycodone-aspirin
- Pain Relief
- Pain Relief Extra Strength
- Pain Reliever
- Pain Reliever Extra Strength
- Pain Reliever Plus
- Pain-off
- Pamprin Max
- PE-DM-ASA/doxyla-PE-DM-ASA
- Percodan
- Primsol
- Purinethol
- Safyral
- Sodium Edecrin
- sulfamethoxazole-trimethoprim
- Sulfatrim
- Super Pain Relief
- Syeda
- Synalgos-dc
- torsemide
- Tri-buffered Aspirin
- trimethoprim
- Vanquish
- Vestura (28)
- Yasmin (28)
- Yaz 28
- Zarah
- Hereditary angioedema
- Intestinal angioedema
- Pregnancy
Contraindicated
- Abnormal hepatic function tests
- Azotemia
- Hymenoptera venom desensitization therapy
- Hyperbilirubinemia
- Hyperkalemia
- Hyponatremia
- Hypotension
- Hypovolemia
- Neutropenic disorder
- Oliguria
- Severe diarrhea
- Severe vomiting
Severe
Moderate
- Kidney disease with reduction in GFR
- Renal artery stenosis
- Renal dialysis
- Scleroderma
- Systemic lupus erythematosus
RAMIPRIL (ramipril)
- Hypertension
- Chronic heart failure following myocardial infarction
- Left ventricular dysfunction following MI
- Myocardial infarction prevention
- Prevention of cerebrovascular accident
- Arthralgias
- Cough
- Dizziness
- Fatigue
- Headache disorder
More Frequent
Severe
Less Severe
- Hyperkalemia
- Orthostatic hypotension
- Skin rash
- Syncope
- Angina
- Diarrhea
- Dysgeusia
- Hypotension
- Nausea
- Vertigo
- Vomiting
Less Frequent
Severe
Less Severe
Rare / Very Rare
Severe
- Abnormal hepatic function tests
- Acute pancreatitis
- Acute renal failure
- Agranulocytosis
- Anaphylaxis
- Angioedema
- Eosinophilic pneumonia
- Erythema multiforme
- Fever
- Head and neck angioedema
- Hearing loss
- Hemolytic anemia
- Hepatic failure
- Hepatitis
- Hypersensitivity angiitis
- Hypoglycemic disorder
- Intestinal angioedema
- Laryngeal edema
- Neutropenic disorder
- Obstructive hyperbilirubinemia
- Pancytopenia
- Seizure disorder
- Stevens-johnson syndrome
- Thrombocytopenic disorder
- Toxic epidermal necrolysis
Less Severe
- Acute abdominal pain
- Anorexia
- Arthritis
- Constipation
- Depression
- Drowsy
- Dyspepsia
- Dysphagia
- Dyspnea
- Erectile dysfunction
- Gastroenteritis
- Hyperhidrosis
- Insomnia
- Malaise
- Memory impairment
- Myalgias
- Nervousness
- Neuralgia
- Onycholysis
- Palpitations
- Paresthesia
- Pemphigus
- Peripheral sensory neuropathy
- Pruritus of skin
- Purpura
- Sialorrhea
- Skin photosensitivity
- Symptoms of anxiety
- Tinnitus
- Tremor
- Urticaria
- Visual changes
- Weight gain
- Xerostomia
Contraindicated
None
Severe Precaution
None
Management or Monitoring Precaution
Ramipril
Safety and efficacy not established in pediatrics.
- 1 Day – 18 Years
- Safety and efficacy not established in pediatrics.
Ramipril
- Severity Level:
1
- Additional Notes: Fetal death/morbidity w/use in 2nd & 3rd trimester, stop when pregnancy detected
Contraindicated
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
Precaution Exists
Ramipril
Insufficient data available; no known adverse infant effects
| General | Excretion Potential | Effect on Infant | Notes |
| Evaluate use carefully | Unknown | Not known; no or inclusive data | Insufficient data available; no known adverse infant effects |
No Known Risk
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
Contraindicated
None
Precaution Exists
Ramipril
Cardiovascular-Monitor for hypotension. Renal-Monitor renal function and serum potassium.
| Organ / System | HEP | REN | CARD | ENDO | NEURO / PSYCH | PULM |
| Increased Risk / Adverse Effects | Y | N | Y | N | N | N |
BEERS: N HEDIS: N STOPP: Y
No Known Risk
None
- This drug can cause serious (possibly fatal) harm to an unborn baby if used during pregnancy. Therefore, it is important to prevent pregnancy while taking this medication. Consult your doctor for more details and to discuss the use of reliable forms of birth control while taking this medication. If you are planning pregnancy, become pregnant, or think you may be pregnant, contact your doctor right away.
| Chronic heart failure following myocardial infarction | |
| I50.22 | Chronic systolic (congestive) heart failure |
| I50.32 | Chronic diastolic (congestive) heart failure |
| I50.42 | Chronic combined systolic (congestive) and diastolic (congestive) heart failure |
| I50.812 | Chronic right heart failure |
| Hypertension | |
| I10 | Essential (primary) hypertension |
| I11 | Hypertensive heart disease |
| I11.0 | Hypertensive heart disease with heart failure |
| I11.9 | Hypertensive heart disease without heart failure |
| I12 | Hypertensive chronic kidney disease |
| I12.0 | Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease |
| I12.9 | Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I13 | Hypertensive heart and chronic kidney disease |
| I13.0 | Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I13.1 | Hypertensive heart and chronic kidney disease without heart failure |
| I13.10 | Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I13.11 | Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease |
| I13.2 | Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease |
| I15.1 | Hypertension secondary to other renal disorders |
| Left ventricular dysfunction following MI | |
| I23.8 | Other current complications following acute myocardial infarction |
| I50.1 | Left ventricular failure, unspecified |
| 0-9 | A-Z |
|---|---|
| I10 | Essential (primary) hypertension |
| I11 | Hypertensive heart disease |
| I11.0 | Hypertensive heart disease with heart failure |
| I11.9 | Hypertensive heart disease without heart failure |
| I12 | Hypertensive chronic kidney disease |
| I12.0 | Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease |
| I12.9 | Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I13 | Hypertensive heart and chronic kidney disease |
| I13.0 | Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I13.1 | Hypertensive heart and chronic kidney disease without heart failure |
| I13.10 | Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I13.11 | Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease |
| I13.2 | Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease |
| I15.1 | Hypertension secondary to other renal disorders |
| I23.8 | Other current complications following acute myocardial infarction |
| I50.1 | Left ventricular failure, unspecified |
| I50.22 | Chronic systolic (congestive) heart failure |
| I50.32 | Chronic diastolic (congestive) heart failure |
| I50.42 | Chronic combined systolic (congestive) and diastolic (congestive) heart failure |
| I50.812 | Chronic right heart failure |
Formulary Reference Tool