Prescription Ramipril (value) Drug Information

Ramipril can be used: To treat high blood pressure (hypertension) To reduce the risk of you having a heart attack or stroke To reduce the risk or delay the worsening of kidney problems (whether or not you have diabetes) To treat your heart when it cannot pump enough blood to the rest of your body (heart failure) As treatment following heart attack (myocardial infarction) complicated with heart failure. Do not take Ramipril: If you are allergic (hypersensitive) to ramipril, any other ACE inhibitor medicine or any of the ingredients of Ramipril listed in section 6. Signs of an allergic reaction may include a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue Page 3 of 8 If you have ever had a serious allergic reaction called angioedema. The signs include itching, hives (urticaria), red marks on the hands, feet and throat, swelling of the throat and tongue, swelling around the eyes and lips, difficulty breathing and swallowing If you are having dialysis or any other type of blood filtration. Depending on the machine that is used, Ramipril may not be suitable for you If you have kidney problems where the blood supply to your kidney is reduced (renal artery stenosis) During the last 6 months of pregnancy. Pregnancy and breast-feeding If your blood pressure is abnormally low or unstable. Your doctor will need to make this assessment. Do not take Ramipril if any of the above apply to you. Please tell your doctor if you are taking any of the following medicines. They may be affected by Ramipril: Medicines for diabetes such as oral glucose lowering medicines and insulin. Ramipril may lower your blood sugar amounts. Check your blood sugar amounts closely while taking Ramipril Lithium (for mental health problems). Ramipril may increase the amount of lithium in your blood. Your lithium amount will need to be closely checked by your doctor. If any of the above apply to you (or you are not sure), talk to your doctor before taking Ramipril. Ramipril with food, drink and alcohol Drinking alcohol with Ramipril may make you feel dizzy or light-headed. If you are concerned about how much you can drink while you are taking Ramipril, discuss this with your doctor as medicines used to reduce blood pressure and alcohol can have additive effects. Ramipril may be taken with or without food. Pregnancy, breast-feeding and fertility If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. You should not take Ramipril in the first 12 weeks of pregnancy, and you must not take them at all after the 13th week as their use during pregnancy may possibly be harmful to the baby. If you become pregnant while on Ramipril, tell your doctor immediately. A switch to a suitable alternative treatment should be carried out in advance of a planned pregnancy.