Altace® (ramipril) tablets for blood pressure and heart protection

What Ramipril Is and How It Works

Ramipril is an angiotensin‑converting enzyme (ACE) inhibitor used to lower blood pressure and protect the heart and kidneys. It treats hypertension, reduces the risk of heart attack and stroke, and supports recovery after a heart attack. You can order ramipril online as tablets in multiple strengths. It is a prescription-only heart medication ramipril option that many patients use long term.

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Ramipril blocks the conversion of angiotensin I to angiotensin II. This relaxes blood vessels, lowers resistance, and reduces aldosterone effects that retain salt and water. The result is lower blood pressure and less strain on the heart. Ramipril tablet uses include primary treatment of high blood pressure and reducing cardiovascular risk. It may also slow kidney damage progression in some people with diabetes and hypertension.

Ramipril tablets are taken by mouth once or twice daily, with or without food. Common tablet strengths include ramipril 1.25 mg, ramipril 2.5 mg, ramipril 5mg, and ramipril 10 mg. Your prescriber adjusts the dose based on blood pressure, kidney function, and response. You can read more about the condition in our High Blood Pressure section, and how treatment helps prevent Stroke.

Dosage and Usage

• Starting doses for hypertension: often 2.5 mg once daily. Some start at 1.25 mg if on a diuretic or at risk of low blood pressure.
• Typical maintenance: 5 mg to 10 mg daily in one or two divided doses. Maximum is usually 20 mg per day.
• Heart failure or post–heart attack: providers may start 2.5 mg twice daily and titrate as tolerated.
• Swallow the ramipril pill whole with water. Take it at the same time each day.
• If you miss a dose, take it when you remember. If it is near your next dose, skip the missed dose. Do not double up.
• Stand up slowly to reduce dizziness when doses increase.
• Your prescriber may check blood pressure, potassium, and kidney function during dose changes.

• Storage: keep ramipril tablets at 15–30 °C (59–86 °F) in a dry place. Protect from moisture and light.
• Keep in the original bottle or a labeled pill organizer. Close the cap tightly.
• Do not store in a bathroom. Keep away from children and pets.
• Travel: carry doses in hand luggage with the prescription label. Pack extra tablets for delays.
• If crossing time zones, keep the interval close to 24 hours. A few hours earlier or later is fine.
• Avoid heat in cars or direct sun. Do not freeze.

Benefits and Savings

Ramipril reduces blood pressure and helps prevent heart attacks and strokes. It lowers afterload, which eases the work of a weakened heart. In high-risk patients, ramipril reduced cardiovascular events in large trials. For patients with diabetes and high blood pressure, it can slow kidney function decline. Once-daily dosing and multiple strengths make ramipril tablets convenient.

Ordering through YouDrugstore can mean 60–80% savings versus typical US prices, depending on strength and fill size. You can compare ramipril price options across ramipril 2.5 mg price, ramipril 5mg price, and ramipril 10 mg price listings. Multi‑month supplies may lower your per‑month cost, and you can set simple reorder reminders in your account.

Looking for a ramipril coupon? See current offers on our promotions page.

Side Effects and Safety

• Common: dry cough, dizziness, headache, fatigue, low blood pressure, nausea.
• Electrolytes: high potassium may occur, especially with potassium supplements or sparing diuretics.
• Kidney: small, reversible increases in creatinine can appear after starting or dose increases.
• Skin: rash or itch.
• Other: taste changes or mild stomach upset.

Serious but less common risks include angioedema (swelling of face, lips, tongue, or throat), severe low blood pressure, very high potassium, and kidney injury. Stop the medicine and seek care if you have signs of angioedema. Do not use ramipril in pregnancy; it can harm the fetus. Avoid combining with aliskiren in diabetes. Your provider will consider kidney artery narrowing, prior ACE inhibitor angioedema, and lithium therapy before prescribing.

Onset Time

Blood pressure begins to drop within hours after the first dose, with peak effect in 3–6 hours. You may see meaningful blood pressure changes within a few days. Full stabilization often takes 2–4 weeks as your dose is adjusted. Heart protection and kidney benefits build over months with consistent use.

Compare With Alternatives

Some people switch to an angiotensin receptor blocker (ARB) if they develop an ACE‑related cough. Combination losartan/hydrochlorothiazide adds a diuretic to improve blood pressure control; see Hyzaar® DS or Hyzaar® for more details.

Telmisartan is an ARB option dosed once daily that may better suit those who cannot tolerate ACE inhibitors. You can compare features with Micardis® and discuss which class fits your treatment plan.

Calcium channel blockers, such as amlodipine, are another class often combined with or substituted for ACE inhibitors in hypertension. Choice depends on comorbidities, blood pressure goals, and side‑effect profiles.

Combination Therapy

• Thiazide diuretics (e.g., hydrochlorothiazide) with ramipril tablets can enhance blood pressure control.
• Calcium channel blockers pair well for resistant hypertension.
• Beta‑blockers may be used post–heart attack or in heart failure when indicated.
• Statins are often added for cholesterol management to reduce overall cardiovascular risk.
• Avoid routine use with potassium‑sparing diuretics or potassium supplements unless closely monitored due to hyperkalemia risk.
• NSAIDs may blunt antihypertensive effects and increase kidney risk, especially with diuretics; use the lowest effective dose if needed.

Patient Suitability and Cost-Saving Tips

Ramipril is used for high blood pressure, heart failure support, and lowering cardiovascular risk. It may not be suitable if you have a history of ACE inhibitor angioedema, bilateral renal artery stenosis, severe kidney disease without close monitoring, or if you are pregnant or planning pregnancy. Breastfeeding requires a risk–benefit discussion.

Tell your prescriber about all medicines and supplements, including lithium, diuretics, potassium products, and over‑the‑counter NSAIDs. Report lightheadedness, swelling of the face or throat, or reduced urine. Regular blood pressure checks, kidney function, and potassium tests help keep therapy safe and effective.

For convenience and savings, consider a 90‑day supply if appropriate. Bulk promotions can reduce per‑month pricing across ramipril 1.25 mg, 2.5 mg, 5 mg, and 10 mg strengths. Turn on reorder reminders so you never run out. If you have questions about your order or shipment, use customer‑service chat during posted office hours.

Authoritative Sources

FDA Prescribing Information for Altace (ramipril)

Health Canada Drug Product Database: Ramipril

Summary of Product Characteristics: Ramipril

Order Ramipril from YouDrugstore: add to cart, upload your prescription, and we ship with prompt, express, cold-chain handling.

This material is educational and does not replace advice from your healthcare professional. Always follow your prescriber’s directions for your specific situation.