The active ingredient Ramipril is one of the most important high blood pressure and heart protector medicines on the market. It belongs to the group of ACE inhibitors and is mostly used in tablet form. The function of this active ingredient is to block ACE receptors that are inhibitors of the angiotensin converting enzyme. This enzyme causes the conversion of inactive angiotensin-I to active angiotensin II and is part of the blood pressure controlling cascade.

• Hypertension
• Heart Failure
• After a heart attack
• Breastfeeding women with tendency for heart attack and stroke
• Non-diabetic kidney disease or
• Diabetic kidney disease

Ramipril, is an ACE inhibitor that inhibits the formation of vasoconstrictor messengers such as angiotensin I,I and increases the production of vasodilators, such as bradykinin. By taking the drug, the blood pressure is regulated and the heart is relieved.

The natural regulation of blood pressure is a normal body function. If more energy is needed, the body automatically increases blood pressure, and during periods of rest it automatically lowers it.

A disturbance in this natural system can lead to high blood pressure and the person usually does not feel it. Therefore, he does not notice when hypertension gradually gets worse. Constant unnoticed hypertension especially affects small vessels found in the eye and in the kidney. Long-term unrecognized hypertension may result in loss of vision and severe kidney dysfunction.

In order to prevent consequential damage, the affected persons must do sports, eat healthily and take antihypertensive medication.

• Ramipril 1.25, 2.5, 5 and 10mg Leaflet

The use of machinery and driving should be avoided if the typical side effects such as dizziness appear.

• Headache
• Dizziness
• Vomiting
• Muscle cramps and muscle aches
• Low blood pressure
• Fatigue
• Increased potassium levels
• Irritant cough (only after several weeks of treatment)

If any of the rare side effects occur, tell your doctor immediately. Read the leaflet for detailed information on the side effects, contra-indications and drug interactions.

• Medicines that alter the potassium concentration in the blood: potassium effervescent tablets, heparin and others. Simultaneous ingestion should be avoided.
• Medicines that alter the number of blood cells: cytostatics, immunosuppressants, corticosteroids, allopurinol and others. Simultaneous ingestion should be avoided.
• Ramipril enhances the hypoglycemic effect of: insulin as well as other antidiabetics.
• Non-steroidal anti-inflammatory drugs reduce the effects of Ramipril: acetylsalicylic acid, ibuprofen, diclofenac and others. For pain and fever, tablets containing the active ingredient paracetamol should be avoided.
• Diuretics: if the blood pressure cannot be lowered by Ramipril alone, the administration of a diuretic is required.
• Lower renal function should result in a lower dose because of slow elimination.
• In impaired liver function, the conversion to the effective form takes longer and the effect occurs later.

You can easily choose Ramipril from our website and fill out an online questionnaire that will be approved by the doctors we work with. As long as you are eligible for the high blood pressure medication and the follow up prescription, we will send the drug to your home in a discreet package. Next to Ramipril Apomeds offers a follow up prescription and medications for the treatment of high blood pressure: Lisinopril, Candesartan, Losartan, Bisoprolol and Enalapril.

Disclaimer: Please note that the drug shown above in the picture indicates one of the possible manufacturers of the drug. It may be that we send you a drug from a different manufacturer. All products comply with EU standards.