Altace; Tritace (brand availability varies by market)
Dosage form
Tablet
Strength
Capsule or tablet strengths vary; common strengths include 1.25 mg, 2.5 mg, 5 mg and 10 mg.
Prescription classification
Prescription only (Schedule H / verified)
Approved routes of administration
Oral
Applies to
IN; product status and availability may vary by jurisdiction
Approved indications
An ACE inhibitor used for hypertension, heart failure, prevention of cardiovascular events in high-risk patients, and protection of kidney function in diabetic nephropathy.
Contraindications (do not use if…)
Do not use if you have a history of angioedema related to an ACE inhibitor, or if you are pregnant. Avoid with aliskiren in people with diabetes or kidney disease. Do not combine with sacubitril/valsartan.
Important precautions
Monitor blood pressure, kidney function, and potassium levels at the start and during treatment. Use with caution in people with renal artery stenosis, severe kidney disease, or low blood volume. Persistent dry cough is common ‚ tell your doctor.
Common side effects
Common effects include a dry persistent cough, dizziness, headache, and fatigue. Blood pressure may drop more than expected at the start of treatment.
Serious side effects — seek urgent medical care
Seek emergency care for swelling of the face, lips, throat, or tongue (angioedema), severe drop in blood pressure, significant rise in potassium, or sudden worsening of kidney function.
Important interactions
Important interactions include potassium-sparing diuretics, potassium supplements, NSAIDs, lithium, antidiabetics, and other antihypertensives. Review all medicines with your doctor.
Allergy considerations
Do not use if you have had angioedema or a serious allergic reaction to ramipril or another ACE inhibitor.
Pregnancy and lactation
Pregnancy safety
Contraindicated
Notes
Do not use during pregnancy ‚ ACE inhibitors can seriously harm the developing baby, particularly in the second and third trimesters.
Information
Lactation safety
Use with caution — see notes
Notes
Not recommended while breastfeeding, especially for premature or newborn infants. Discuss alternatives with your doctor.
Children and older adults
Not licensed for children in most indications. Older adults may be more sensitive to blood pressure lowering and are at higher risk of kidney and electrolyte problems.
Storage
Store below 25°C in the original pack, away from moisture and light. Keep out of children's reach.
Missed dose
Take the missed dose as soon as you remember, unless the next dose is close. Never double up. For once-daily medicines, continue the next day at the usual time.
Overdose
Overdose can cause a dangerous drop in blood pressure. Call a poison helpline or emergency service immediately if suspected.
If you suspect an overdose or accidental poisoning:
contact your local emergency services or the nearest hospital emergency department immediately. Do not wait for symptoms.
Altace; Tritace (brand availability varies by market)
Dosage form
Tablet
Strength
Capsule or tablet strengths vary; common strengths include 1.25 mg, 2.5 mg, 5 mg and 10 mg.
Prescription classification
Prescription only (Schedule H / verified)
Approved routes of administration
Oral
Applies to
IN; product status and availability may vary by jurisdiction
Approved indications
An ACE inhibitor used for hypertension, heart failure, prevention of cardiovascular events in high-risk patients, and protection of kidney function in diabetic nephropathy.
Contraindications (do not use if…)
Do not use if you have a history of angioedema related to an ACE inhibitor, or if you are pregnant. Avoid with aliskiren in people with diabetes or kidney disease. Do not combine with sacubitril/valsartan.
Important precautions
Monitor blood pressure, kidney function, and potassium levels at the start and during treatment. Use with caution in people with renal artery stenosis, severe kidney disease, or low blood volume. Persistent dry cough is common ‚ tell your doctor.
Common side effects
Common effects include a dry persistent cough, dizziness, headache, and fatigue. Blood pressure may drop more than expected at the start of treatment.
Serious side effects — seek urgent medical care
Seek emergency care for swelling of the face, lips, throat, or tongue (angioedema), severe drop in blood pressure, significant rise in potassium, or sudden worsening of kidney function.
Important interactions
Important interactions include potassium-sparing diuretics, potassium supplements, NSAIDs, lithium, antidiabetics, and other antihypertensives. Review all medicines with your doctor.
Allergy considerations
Do not use if you have had angioedema or a serious allergic reaction to ramipril or another ACE inhibitor.
Pregnancy and lactation
Pregnancy safety
Contraindicated
Notes
Do not use during pregnancy ‚ ACE inhibitors can seriously harm the developing baby, particularly in the second and third trimesters.
Information
Lactation safety
Use with caution — see notes
Notes
Not recommended while breastfeeding, especially for premature or newborn infants. Discuss alternatives with your doctor.
Children and older adults
Not licensed for children in most indications. Older adults may be more sensitive to blood pressure lowering and are at higher risk of kidney and electrolyte problems.
Storage
Store below 25°C in the original pack, away from moisture and light. Keep out of children's reach.
Missed dose
Take the missed dose as soon as you remember, unless the next dose is close. Never double up. For once-daily medicines, continue the next day at the usual time.
Overdose
Overdose can cause a dangerous drop in blood pressure. Call a poison helpline or emergency service immediately if suspected.
If you suspect an overdose or accidental poisoning:
contact your local emergency services or the nearest hospital emergency department immediately. Do not wait for symptoms.
