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Ramipril Drug Interactions

Ramipril Drug Interactions Explained

The following section describes in detail the interactions that can occur when ramipril is combined with other substances.
 
Aliskiren
Combining Altace with aliskiren may increase the risk of dangerously low blood pressure (hypotension), fainting, kidney problems (including kidney failure), and dangerously high potassium levels in the blood (hyperkalemia). In general, such combinations are usually avoided. If it is necessary to take such medications together, very close monitoring will be required.
 
Aliskiren and Altace should never be combined in people with diabetes, because they may have a higher risk for these complications. Also, this combination is not recommended for people with moderate-to-severe kidney problems.
 
ARBs
Studies suggest that combining ACE inhibitors (such as ramipril) with ARBs may increase the risk of various problems (such as kidney damage, high potassium levels, or dangerously low blood pressure) without providing significant benefit. In general, ramipril should not be combined with ARB medications.
 
Diuretics
If you are taking ramipril with a diuretic, your blood pressure may decrease too much. You can reduce the risk of this happening by either stopping the diuretic (under a healthcare provider's supervision) or increasing salt intake prior to starting the ramipril. Discuss these options more with your healthcare provider.
 
Injectable Gold
Reactions have been reported in people taking ramipril who received gold injections. These reactions included symptoms such as facial flushing, nausea, vomiting, and low blood pressure.
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Ramipril Tablets

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