Altace

Generic name: Ramipril
Drug class: Angiotensin Converting Enzyme Inhibitors

Usage of Altace

Altace is an ACE inhibitor. ACE stands for angiotensin converting enzyme.

Altace is used to treat high blood pressure (hypertension). Lowering blood pressure may lower your risk of a stroke or heart attack.

Altace is also used to treat congestive heart failure.

Altace side effects

Get emergency medical help if you have signs of an allergic reaction to Altace: hives; severe stomach pain; difficulty breathing; swelling of your face, lips, tongue, or throat. You may be more likely to have an allergic reaction if you are African-American.

Call your doctor at once if you have:

  • a light-headed feeling, like you might pass out;
  • jaundice (yellowing of your skin or eyes);
  • little or no urination;
  • fever, chills, sore throat; or
  • high potassium - nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement.

    • Common Altace side effects may include:

  • headache;
  • cough; or
  • dizziness, weakness, tired feeling.

    • This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

    Before taking Altace

    You should not use Altace if you are allergic to ramipril, or if:

  • you recently took a heart medicine called sacubitril; or
  • you have ever had a severe allergic reaction to any ACE inhibitor (benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, or trandolapril).

    • Do not take Altace within 36 hours before or after taking medicine that contains sacubitril (such as Entresto).

    If you have diabetes, do not use ramipril together with any medication that contains aliskiren (a blood pressure medicine).

    You may also need to avoid taking ramipril with aliskiren if you have kidney disease.

    To make sure Altace is safe for you, tell your doctor if you have ever had:

  • kidney disease (or if you are on dialysis);
  • an electrolyte imbalance (such as high levels of potassium in your blood);
  • liver disease;
  • a connective tissue disease such as Marfan syndrome, Sjogren's syndrome, lupus, scleroderma, or rheumatoid arthritis;
  • if you are on a low-salt diet; or
  • if you are also taking telmisartan (Micardis).

    • Do not use if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away. Altace can cause injury or death to the unborn baby if you take the medicine during your second or third trimester.

    You should not breast-feed while you are using ramipril.

    Altace is not approved for use by anyone younger than 18 years old.

    Relate drugs

    How to use Altace

    Usual Adult Dose for Diabetic Nephropathy:

    Initial dose: 2.5 mg orally once a day for patients not receiving a diuretic Maintenance dose: 2.5 to 20 mg/day orally in 1 to 2 divided doses

    Usual Adult Dose for Hypertension:

    Initial dose: 2.5 mg orally once a day for patients not receiving a diuretic Maintenance dose: 2.5 to 20 mg/day orally in 1 to 2 divided doses

    Usual Adult Dose for Congestive Heart Failure:

    Initial dose: 2.5 mg orally twice a day Maintenance dose: 5 mg orally twice a day

    Usual Adult Dose for Left Ventricular Dysfunction:

    Initial dose: 2.5 mg orally twice a day Maintenance dose: 5 mg orally twice a day

    Usual Adult Dose for Myocardial Infarction:

    Initial dose: 2.5 mg orally twice a day Maintenance dose: 5 mg orally twice a day

    Warnings

    Do not Altace use if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away.

    You should not use Altace if you have ever had angioedema. Do not take ramipril within 36 hours before or after taking medicine that contains sacubitril (such as Entresto).

    If you have diabetes, do not use ramipril together with any medication that contains aliskiren (a blood pressure medicine).

    What other drugs will affect Altace

    Tell your doctor about all your current medicines. Many drugs can interact with Altace, especially:

  • a diuretic ("water pill"), or any other blood pressure medications;
  • lithium;
  • gold injections to treat arthritis;
  • insulin or oral diabetes medicine; or
  • NSAIDs (nonsteroidal anti-inflammatory drugs) - aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.

    • This list is not complete and many other drugs may interact with Altace. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

    Disclaimer

    Every effort has been made to ensure that the information provided by Drugslib.com is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Drugslib.com information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Drugslib.com does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Drugslib.com's drug information does not endorse drugs, diagnose patients or recommend therapy. Drugslib.com's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

    The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Drugslib.com does not assume any responsibility for any aspect of healthcare administered with the aid of information Drugslib.com provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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