rapramil — rapramil side effects, indications, usage

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rapramil also known as ramipril is an antihypertensive medication which is used to reduce high blood pressure. It is under the class of Angiotensin-converting enzyme inhibitors. rapramil is also used to treat congestive heart failure, it has also been proven to work perfectly to improve survival after a heart attack

What Is Rapramil ? 

rapramil is an antihypertensive medication , it is under the class of Angiotensin-converting enzymes

In most cases rapramil may also be used for other purposes that are not listed in this article.

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Side effects of rapramil

Almost all medicines have side effects and just like any other medicines, rapramil can also cause side effects in people, but in several causes a lot of people have no side effects at all. As your body tends to get used to rapramil, side effects usually do not occur much.  

Common side effects

Generally the most common side effects of rapramil happens in just 1 in 100 people. 

  1. Tickly, dry cough that persists and does not get better. 
  1. Dizziness or lightheaded 
  1. Diarrhea
  1. Nausea and vomiting 
  1. Mild skin rashes 
  1. Blurred vision 
  1. Headaches 

If the side effects you are having keeps persisting then it is very advisable for you to speak to your doctor or Pharmacist about it. Most times all these side effects listed above will weigh off, but in case the side effects do not stop then you should speak with your healthcare provider ( Doctor or Pharmacist ). 

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Serious side effects may also occur in some people, although this side effects are very rare but we strongly recommend you to call a doctor right away or call the number 111 if you notice chronic side effects which includes ; 

  1. Yellowish eyes or skin as this may be a sign of liver problem

2. Paling than usual, feeling dizzy

3. Tiredness

4. Having the sign of bleeding from the gums , bruising 

5. High temperature

6. Getting infections more easily   

7. Bone marrow or blood disorders 

8. Severe pains in the stomach, having severe pains in the stomach might be a sign of inflamed pancreas.  

9. Swollen ankles 

10. Blood in the urine or not peeing at all. This sign might be a sign of kidney problem. 

11. Having trouble speaking of thinking 

12. Blurred vision 

13. Loss of balance 

14. Chest tightness, chest pain, fast heart rate

15. Shortness of breath

16. Having seriously allergic reactions 

If you’re taking rapramil and you notice any of these chronic side effects then it is very advisable to make sure you inform your doctor immediately or call your Pharmacist as they are the right person you need to inform about any of these chronic side effects. You can also call 999. 

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When rapramil is being used or taken for a very long period of time this can sometimes cause kidneys not to function well as they should. Nevertheless your doctor will definitely know the right dose that would benefit you. Test will be conducted by your doctor, and they will know how your kidneys are working with a regular blood test

Just because your doctor knows the right medication that suits you as well as the dosage of drug you are to take, then it is very advisable for you to always follow your doctor’s prescription and never abuse any medication given to you by your health care practitioner. 


If you are pregnant do not use rapramil, or if you are someone who gets pregnant while you are taking this medication then make sure you inform your doctor right away. Research has also shown that If you have ever had angioedema ( angioedema is known as a painless swelling under the skin, which is usually triggered by an allergy to animal dander, food or medication )

These medications should not also be used if you have diabetes. Rapramil should not be used alongside some other medications that contain aliskiren ( Tekamlo,Tekturna ). For anyone who is allergic to rapramil they should not take this medication as it may lead to some problem by the consumer who is allergic to it. 

Ramipril is under the class of ACE known as angiotensin converting enzyme. Angiotensin converting enzyme class also has some drugs under it which includes ; enalapril, Lisinopril, trandolapril, fosinopril, captopril. So do not take rapramil if you are allergic to any other of the class of angiotensin converting enzyme. 

This medication should not be taken within 36 hours before or after taking any other medicine that actually contains sacubitril which includes ; Entresto. Research has shown that if you are actually a diabetes patient and you’re taking rapramil, do not use any other medications that contains aliskiren ( Tekamlo, Tekturna ) 

Aliskiren and rapramil may need to be avoided if you have kidney disease. However the best thing you can do is to make sure you always talk to your doctor before you take any other medications with rapramil. 

If you are pregnant or if you are about to become pregnant make sure you stop taking this medication. In other words you may inform your doctor right away about it. Research has shown that this medication may cause injury or death to the unborn baby if this rapramil is actually being taken during your second and third trimester. 

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It has also been proven that this medication should not be used by a nursing mother as this drug can be passed into the breast milk. This medication can actually be taken with or without food, when you want to swallow this tablet it has to be swallowed whole. If you like, you may open the capsule and sprinkle it into a half-cup or water, or applesauce to make swallowing easier. It should be swallowed without chewing. 


Rapramil can be stored up for at least  24 hours at room temperature, or it should be stored up to 48 hours in the refrigerator. If you are taking rapramil and you actually have an ongoing diarrhea or vomiting, or if you are sweating more than usual, then make sure you inform your doctor about it because you can actually easily become hydrated while taking ramipril. And this may lead to very low blood pressure. 

Blood tests have to be conducted to check for your potassium levels, you have to make sure your blood pressure is being checked often. 

Always take plenty of water while taking this medication.  If you are about to go for a surgery make sure you inform the surgeon ahead of time that you are taking this medication. It should be stored at a room temperature, it should be kept away from heat, moisture, and light. Always make sure it is well kept and close the bottle tightly. 

Frequently Asked Questions About Rapramil 

What if I miss a dose?

If you miss a dose of rapramil, make sure you take it as soon as you remember. However, skip every missed dose if it is time for your next scheduled dose.  Do not take multiple doses just because you missed your previous dose. Take this medication as prescribed by your doctor to get the best therapeutic effects. 

What if I take an overdose?

When you seek an overdose of this medication then make sure you seek medical help as soon as possible. You can always call your doctor or the poison help line at >> tel:1-800-222-1222

Should you take rapramil in the morning or at night?

Usually you are to take this medication once or twice a day. However your doctor may suggest you actually take your first dose before you go to bed because ramipril makes you feel dizzy. After your first dose you can always take the medication anytime during the daytime. It is always advisable to always take it at the same time everyday. 

Can you drink alcohol with this medication?

No, you can’t take alcohol with ramipril because it can increase the effect of ramipril which may lower the blood pressure more than normal, and this may make you feel light-headed or dizzy.  It is highly advisable not to take alcohol while taking this medication. Always take plenty of water while using this medication. 

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Can this medication cause weight gain?

Yes it may cause weight gain. Always  make sure you inform your doctor immediately if you experience lower side pain, lower back, bloody urine, swelling of the face, or increased blood pressure. This might be a symptom of renal disease. 

Does this medication make you pee more?

This medication is known as an ACE inhibitor and it works by relaxing the blood vessels so that blood can actually flow in the body more easily. However hydrochlorothiazide increases the amount of urine and by removing extra salt and water from your body this action reduces blood pressure.   

Can this medication make you tired?

This medication may cause dizziness, tiredness, and headache. All these side effects listed are very common to all ACE Inhibitors antihypertensive medications. 

Why does this medication make you cough?

When you take ACE Inhibitors antihypertensive medication this can actually increase bradykinin which is a substance. It irritates the airways, and by this it triggers inflammation and coughing.  

What should I avoid?

Salt substitutes or potassium supplements should actually not be used while you are taking this medication or else your doctor has already told you to do so. You may also ask your doctor for more information about it. Alcohol should be avoided while taking this medication because it can further lower your blood pressure and this can actually increase some other side effects of rapramil.  

Always try to avoid getting up too fast from a lying position to prevent l dizziness. Get up gently and slowly and steady yourself to prevent any falls.  

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In summary about Rapramil 

Rapramil is an antihypertensive medication which is under the class of angiotensin converting enzyme inhibitors. This medication has also been proven to treat congestive heart failure.  If you experience any chronic side effect of rapramil like difficulty in breathing, hives, severe stomach pain. Then make sure you inform  your doctor immediately.  Do not abuse this medication as it may cause some chronic side effects. 

However do not try to take multiple doses just because you missed your previous dose. This medication should be kept out of children’s reach.  It should be stored at room temperature and also kept away from dust.  

If you are a nursing mother make sure you inform your doctor if you are taking this medication.

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