Ramipril — Drug Interactions, Alcohol & Pregnancy Guide

Last reviewed: · Source: US FDA drug label database · 247CanITakeWith Editorial Team

Key Takeaways
  • Ramipril is a ACE Inhibitor used for High blood pressure.
  • Alcohol: Use caution — alcohol enhances ramipril's blood-pressure-lowering effect and may cause dizziness or fainting.
  • Pregnancy: ACE inhibitors like ramipril must be stopped in pregnancy — second and third trimester exposure damages fetal kidneys; safer blood pressure drugs are swapped in.
  • This page covers 1 specific drug combination with Ramipril.

About Ramipril

Ramipril is one of the most commonly prescribed ACE inhibitors in the UK. Like all ACE inhibitors, it can cause a dry cough and should not be used in pregnancy.

Also sold as: Tritace

Drug class ACE Inhibitor
Used for High blood pressure, Heart failure, Heart attack prevention, Diabetic nephropathy
Max adult dose 1.25-10mg once daily
OTC in UK Prescription only

Ramipril at a glance

Ramipril is classed as ace inhibitor and is used for high blood pressure, heart failure, heart attack prevention, diabetic nephropathy. It is a prescription medicine, so doses and combinations should always be agreed with your prescriber or pharmacist.

Typical adult dosing guidance: 1.25-10mg once daily. Your own label or prescription always takes priority over general figures.

Interactions most often flagged

  • Alcohol
  • Ibuprofen
  • Pregnancy
  • Potassium

Before you combine Ramipril with anything new

  • Read the patient information leaflet for both products.
  • Keep one up-to-date list of every medicine and supplement you take.
  • Ask a pharmacist — it is free and takes a couple of minutes.
  • Seek urgent medical help if you feel seriously unwell after combining medicines.

Ramipril and Alcohol

🟡 USE WITH CAUTION

Use caution — alcohol enhances ramipril's blood-pressure-lowering effect and may cause dizziness or fainting.

Full guide →

Ramipril in Pregnancy

🔴 AVOID

ACE inhibitors like ramipril must be stopped in pregnancy — second and third trimester exposure damages fetal kidneys; safer blood pressure drugs are swapped in.

Full guide →

Ramipril — Drug Combinations

More in this category: cardiovascular

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Frequently Asked Questions

What is Ramipril used for?

Ramipril is a ACE Inhibitor used for High blood pressure, Heart failure, Heart attack prevention, Diabetic nephropathy.

What is the maximum adult dose of Ramipril?

The maximum adult dose is 1.25-10mg once daily. This is general guidance — always follow the dose on your prescription or product label, and check with a pharmacist if you're unsure.

Can I drink alcohol with Ramipril?

Use caution — alcohol enhances ramipril's blood-pressure-lowering effect and may cause dizziness or fainting.

Is Ramipril safe to take during pregnancy?

ACE inhibitors like ramipril must be stopped in pregnancy — second and third trimester exposure damages fetal kidneys; safer blood pressure drugs are swapped in.

Is Ramipril available over the counter in the UK?

Ramipril is prescription-only in the UK.

What should I check before taking Ramipril with other medicines?

The interactions most often flagged for Ramipril are: alcohol, ibuprofen, pregnancy, potassium. Tell your pharmacist or prescriber about everything you take, including over-the-counter products, supplements and herbal remedies, before combining it with anything new.

What are the brand names for Ramipril?

Ramipril is sold under brand names including Tritace. The active ingredient is the same, so check labels carefully to avoid doubling up on it.

Do I need a prescription for Ramipril?

Ramipril is a prescription medicine, so take it exactly as your prescriber directed and ask them before changing the dose.

👨‍⚕️

Not sure if Ramipril is safe with your other medications?

HealthLabs.com lets you check liver enzyme or kidney function levels before combining medications long-term — no GP referral needed.

Check your levels at HealthLabs →

Always speak to your pharmacist or GP for personalised medical advice. Affiliate link — we may earn a commission.