ACE Inhibitor (Blood Pressure Medicine)
Last reviewed June 2026
Who is this for?
Ramipril is a blood pressure-lowering medicine that works by relaxing your blood vessels so blood can flow more easily, reducing the strain on your heart.
Inhibits angiotensin-converting enzyme (ACE), preventing the conversion of angiotensin I to angiotensin II, which reduces vasoconstriction and aldosterone secretion, thereby lowering blood pressure and decreasing cardiac workload. This mechanism also reduces glomerular hyperfiltration in diabetic nephropathy and prevents ventricular remodeling in heart failure.
Prescription Required
You need a doctor's prescription to buy this drug.
Explore this drug
Usually you start with 1.25 mg or 2.5 mg once daily, and your doctor may gradually increase it up to 10 mg per day depending on your condition. Take it at the same time each day, with or without food. Swallow the tablet or capsule whole with water — do not crush or chew it. Your doctor will decide the right dose for you, so follow their instructions carefully.
If you miss a dose, take it as soon as you remember. But if it is almost time for your next dose, skip the missed one and continue your normal schedule. Do not take a double dose to make up for the one you missed.
Only buy from licensed pharmacies — brands like Hopace, Codix Ramipril, Ramicard, and Multichris Ramipril are available in Nigeria, so look for trusted names. Do not stop taking this medicine suddenly because your blood pressure feels normal — high blood pressure often has no symptoms, so keep taking it as prescribed. Do not share your prescription with someone else even if they have similar symptoms.
Avoid taking potassium supplements or potassium-rich salt substitutes while on Ramipril as it can cause dangerously high potassium levels. NSAIDs like ibuprofen (commonly sold in Nigeria) can reduce how well Ramipril works and may harm your kidneys if used together regularly. Alcohol can increase the blood pressure-lowering effect and make you feel very dizzy or faint — limit your intake.
Check your specific combination
Is it safe to take Ramipril with your other drugs?
Ramipril is NOT safe during pregnancy — it can cause serious harm or death to your unborn baby, and you should also consult your doctor before taking it if you are breastfeeding.
Store in a cool, dry place away from direct sunlight and heat — Nigerian weather can be hot, so avoid leaving it in your car or near a window. Keep the medicine in its original container and always keep it out of the reach of children.
For information only — not medical advice. Always talk to a doctor or pharmacist before changing your medication.
Names this drug is sold under — especially in Nigerian and West African pharmacies
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Counterfeit Drug Warning
Fake drugs are a serious problem in Nigeria. Always buy from a registered pharmacy. If the packaging looks different from what is described above, do not use it.
Dispensing Ramipril?
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