Ramipril Hexal
Ramipril Hexal is a medicine that helps lower high blood pressure, protects your heart, and reduces the risk of heart attacks, strokes, and kidney problems by relaxing blood vessels.
Form
tabletti
Strength
1.25 mg
Active Ingredient
Ramipril
Manufacturer
Hexal A/S
How to Use
Dosage
The typical starting dose is 1.25 mg or 2.5 mg once a day, but your doctor will adjust it based on your condition.
Method
Take one tablet by mouth at the same time each day, swallowed whole with liquid. Do not crush or chew the tablet.
Important
The maximum daily dose is 10 mg.
Possible Side Effects
COMMON
- •Headache or feeling tired
- •Dizziness, especially when starting the medicine or when the dose is increased
- •Fainting or low blood pressure, especially when standing up quickly
- •Dry, irritating cough, sinus infection (sinusitis), bronchitis, or shortness of breath
- •Stomach or gut pain, diarrhea, indigestion, nausea, or vomiting
- •Rash with or without swelling
- •Chest pain
- •Muscle cramps or muscle pain
- •Higher than normal potassium in blood tests
RARE
- •Balance problems (vertigo)
- •Itching and unusual skin feelings like numbness, tingling, prickling, burning, or a crawling sensation
- •Loss or change of taste
- •Sleep problems
- •Feeling low, anxious, restless, or more nervous
- •Blocked nose, trouble breathing, or worsening asthma
- •Swelling in the gut (intestinal angioedema) with symptoms like stomach pain, vomiting, and diarrhea
- •Heartburn, constipation, or dry mouth
- •More frequent urination than usual
- •More sweating than usual
- •Loss or decrease in appetite
- •Increased or irregular heartbeats
- •Swollen arms or legs. This can be a sign of fluid buildup.
- •Flushing
- •Blurred vision
- •Joint pain
- •Fever
- •Erectile dysfunction (men), reduced sex drive (men and women)
- •Increased numbers of certain white blood cells (eosinophilia) seen in blood tests
- •Changes in liver, pancreas, or kidney function shown in blood tests
- •Feeling unsteady or confused
- •Red and swollen tongue
- •Severe skin peeling, flaking, itchy bumpy rash
- •Nail problems (e.g., loose or detached nails)
- •Rash or bruising
- •Skin spots and cold limbs
- •Red, itchy, swollen, or watery eyes
- •Hearing problems or ringing in ears
- •Feeling of weakness
- •Blood tests showing lower red blood cells, white blood cells, platelets, or hemoglobin
- •Increased sensitivity to sunlight
- •Difficulty concentrating
- •Swelling of the mouth
- •Blood tests showing too few blood cells
- •Blood tests showing lower than normal sodium levels
- •Dark urine, nausea or vomiting, muscle cramps, confusion, and seizures due to improper ADH secretion. Contact your doctor immediately if these symptoms occur.
- •Changes in finger and toe color when cold, followed by tingling and pain when warming up (Raynaud's phenomenon)
- •Breast enlargement in men
- •Slowed or weakened reactions
- •Burning sensation
- •Changes in sense of smell
- •Hair loss
Important Warnings
- Sudden swelling of your face, lips, or throat, which makes it hard to swallow or breathe, along with itching and rash. These could be signs of a serious allergic reaction.
- Severe skin reactions including rash, mouth sores, worsening of existing skin conditions, skin redness, blistering, or peeling skin (e.g., Stevens-Johnson syndrome).
- Faster heart rate, uneven or strong heartbeats (palpitations), chest pain, chest tightness, or more serious problems like a heart attack or stroke.
- Shortness of breath or cough. These can be signs of lung problems.
- Easier bruising, longer bleeding, signs of bleeding (like bleeding gums), purple spots on the skin, or getting infections more easily, sore throat, fever, feeling tired, dizzy, or pale skin. These can be signs of blood or bone marrow problems.
Show 2 more warnings
- Severe stomach pain that can spread to your back. This can be a sign of pancreatitis (inflammation of the pancreas).
- Fever, chills, tiredness, loss of appetite, stomach pain, nausea, yellowing of the skin or eyes (jaundice). These can be signs of liver problems, like hepatitis (liver inflammation) or liver damage.
Use in Elderly Patients
Category C
Suitable for older adults, with specific precautions. Reduce the dose in moderately severe renal impairment. Monitor renal function and potassium concentrations during the pharmacotherapy. Avoid concurrent use of NSAIDs. (updated 14.4.2025)