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High blood pressure levels can damage your kidneys, and may lead to a stroke or heart failure. <br /> <h3><u>What should I tell my health care provider before I take this medicine?</u></h3><br /> <p><h4> They need to know if you have any of these conditions:</h4></p> • autoimmune disease (such as lupus), or suppressed immune function<br /> • previous swelling of the tongue, face, or lips with difficulty breathing, difficulty swallowing, hoarseness, or tightening of the throat (angioedema)<br /> • bone marrow disease<br /> • heart or blood vessel disease<br /> • liver disease<br /> • low blood pressure<br /> • kidney disease<br /> • if you are on a special diet, such as a low-salt diet<br /> • an unusual or allergic reaction to ramipril, other ACE inhibitors, other medicines, foods, dyes, or preservatives<br /> • pregnant or trying to get pregnant<br /> • breast-feeding<br /> <h3><u>How should I take this medicine?</u></h3><br /> Take ramipril capsules by mouth. Follow the directions on the prescription label. Swallow the capsules with a drink of water. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking ramipril except on your prescriber's advice.<br /> <br /> Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.<br /> <h3><u>What if I miss a dose?</u></h3><br /> If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.<br /> <h3><u>What drug(s) may interact with ramipril?</u></h3><br /> • antiinflammatory drugs (NSAIDs, such as ibuprofen)<br /> • gold compounds, often used for arthritis<br /> • hawthorn<br /> • heparin<br /> • lithium<br /> • medicines for diabetes<br /> • medicines for high blood pressure<br /> • monoamine oxidase inhibitors (Azilect®, Eldepryl®, Emsam®, Marplan®, Nardil®, Parnate®, Zelapar™)<br /> • potassium salts<br /> • water pills<br /> <br /> Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.<br /> <h3><u>What side effects may I notice from taking ramipril?</u></h3><br /> <p><h4> Side effects that you should report to your prescriber or health care professional as soon as possible:</h4></p> • decreased amount of urine passed<br /> • difficulty breathing, or difficulty swallowing<br /> • dizziness, lightheadedness or fainting spells<br /> • fast or uneven heart beat, palpitations, or chest pain<br /> • fever or chills<br /> • numbness or tingling in your fingers or toes<br /> • skin rash, itching<br /> • swelling of your face, lips, or tongue<br /> <br /> <p><h4> Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):</h4></p> • change in taste<br /> • cough<br /> • headache<br /> • tiredness<br /> <h3><u>What should I watch for while taking ramipril?</u></h3><br /> Visit your prescriber or health care professional for regular checks on your progress. 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