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• High blood pressure: Ramipril relaxes blood vessels and lowers pressure, helping the heart pump blood more easily.
• Heart failure: Ramipril reduces strain on the heart and may improve symptoms such as breathlessness and tiredness when prescribed for heart failure.
• Heart attack and stroke prevention: It may lower the risk of future heart attack or stroke in people whose cardiovascular risk is being medically managed.

• Dry cough: Ramipril can cause a persistent tickling cough that does not produce mucus. Tell your doctor if it continues or disturbs sleep.
• Dizziness, low blood pressure or drowsiness: Blood pressure may fall when treatment starts or changes. Rise slowly and sit down if you feel faint or unsteady.
• Headache or fatigue: Changes in blood pressure may cause a headache or unusual tiredness, particularly early in treatment. Tell your doctor if these symptoms are severe.
• Nausea or vomiting: Ramipril may upset the stomach in some people. Seek medical advice if vomiting prevents you from keeping fluids down.
• High potassium: Ramipril can raise potassium in the blood, causing muscle weakness, tingling or an unusual heartbeat. Seek medical advice promptly if these occur.

• Rise slowly from sitting or lying down, especially when starting treatment.
• Do not use potassium supplements or salt substitutes without medical advice.
• Keep follow-up appointments for blood pressure, kidney function and potassium checks.
• Tell your doctor promptly about a persistent dry cough or swelling of the face, lips, tongue or throat.
• Do not stop regular treatment without speaking with your doctor.

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