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Do not take ramipril if you are pregnant. Ramipril may harm the fetus. It is also used to reduce the risk of heart attack and stroke in patients at risk for these problems and to improve survival in patients with heart failure after a heart attack.

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Renal function and electrolytes should be checked before starting ACE inhibitors or increasing the dose and monitored during treatment more frequently if side effects mentioned are present. Agranulocytosis; hepatitis; leucopenia; neutropenia; pancytopenia; Stevens-Johnson syndrome; thrombocytopenia. ACE inhibitors should be avoided in pregnancy unless essential. Manufacturer advises caution. Caution hyperkalaemia and other side-effects of ACE inhibitors are more common in those with impaired renal function.

Altered smell sensation; bone marrow failure; cerebrovascular insufficiency; concentration impaired; enanthema; gynaecomastia; hypersensitivity; Raynaud's phenomenon; SIADH; toxic epidermal necrolysis. ACE inhibitors are contra-indicated in patients with hypersensitivity to ACE inhibitors including angioedema. Alopecia; angina pectoris; angioedema can be delayed; more common in black patients ; arrhythmias; asthenia; chest pain; constipation; cough; depression; diarrhoea; dizziness; drowsiness; dry mouth; dyspnoea; electrolyte imbalance; gastrointestinal discomfort; headache; hypotension; myalgia; nausea; palpitations; paraesthesia; renal impairment; rhinitis; skin reactions; sleep disorder; syncope; taste altered; tinnitus; vertigo; vomiting.

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Conjunctivitis; hearing impairment; hepatic disorders; hypoperfusion; movement disorders; onycholysis; oral disorders; tremor; vascular stenosis; vasculitis. M See Prescribing in renal impairment. Dose adjustments Manufacturer advises maximum 2. M Dose adjustments Start with low dose and adjust according to response. To prevent anaphylactoid reactions, ACE inhibitors should be avoided during dialysis with high-flux membranes e.

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Altace is a medication used in the treatment of high blood pressure. When high blood pressure is lowered, conditions such as kidney problems, heart attacks and strokes are avoided. When used after a heart attack, this medication can improve the chances of survival. In patients who have had a recent heart attack, this medication can be used to prevent heart failure.

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