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a light-headed feeling, like you might pass out; Before taking this medicine Initial dose: 2.5 mg orally twice a day Maintenance dose: 5 mg orally twice a day Dosage Interactions What happens if I overdose? headache; Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. Maintenance dose: 5 mg orally twice a day Support Group Q & A Maintenance dose: 2.5 to 20 mg/day orally in 1 to 2 divided doses Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Usual Adult Dose for Hypertension: Important information Slideshow Initial dose: 2.5 mg orally once a day for patients not receiving a diuretic Other drugs may interact with Altace, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using. little or no urination, or urinating more than usual; Avoid drinking alcohol. It can further lower your blood pressure and may increase some of the side effects of Altace. Overview Altace can be taken with or without food. a connective tissue disease such as Marfan syndrome, Sjogren's syndrome, lupus, scleroderma, or rheumatoid arthritis; or Initial dose: 2.5 mg orally once a day for patients not receiving a diuretic Where can I get more information? You may also need to avoid taking Altace with aliskiren if you have kidney disease. if you are also taking telmisartan (Micardis). diabetes; Drink plenty of water each day while you are taking this medication. Call your doctor at once if you have: Do not use Altace if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away. Ramipril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. Use effective birth control. cough; or Store at room temperature away from moisture, heat, and light. Keep the bottle tightly closed when not in use. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall. Altace may also be used for purposes not listed in this medication guide. Do not use salt substitutes or potassium supplements while taking Altace, unless your doctor has told you to. dizziness, weakness, tired feeling. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Your blood pressure will need to be checked often, and you may need frequent blood tests to check your potassium levels. If you need surgery, tell the surgeon ahead of time that you are using Altace. You may need to stop using the medicine for a short time. What other drugs will affect Altace? Usual Adult Dose for Congestive Heart Failure: Add to My Med List Initial dose: 2.5 mg orally twice a day kidney disease (or if you are on dialysis); More Pregnancy Warnings chest pain; Altace dosing information Usual Adult Dose for Left Ventricular Dysfunction: This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. Usual Adult Dose for Myocardial Infarction: Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Altace only for the indication prescribed. Professional How should I take Altace? Consumer resources Altace Altace capsules Altace (Advanced Reading) Professional resources Altace (AHFS Monograph) More (2) » Related treatment guides Cardiovascular Risk Reduction Left Ventricular Dysfunction High Blood Pressure Heart Attack Heart Failure More (1) » Vomiting, diarrhea, or heavy sweating can cause you to become dehydrated. This can lead to very low blood pressure, electrolyte disorders, or kidney failure while you are taking Altace. Usual Adult Dose for Diabetic Nephropathy: Ladies A Moment: 10 Health Screenings That All Women Need Drug Images Side Effects Altace side effects Common Altace side effects may include: Breastfeeding Warnings liver disease; User Reviews Do not use Altace if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away. What should I avoid? high potassium - nausea, slow or unusual heart rate, weakness, loss of movement. Your pharmacist can provide more information about Altace. If you are being treated for high blood pressure, keep using this medication even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life. Get emergency medical help if you have any signs of an allergic reaction to Altace: hives; severe stomach pain; difficulty breathing; swelling of your face, lips, tongue, or throat. Maintenance dose: 5 mg orally twice a day Altace is used to treat high blood pressure (hypertension) or congestive heart failure, and to improve survival after a heart attack. What happens if I miss a dose? To make sure Altace is safe for you, tell your doctor if you have: Swallow the tablet whole. You should not use Altace if you are allergic to ramipril or to any other ACE inhibitor, such as benazepril, captopril, fosinopril, enalapril, lisinopril, moexipril, perindopril, quinapril, or trandolapril. If you have diabetes, do not use ramipril together with any medication that contains aliskiren (Amturnide, Tekturna, Tekamlo, Valturna). If you have diabetes, do not use Altace together with any medication that contains aliskiren (Amturnide, Tekturna, Tekamlo, Valturna). What is Altace? Altace (ramipril) is an ACE inhibitor. ACE stands for angiotensin converting enzyme. Generic Name: ramipril (RAM i pril) Brand Names: Altace It is not known whether ramipril passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using this medicine. Maintenance dose: 2.5 to 20 mg/day orally in 1 to 2 divided doses Initial dose: 2.5 mg orally twice a day Take Altace exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended. 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