Taking ramipril with other medicines and herbal supplements

Cautions with other medicines

There are some medicines that may affect the way ramipril works.

Tell your doctor if you're taking any of these medicines:

• anti-inflammatory medicines such as ibuprofen, indomethacin or aspirin for pain relief (low-dose aspirin – 75mg a day, is safe to take with ramipril)
• medicines to treat low blood pressure, heart failure, asthma or allergies, such as ephedrine, noradrenaline or adrenaline
• medicines for high blood pressure, such as aliskeren
• medicines that can lower your blood pressure, such as some antidepressants, nitrates (for chest pain), baclofen (a muscle relaxant), anaesthetics or medicines for an enlarged prostate gland
• medicines to calm down your immune system, such as ciclosporin or tacrolimus
• medicines that make you pee more (diuretics), such as furosemide
• medicines that can increase the amount of potassium in your blood, such as spironolactone, triamterene, amiloride, potassium supplements, trimethoprim (for infections) or heparin (for preventing blood clots)
• steroid medicines such as prednisolone
• allopurinol, for gout
• procainamide, for heart rhythm problems
• medicines for diabetes
• lithium, for mental health problems

Mixing ramipril with herbal remedies or supplements

There's very little information about taking herbal remedies and supplements with ramipril. They're not tested in the same way as pharmacy and prescription medicines.