Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
148 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest dosage for ramipril

i have high blood pressure and are on the lowest dose of ramipril, 1.25 mg,howver, my legs are very shaky tonight. I have had this a few times recently. i took my blood pressure tonight and it is sky high 167/93. i think i have to call my cardiologist tomorrow. I take ramipril at night. should I dou7ble the dose tonight to 2.5 mg? i have gradually come down slowly from 10 mg 2 years ago, but maybe 1.25 is too low. i have been on it for only 3.5 months.
Wed, 16 Mar 2016
Report Abuse
Question is related to
Diseases and Conditions
Drug/Medication ,  
Medical Topics
Cardiologist 's  Response
Hello and thank you for using HCM.

I carefully read your question and i understand your concern. Ii will give you my opinion.

When we treat hypertension our goal is to achieve mean values below 140/90 mmHg. A hypertensive patient might have excessive values under physical or emotional stress and this is normal but when we talk about daily mean values they should be under 140/90. Only with this values we can say that we have a good and controlled blood pressure.

So, if you say that in a random measurement you find high values like 167/93 it might be reasonable to rise your medicament dosage.
In fact the ramipril dose that you take is a very small one.

So my opinion as a cardiologist is that you can rise the dosage to 2.5 and even 5 mg because it cant cause any harm.
It will lower your blood pressure values to 120/80 and this is our target for you.

Of course it is mandatory to know some blood analyses to do so like your creatinin levels, so i advise you to consult it with your cardiologist.

Hope I was helpful.
Wish you good health.
Best regards.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on

Related questions you may be interested in

doctor1 MD

I m taking 5mg of ramipril daily and would like to know if there are any decongestants I can take as well? I took 3 doses of sudafed yesterday...

Recent questions on  Ace inhibitor

doctor1 MD

I am on Lisinopril. I was just wondering if it can cause infertility. My husband and I have been trying to conceive for six months now and still...

doctor1 MD

I have been taking Lexapro 10 mg for 1 month along with Alprazolam0.5 mg as needed for my anxiety, along with these 2 I also take Lisinopril 40mg...

doctor1 MD

my husband is taking Isosobide mn 30 mg he has an defib implant his Bp has been going very high even after the Doc increased his Lisinopril to 40...

doctor1 MD

I have been on lisinopril for a couple of years. (10 mg). About 5 months ago the doctor up it to 20mg. Back in earlier December I started having...

doctor1 MD

Hi, I am 39 years old and recently i have seen fluctuations in my blood pressure values. I have got it checked for a week, they were fluctuating...

doctor1 MD

As part of a workup for moderate hypertension, presently well-controlled by drugs (see below) my bloodwork (which is otherwise normal, along with...

doctor1 MD

Hi sir, mine LVEF is 30% to 35% what food I have to follow