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.