I have been on 5 mg. of ramipril for two months for hypertension that occurs primarily in early morning and lessens by early afternoon . Recently my blood pressure is higher taking ramipril than without and have been experiencing side effects such as neck, upper back pain and headaches for 3 days. I discontinued taking and still have early morning hypertension ( 150/95 pressure) lowering to 123/75 by afternoon which is much better than when on ramipril. I have appointment to see my primary physician but would like an additional opinion. I exercise regularly and feel ok most of the time. I avoid all alchohol now and hope this is helping ( I was consuming 2-3 glasses of wine daily. Thanks for your input.