ACE Inhibitors, like Altace (Ramipril) belong to the class of medicines called high blood pressure medicines. Altace is sometimes used in some patients after a heart attack. It helps slow down any further weakening of the heart. It is unknown exactly how they work.
Be sure to tell your doctor of any allergies you have whether it is to medication or food, preservatives, or dyes. Also, tell your doctor of any other medications you are taking, including vitamins and supplements, and any medical conditions you may have.
It is very important that you take this medicine exactly as your doctor tells you to. Do not take more or less medicine than directed, and don’t stop taking Altace without discussing it with your doctor first.
If you miss a dose of this medicine, take it as soon as you remember, unless it is almost time for your next dose. Do NOT double doses.
Tell your doctor immediately if any of the following side effects occur: fever and chills; hoarseness; swelling of face, mouth, hands, or feet; trouble in swallowing or breathing; stomach pain, itching of skin, or yellow eyes or skin.
Check with your doctor as soon as possible if any of the following side effects occur: dizziness, light-headedness, or fainting; skin rash, with or without itching, fever, or joint pain; abdominal pain, abdominal distention, fever, nausea, or vomiting; or chest pain.
Ramipril is a 2-aza-bicyclo [3.3.0]-octane-3-carboxylic acid derivative. It is a white, crystalline substance soluble in polar organic solvents and buffered aqueous solutions. Ramipril melts between 105°C and 112°C.
The CAS Registry Number is 87333-19-5. Ramipril's chemical name is (2S,3aS,6aS) -1[(S)-N-[(S) -1-Carboxy-3-phenylpropyl]alanyl] octahydrocyclopenta[b] pyrrole-2-carboxylic acid, 1-ethyl ester;
its structural formula is: