DRUG SUPPLIED DOSE COMMENTS
RAMIPRIL (Paeds)
(Altace)

Mechanism of action:

Angiotensin-converting enzyme inhibitor.



Ref: 44, 115, 155



Last update: 2022-09-09
capsule: 1.25 mg, 2.5 mg, 5 mg, 10 mg Children (hypertension & proteinuria; heart failure):
Initial: 1.5 mg/m2/day PO daily
Maximum: 6 mg/m2/day PO daily

Adult Dose for Hypertension:
Initial: 1.25 to 2.5 mg PO daily
Maximum: 20 mg PO daily
Monitor serum creatinine and potassium after starting or increasing dose.

Consider holding doses in setting of dehydration due to risk of kidney injury.

2.5 mg ramipril is approximately equivalent ACE inhibition of 37.5 mg captopril or 5 mg enalapril - Contraindicated in bilateral renal artery stenosis and in all stages of pregnancy.



Standard Prescription:

ramipril __mg PO ___(frequency) (__mg/m2/day)