RAMIPRIL

(Altace)

Standard Prescription

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

Dosages

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

Mechanism of Action

Angiotensin-converting enzyme inhibitor.

Forms Supplied

capsule: 1.25 mg, 2.5 mg, 5 mg, 10 mg

Comments

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.

References

44, 115, 155

Last Edited

2022-09-09 00:06:56