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Ramipril

Medication ACE inhibitor heart & blood pressure
Aka: Tritace
Brands seen in Singapore: Tritace, Trinomia
Not medical advice. Check with your doctor or pharmacist before you start, stop or change the timing of anything you take.
How to use
What it’s for
NHS: high blood pressure, heart failure, after heart attack
When to take
NHS: first dose at bedtime — it can make you feel dizzy
Take with
HealthHub: with or without food · NHS: swallowed whole
Pros & cons
Pros
  • NHS: helps prevent future strokes and heart attacks
  • NHS: usually once or twice a day, often for years
  • SG register: tritace 2.5 mg and 5 mg tablets registered
Cons
  • HealthHub: a dry, annoying cough that does not go away
  • NHS: alcohol adds to the dizziness and lightheadedness
  • NHS: blood tests before starting and on dose changes
Sources
  1. HSA — Listing of Registered Therapeutic Products (data.gov.sg dataset d_767279312753558cbf19d48344577084), Forensicclassification column; all 5,511 rows cached at /tmp/hsa_all.json and filtered locally (not re-fetched), 5 ramipril rows, 27 Aug 2026 · read 2026-08-27
    what it says
    “TRITACE 2.5 TABLET 2.5 mg SIN09591P · TRITACE 5 TABLET 5 mg SIN09592P (ATC C09AA05) · TRINOMIA HARD CAPSULES 100mg/20mg/2.5mg, /5mg, /10mg (ATC C10BX06); all 5 rows read Forensicclassification "Prescription Only"”
  2. NHS medicines A–Z — Ramipril (Tritace): about ramipril · read 2026-08-27
    what it says
    “Ramipril helps prevent future strokes, heart attacks and kidney problems … Your very first dose of ramipril may make you feel dizzy, so it's best to take it at bedtime … Drinking alcohol can make you feel dizzy or lightheaded.”
  3. NHS medicines A–Z — Ramipril: dosage and how to take ramipril · read 2026-08-27
    what it says
    “The maximum dose is 5mg twice a day or 10mg once a day. … You can take ramipril with or without food. Swallow ramipril tablets or capsules whole with a drink of water.”
  4. NHS medicines A–Z — Ramipril: taking ramipril with other medicines and herbal supplements · read 2026-08-27
    what it says
    “NSAIDs … such as ibuprofen, indometacin or aspirin (daily low-dose aspirin of 75mg is safe to take with ramipril); medicines that can increase the amount of potassium … such as spironolactone, triamterene, amiloride; ciclosporin or tacrolimus; lithium”
  5. HealthHub (Pharmaceutical Society of Singapore / MOH) — Ramipril: what is this medication for (leaflet reviewed 13 April 2026) · read 2026-08-27
    what it says
    “Ramipril lowers blood pressure by reducing the production of a substance called Angiotensin II which causes the blood vessels to narrow … can also be used for patients who have protein in their urine and other heart conditions.”
  6. HealthHub — Ramipril: how should I take or use this medication · read 2026-08-27
    what it says
    “Do not stop taking your medicine without checking with your healthcare providers. This medicine may be taken with or without food”
  7. HealthHub — Ramipril: what are some common side effects of this medication · read 2026-08-27
    what it says
    “The side effects include a dry, annoying cough that does not go away, dizziness and lightheadedness on getting up from a sitting or sleeping position. Very rarely, some patients might experience a loss of taste.”
  8. HealthHub — Ramipril: what precautions should I take · read 2026-08-27
    what it says
    “Once you find out you are pregnant, stop the medication as soon as possible. Taking this medication may cause injury or death to your developing fetus … Your doctor may need to monitor your potassium levels and kidney function”
  9. US label for ramipril capsules (Zydus Pharmaceuticals USA, effective 2026-06-05) via openFDA drug/label.json, Dosage and Administration · read 2026-08-27
    what it says
    “The usual maintenance dosage range is 2.5 mg to 20 mg per day administered as a single dose or in two equally divided doses. … a maximum total daily dose of 5 mg (renal impairment).”
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Updated 2026-08-29. Every line above traces to a numbered source. Kozen-X is not a medical device and does not give medical advice. It lists what published sources have written down — nothing more. A pair not listed is unrecorded, not cleared. Before you start, stop or re-time anything, talk to your doctor or pharmacist.