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Chronic Care High Blood Pressure ACE Inhibitors Altace
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Altace (ramipril) prescription available online

If you are suffering from high blood pressure, Altace (ramipril) can help. Get a new prescription or refill of Altace from a board-certified doctor online.*

Treats high blood pressure Avoid foods high in potassium Take control of your heart's health
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*Prescriptions are provided at the doctor’s discretion. Learn more about our controlled substances policy and how you can save up to 80% with our prescription discount card.
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About Altace (ramipril)

Altace is a type of ACE (angiotensin converting enzyme) inhibitor, which functions by preventing the formation of angiotensin II from angiotensin I, thus reducing blood pressure. Like other ACE inhibitors, this medication is used to treat congestive heart failure and chronic hypertension, as well as to reduce the risk of heart attack, stroke, and death. Ramipril works by relaxing blood vessels which lowers blood pressure.

Altace is a prescription-only medication available in a generic formulation called ramipril as well as under different brand names.

Altace is commonly prescribed as a tablet. It’s always important to follow the specific instructions on your prescription, as they can vary based on your formulation and dosage.

Altace uses

There are a few FDA-approved uses for Altace, but your doctor may prescribe it off-label to treat other conditions. Your physician will provide you with instructions for use. Call or message your physician if you have questions.

High blood pressure (hypertension)

Altace is used to manage hypertension. Your doctor will prescribe a low dose, and after evaluating your response after 2 to 4 weeks, may increase the daily dose. If additional blood pressure control is needed, your doctor may consider combination therapy.

Heart failure

Altace and other angiotensin-converting inhibitors are prescribed and used when tolerated in the treatment of congestive heart failure. The management of congestive heart failure is outside the capability of telemedicine but our board-certified providers can provide ‘bridge’ refills when running low and waiting for your next in-person provider visit.

Post-myocardial infarction

Altace is used as an off-label prescription to treat patients after a myocardial infarction (heart attack), especially if they have a high cardiovascular risk factor. The management of myocardial infarction (heart attack) is outside the capability of telemedicine but our board-certified providers can provide ‘bridge’ refills when running low and waiting for your next in-person provider visit. 

Altace side effects

Altace typically has mild to moderate symptoms associated with taking it. Some of the common side effects of Altace include:
Fatigue
Headache
Kidney problems
Liver problems
Serious allergic reaction
Cough Rash
Severe stomach pain
Loss of appetite
Chest pain
Nausea
Diarrhea
Dehydration
Vertigo (feeling of spinning)
Tingling or numbness in feet or hands

Other side effects, which are less common but might be more severe, could include:

Acute kidney injury
Angioedema
High potassium levels in the bloodstream
Low blood pressure
Allergic reactions

You should call your doctor if you develop any other new or concerning symptoms or notice any possibly related reactions. The use of Altace is not FDA-approved for children.

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How to take Altace

Instructions on how to take your Altace prescription will be provided by your pharmacist.

Be sure to read your prescription label and follow the instructions. Call your doctor if you have any questions.

Altace can come in different forms and doses, so be sure to follow the specific instructions on your prescription. It is typically prescribed once daily and titrated slowly based on your doctor's recommendations.

For people who are not taking diuretics (water pills), the recommended initial dose of Altace is a 2.5 mg capsule per day.

People on diuretics typically start with a 1.25 mg capsule per day. Maintenance dosages of Altace are typically 2.5-20 mg taken once per day or split into two doses per day.
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What to avoid while taking Altace

Altace has several drug interactions. Don’t change what you are taking without checking with your doctor or pharmacist. That includes other medications or supplements, as well as over-the-counter drugs.

Be especially sure to mention if you take any of the following:

  • Aliskiren

  • Protein A column

  • Sacubitril

  • Lithium

  • Alcohol

  • Marijuana

 

ACE inhibitors like Altace are toxic for a fetus. Do not take Altace if you are pregnant or planning on becoming pregnant, as it can cause injury or death to an unborn baby. If you become pregnant while on Altace, contact your doctor immediately and stop taking it.

Altace may pass into breast milk and should not be taken by breastfeeding women.

It is important to monitor the amount of potassium dietary intake when taking Altace. This can cause high levels of potassium in your blood, which can be dangerous.

Patients taking ramipril should also monitor renal function periodically to avoid developing clinically important renal dysfunction.

Ask your doctor or pharmacist if it is acceptable to consume alcohol while taking Altace.

Some research shows that regular alcohol consumption may interact with prescription medications. Alcohol may cause hypotension, dizziness, lightheadedness, or tachycardia. Alcohol may also reduce the medication’s ability to do its job, making it ineffective.

Altace prescription FAQs

How much does Altace cost?

Altace can cost anywhere from $0.29-$9.28 per capsule. This may vary depending on which pharmacy you choose as well as your insurance coverage. You can find the lowest price at nearby pharmacies and save up to 80% on prescriptions as a PlushCare member with our in-app Rx Price Finder and prescription discount card.

How can I refill my Altace prescription?

Altace is only available by prescription. To get started, book a virtual appointment with one of our top-rated board-certified doctors. After a qualifying evaluation, your prescription will be sent to your local pharmacy for pickup.

Who should not take Altace?

Altace is generally safe, but it is not right for everybody. Those pregnant or planning to become pregnant should not take Altace. To prevent serious complications, always tell your doctor your complete medical history and about any medications you are currently taking.

What happens if I miss a dose of Altace?

Take the missed dose as soon as you think about it. If it is close to the time for your next dose, skip the missed dose and go back to your normal time. Do not double doses or take 2 doses at once.

What happens if I take too much Altace?

Overdosing on Altace can cause dangerously low blood pressure, kidney problems, and liver problems.

What is Altace used to treat?

Altace is used to treat high blood pressure, prevent heart attack, improve heart function, and lower your chances of stroke and death.

What is the difference between ramipril and Altace?

Ramipril is the generic form of Altace, which is the brand name.

What exactly does ramipril do?

Ramipril lowers your blood pressure and promotes heart health by relaxing your blood vessels, making it easier for your heart to pump blood around your body.

Is ramipril a blood thinner yes or no?

No, ramipril is not a blood thinner. It is an ACE inhibitor.

What should you avoid when taking ramipril?

Avoid foods high in potassium and avoid potassium supplements.

How does Altace work?

ACE inhibitors like Altace work by relaxing blood vessels. This helps to reduce high blood pressure.

What are the benefits of Altace?

Altace helps to lower high blood pressure. Lowering blood pressure reduces the risks of problems like heart attacks, strokes, and kidney disease. Altace also may improve survival after a heart attack or treat heart failure in people who have recently had a heart attack.

3 simple steps to request your Altace prescription today

How It Works Step 1
Step 1

Book an Altace prescription request appointment.

Book a same day appointment from anywhere.
How It Works Step 2
Step 2

Talk to your clinician regarding your Altace prescription.

Visit with a doctor on your smartphone or computer.
How It Works Step 3
Step 3

Pick up your Altace prescription.

We can send prescriptions to any local pharmacy.

Altace prescription pricing details

To get a new or refill on your Altace prescription, join our monthly membership and get discounted visits.

30 days of free membership

  • Same-day appointments 7 days a week
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  • Prescription discount card to save up to 80%
  • Exclusive discounts on lab tests
  • Free memberships for your family
  • Cancel anytime

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*If we're unable to treat you, we'll provide a full refund. Please note that any medication or lab work costs are not included. Please refer to our refund policy for additional information.

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PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.