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.*

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Treats high blood pressure

Avoid foods high in potassium

Take control of your heart's health

*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.

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 so that blood can flow more easily.

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.

If you are prescribed ramipril, be sure to complete the full course of the ACE inhibitor unless your doctor specifically tells you to stop. If you don’t take your medication as prescribed, the ACE inhibitor may not fully treat your high blood pressure, which can put you at an increased risk of heart attack or stroke.

Altace uses

There are a few FDA-approved uses for Altace, but your doctor may prescribe it off-label to treat other conditions. If you have questions about why a medication is prescribed, ask your online doctor or pharmacist.

  • 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

    If tolerated, Altace and other angiotensin-converting enzyme inhibitors are prescribed to treat those with congestive heart failure. Usually, Altace is prescribed at a low dose and increased every 1 to 2 weeks as tolerated, to reach the target dose.

  • Post-myocardial infarction

    Altace is used as an off-label prescription to treat patients after a myocardial infraction (heart attack), especially if they have a high cardiovascular risk factor. Your doctor may also prescribe anticoagulants, a beta-blocker, or statins, as combination therapy.

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.

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 or pharmacy 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. Some specific instructions may include swallowing the capsule whole if possible. If not, you may open the capsule and mix the contents with 120 mL of water, apple juice, or apple sauce.

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.

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, so you will need to see a board-certified doctor to get a refill on your 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 and widening 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 and the heart muscle. 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 

Step 1

Book an Altace prescription request appointment.

Book a same-day appointment from anywhere.

Step 2

Talk to your clinician regarding your Altace prescription.

Visit with a doctor on your smartphone or computer.

Step 3

Pick up your Altace prescription.

We can send prescriptions to any local pharmacy.

Altace prescription pricing details

How pricing works

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

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Visit price with insurance

Often the same as an office visit. Most patients with in-network insurance pay $30 or less!

  • We accept these insurance plans and many more:

    • Humana
    • Aetna
    • United Healthcare

Paying without insurance



First month free



30 days of free membership

  • Same-day appointments 7 days a week

  • Unlimited messages with your Care Team

  • Prescription discount card to save up to 80%

  • Exclusive discounts on lab tests

  • Free memberships for your family

  • Cancel anytime

Visit price without insurance

Initial visits are $129.

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If we're unable to treat you, we'll provide a full refund.


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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.