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Drug DescriptionSide Effects & Drug InteractionsWarnings & Precautions
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Altace

[Ramipril]

Dermatologic:

Apparent hypersensitivity reactions (manifested by urticaria, pruritus, or rash, with or with-out fever), photosensitivity, purpura, oncholysis, pemphigus, pemphigoid, erythema multiforme, toxic epider-mal necrolysis, and Stevens-Johnson syndrome.

Neurologic and Psychiatric:

Text Continues Below



Anxiety, amnesia, convulsions, depression, hearing loss, insomnia, nervous-ness, neuralgia, neuropathy, paresthesia, somnolence, tinnitus, tremor, vertigo, and vision disturbances.

Miscellaneous:

As with other ACE inhibitors, a symptom complex has been reported which may include a positive ANA, an elevated erythrocyte sedimentation rate, arthralgia/ arthritis, myalgia, fever, vasculitis, eosinophilia, photosensitivity, rash and other dermatologic manifestations. Additionally, as with other ACE inhibitors, eosinophilic pneumonitis has been reported.

Fetal/ Neonatal Morbidity and Mortality. See WARNINGS: Fetal/ Neonatal Morbidity and Mortality.

Other:

arthralgia, arthritis, dyspnea, edema, epistaxis, hypoglycemia (see PRECAUTIONS, Drug Interactions), impotence, increased sweating, malaise, myalgia, and weight gain.

Clinical Laboratory Test Findings:

Creatinine and Blood Urea Nitrogen:

Increases in creatinine levels occurred in 1.2% of patients receiving ALTACE alone, and in 1.5% of patients receiving ALTACE and a diuretic. Increases in blood urea nitrogen lev-els occurred in 0.5% of patients receiving ALTACE alone and in 3% of patients receiving ALTACE with a diuret-ic. None of these increases required discontinuation of treatment. Increases in these laboratory values are more likely to occur in patients with renal insufficiency or those pretreated with a diuretic and, based on expe-rience with other ACE inhibitors, would be expected to be especially likely in patients with renal artery steno-sis. (See WARNINGS and PRECAUTIONS.)

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