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This page presents data from the FDA Adverse Event Reporting System (FAERS) and the FDA-approved drug label. A report submitted to FAERS does not prove a drug caused the reported event. Always consult a healthcare provider about medications.

Ramipril

angiotensin converting enzyme inhibitor
Last updated: June 17, 2026
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Ramipril is a medication, a angiotensin converting enzyme inhibitor. According to the FDA-approved label, . INDICATIONS AND USAGE • Ramipril capsules USP are indicated for the treatment of hypertension. It may be used alone or in combination with thiazide diuretics. ( 1.1 ). • Ramipril capsules USP are indicated in stable patients who have demonstrated clinical signs of congestive he. FAERS contains 121,235 submissions naming this drug from 2003 through 2026; the top three reactions cited are dyspnoea, fatigue, and nausea.

Most-Reported Reactions

Counts of the reactions most often cited in FAERS submissions that named Ramipril. Inclusion here does not establish causation - submitters describe what was observed, not what was confirmed. One submission can list several reactions, so the totals exceed the report count.

DYSPNOEA 8,230 (6.8%) FATIGUE 8,017 (6.6%) NAUSEA 7,461 (6.2%) DIARRHOEA 7,045 (5.8%) OFF LABEL USE 6,673 (5.5%) DIZZINESS 6,656 (5.5%) DRUG INEFFECTIVE 6,426 (5.3%) VOMITING 6,180 (5.1%) PAIN 5,788 (4.8%) HEADACHE 5,508 (4.5%) ACUTE KIDNEY INJURY 5,366 (4.4%) GENERAL PHYSICAL HEALTH DETERIORATION 5,260 (4.3%) ASTHENIA 5,145 (4.2%) ARTHRALGIA 5,056 (4.2%) MALAISE 5,051 (4.2%)

Patient Demographics

Patient sex and age across the FAERS submissions that named Ramipril. Percentages here are computed only from submissions where these fields were filled in - many leave them blank.

By Sex

Female Male Unknown

By Age Group

0-17 18-44 45-64 65+

Severity Outcomes

Severity flags recorded across the 121,235 FAERS submissions that named Ramipril. Each bar shows the count of those reports carrying that flag. A single case can carry more than one (a hospitalization that became life-threatening, for example), so these bars are independent rates - they don't sum to 100%. Inclusion of a case under any flag does not establish that the drug caused the outcome.

DEATH 12,937 (10.7%) HOSPITALIZATION 63,765 (52.6%) LIFE-THREATENING 14,043 (11.6%) DISABLING 9,461 (7.8%)

Submissions Per Quarter

Quarterly count of FAERS submissions that named Ramipril. Ups and downs on this chart can track prescribing volume, news cycles, or shifts in how reports get filed, rather than the drug becoming safer or more dangerous.

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026

From the FDA-Approved Label

Excerpts from the official FDA-approved prescribing information for Ramipril. This is the authoritative source on indications, warnings, and known adverse reactions.

Indications

1. INDICATIONS AND USAGE • Ramipril capsules USP are indicated for the treatment of hypertension. It may be used alone or in combination with thiazide diuretics. ( 1.1 ). • Ramipril capsules USP are indicated in stable patients who have demonstrated clinical signs of congestive heart failure post-myocardial infarction ( 1.3 ). 1.1 Hypertension Ramipril capsules USP are indicated for the treatment of hypertension. It may be used alone or in combination with thiazide diuretics. 1.3 Heart Failure Post-Myocardial Infarction Ramipril capsules USP are indicated in stable patients who have demonstrated clinical signs of congestive heart failure within the first few days after sustaining acute myocardial infarction. Administration of ramipril to such patients has been shown to decrease the risk of death (principally cardiovascular death) and to decrease the risks of failure-related hospitalization and progression to severe/resistant heart failure [see CLINICAL STUDIES ( 14.3 ) ].

Adverse Reactions (from label)

6. ADVERSE REACTIONS The most common adverse reactions in patients with hypertension included headache, dizziness, fatigue, and cough ( 6.1 ). To report SUSPECTED ADVERSE REACTIONS, contact Lupin Pharmaceuticals, Inc at 1-800-399-2561 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, the adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. Hypertension Ramipril has been evaluated for safety in over 4000 patients with hypertension; of these, 1230 patients were studied in U.S. controlled trials, and 1107 were studied in foreign controlled trials. Almost 700 of these patients were treated for at least one year. The overall incidence of reported adverse events was similar in ramipril and placebo patients. The most frequent clinical side effects (possibly or probably related to study drug) reported by patients receiving ramipril in placebo-controlled trials were: headache (5.4%), dizziness (2.2%), and fatigue or asthenia (2. (continues in label)

FDA label effective date: 2022-07-01

Disclaimer

AdverseEvent.ai is not affiliated with the FDA. Adverse-event counts come from the FDA Adverse Event Reporting System (FAERS). Drug labels come from the FDA drug label dataset. A report submitted to FAERS does not prove a drug caused the reported event — always consult a healthcare provider about medications. This site is for informational purposes only and is not medical advice.