Altace® Capsules for High Blood Pressure and Heart Protection

Altace® is ramipril, an ACE inhibitor used to lower blood pressure and help protect the heart and kidneys. This guide explains approved uses, dosing, safety, and storage so you can make informed choices. You can request Altace capsules with US delivery from Canada and review Canadian pricing for potential savings, even without insurance.

What Altace® Is and How It Works

Altace® belongs to a class of medicines called angiotensin-converting enzyme inhibitors. It blocks the enzyme that makes angiotensin II, a hormone that tightens blood vessels and raises blood pressure. By lowering angiotensin II, ramipril relaxes blood vessels, reduces blood pressure, and eases the heart’s workload. It also helps reduce strain on the kidneys, especially when protein leaks into urine.

CanadianInsulin connects patients with licensed Canadian pharmacies. Prescriptions are verified with your clinic before dispensing.

Altace is approved to treat high blood pressure, to reduce the risk of heart attack, stroke, or cardiovascular death in high-risk patients, and to support heart function after certain heart attacks. For a deeper overview of clinical use, see Ramipril Uses.

Who Altace® Is For

Altace is used in adults with hypertension. It is also used to lower the chance of major cardiovascular events in people at high risk, such as those with coronary artery disease, stroke history, diabetes with additional risk, or peripheral artery disease. After some heart attacks with signs of heart failure, Altace may be started to improve outcomes as directed by the clinician.

People who should not take Altace include those with a history of ACE inhibitor–related angioedema, hereditary or idiopathic angioedema, or known hypersensitivity to ramipril. Do not use during pregnancy. Avoid use with aliskiren in patients with diabetes. Use caution in severe kidney disease, in bilateral renal artery stenosis, or with dehydration. A washout period is required when switching with sacubitril/valsartan.

If you are comparing options within High Blood Pressure therapies, your clinician will consider your medical history, kidney function, potassium levels, and other medications.

Dosage and Usage

Follow your clinician’s instructions and the official label. Typical starting and maintenance schedules are widely published:

• Hypertension: Many adults start at 2.5 mg once daily. The dose is usually adjusted every 1 to 2 weeks based on response, often to 5 mg to 10 mg daily given once daily or in two divided doses. Some patients may require up to a maximum of 20 mg per day as tolerated.
• Cardiovascular risk reduction in high-risk patients: A common approach is to start at 2.5 mg once daily and titrate to 10 mg daily, given once daily or divided, as tolerated.
• Post–myocardial infarction with heart failure: Some labels describe initial dosing around 2.5 mg twice daily with careful uptitration, as tolerated, to doses such as 5 mg twice daily under close supervision.

Lower starting doses may be used in patients taking diuretics, with low sodium, or with impaired kidney function, with close monitoring of blood pressure, creatinine, and potassium.

Take Altace at the same time each day. It may be taken with or without food. Swallow the capsule as directed. Do not change your dose or stop the medicine without medical guidance.

Strengths and Forms

Commonly available strengths and presentations include:

• Capsules: 1.25 mg, 2.5 mg, 5 mg, and 10 mg

Availability can vary by manufacturer, pack size, and supplier.

Missed Dose and Timing

If you miss a dose, take it when you remember unless it is close to your next dose. If it is near the next dose, skip the missed dose and resume your usual schedule. Do not double up. Taking your medication at a consistent time each day helps maintain steady effect.

Storage and Travel Basics

Store capsules at room temperature in a dry place, away from excess heat and light. Keep Altace in the original container with the label intact. When traveling, pack it in your carry-on, bring your prescription, and keep it out of direct sunlight. No cold-chain shipping or refrigeration is needed for this product.

Benefits

• Lowers blood pressure to reduce the risk of complications such as stroke and heart attack
• Reduces the risk of cardiovascular events in certain high-risk adults
• Supports heart function after specific heart attacks, under clinician supervision
• Helps reduce kidney strain by lowering intraglomerular pressure
• Once-daily dosing for many patients, with flexible titration
• Widely used ACE inhibitor with long clinical experience

To explore related options for cardiovascular support, you can also review our Heart Health Medications category.

Side Effects and Safety

• Common: dry cough, dizziness, headache, fatigue, nausea, diarrhea, abdominal discomfort
• Blood pressure–related: lightheadedness, especially when standing up quickly
• Lab changes: increases in potassium or creatinine
• Skin: rash or itching

Serious reactions can include angioedema of the face, lips, tongue, or throat; severe hypotension; high potassium that affects the heart; kidney problems; or rare liver injury or blood count changes. Seek urgent care for swelling of the mouth or throat, or for signs of severe allergic reaction. Risk of dizziness is higher if you are volume-depleted or starting at a higher dose.

Your clinician may order blood tests to monitor kidney function and potassium, especially after starting Ramipril or increasing the dose.

Drug Interactions and Cautions

• Potassium-sparing diuretics, potassium supplements, or salt substitutes can raise potassium.
• NSAIDs may reduce blood pressure control and may affect kidneys, especially in dehydration.
• Diuretics can increase the chance of low blood pressure at initiation.
• Lithium levels may rise. Close monitoring is advised if used together.
• Aliskiren use with diabetes is not recommended. Avoid dual renin–angiotensin system blockade.
• Neprilysin inhibitors such as sacubitril require a washout period before starting or after stopping ramipril.
• mTOR inhibitors or DPP-4 inhibitors may increase angioedema risk when combined with ACE inhibitors.

Avoid alcohol excess, which can amplify blood pressure lowering and dizziness.

What to Expect Over Time

Blood pressure often begins to improve within the first week. Full effect may build over several weeks as your dose is adjusted. If you develop a persistent dry cough or feel lightheaded, contact your clinic. Many patients continue long term for blood pressure and cardiovascular protection when tolerated. Regular follow-up helps confirm that benefits outweigh risks.

Compare With Alternatives

ACE inhibitors and angiotensin receptor blockers are both used for blood pressure and heart protection. Some patients do better with another option if cough or angioedema occurs. A comparable ACE inhibitor is Lisinopril. An ARB alternative is Cozaar® if your prescriber prefers an ARB over an ACE inhibitor. Your clinician will match therapy to your conditions and lab results.

Pricing and Access

Check current Altace pricing and compare Canadian pricing to typical US cash costs. Many patients see meaningful savings with US delivery from Canada. Review available strengths and supply sizes before you add to cart.

To get started, upload your prescription and proceed to secure checkout. See any available offers on our Promotions page. Final cost depends on strength, quantity, and supplier.

Availability and Substitutions

Stock and strengths can vary. If a specific capsule is unavailable, your prescriber may recommend a therapeutically similar ACE inhibitor such as Benazepril, or consider an ARB when appropriate. We cannot guarantee restock dates. Your clinician decides if substitution is suitable for your case.

Patient Suitability and Cost Saving Tips

Good candidates include adults who need improved blood pressure control or additional cardiovascular risk reduction. Altace may not be appropriate if you are pregnant, have a history of angioedema, or are on certain interacting medicines. Kidney disease or high potassium requires careful monitoring.

• Ask about a 90-day supply to reduce per-fill costs and ensure continuity.
• Use refill reminders so you do not miss doses.
• Share your full medication list to avoid interactions that could lead to extra clinic visits.
• Consider home blood pressure monitoring and share logs at follow-ups.

Prescription is required and verified prior to dispensing.

Questions to Ask Your Clinician

• What target blood pressure range is right for me on Altace
• When should I check labs after starting or changing my dose
• Could my current diuretic affect dizziness or kidney function
• How should I handle a persistent cough or swelling
• What potassium limits or diet changes should I consider
• Is an ARB a better fit if I cannot tolerate an ACE inhibitor
• How long should I continue therapy once I reach goal

Authoritative Sources

• FDA DailyMed: Ramipril
• FDA Label (FDALabel): Ramipril
• Health Canada DPD: Ramipril

Start your request today for US delivery from Canada. This information is educational and does not replace your clinician’s advice or the approved label.