A pharmacist has warned millions of people taking the common blood pressure medication ramipril to watch out for a side effect he describes as “deadly.” Ramipril is prescribed to around six million people in the UK alone to treat high blood pressure and heart failure, and is also used after a heart attack.
Pharmacist's warning on TikTok
The warning was issued by pharmacist Raj Patel, known as the 'Straight-Talking Pharmacist' on TikTok, where he has over 100,000 followers and 613,000 likes. He, along with the NHS, says feeling dizzy or light-headed is common, particularly for those starting treatment or increasing their dose.
In a recent video, Mr Patel told viewers: "This ramipril side effect could be deadly. Always check your blood pressure. Low blood pressure can lead to light-headedness and dizziness."
Other serious symptoms to watch
While these symptoms do not automatically mean something dangerous is happening, persistent or severe dizziness should not be ignored, particularly if someone feels faint. Mr Patel also went on to warn about swelling of the face, lips and throat, breathing difficulties and yellowing of the skin or eyes.
The NHS says sudden swelling of the lips, mouth, throat or tongue, or difficulty breathing, can indicate a serious allergic reaction requiring immediate emergency help. See its full list of side effects below - note, it is not exhaustive.
NHS ramipril side effects
- Dry, persistent cough
- Dizziness or light-headedness
- Headaches
- Diarrhoea
- Vomiting
- Mild skin rash
- Yellow skin or eyes
- Severe stomach pain
- Unusual paleness, tiredness, faintness, bleeding or bruising
- Sore throat, fever or repeated infections
- Swollen ankles
- Blood in urine or passing no urine
- Sudden swelling of the lips, mouth, throat or tongue
- Difficulty breathing or swallowing
- Signs of stroke, such as weakness on one side or trouble speaking
- Chest pain with a fast heartbeat
The NHS advises people who feel dizzy to sit or lie down until they feel better and avoid driving or operating machinery while affected. Anyone worried about side effects should speak to their doctor or pharmacist, and should not change their prescribed dose without medical advice.