RAMIPRIL

85/100 · Critical

Manufactured by Aurobindo Pharma Limited

Ramipril Adverse Events: High Seriousness and Diverse Reactions

314,718 FDA adverse event reports analyzed

Last updated: 2026-05-12

About RAMIPRIL

RAMIPRIL is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Aurobindo Pharma Limited. Based on analysis of 314,718 FDA adverse event reports, RAMIPRIL has a safety score of 85 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for RAMIPRIL include DYSPNOEA, FATIGUE, NAUSEA, DIARRHOEA, DIZZINESS. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for RAMIPRIL.

AI Safety Analysis

Ramipril has a safety concern score of 85 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 314,718 adverse event reports for this medication, which is primarily manufactured by Aurobindo Pharma Limited.

The most commonly reported adverse events include Dyspnoea, Fatigue, Nausea. Of classified reports, 93.4% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Ramipril reports predominantly involve serious conditions like acute kidney injury and cardiovascular issues.

A wide range of reactions are reported, indicating diverse safety concerns. The majority of reported reactions are serious, with a high percentage of serious events (93.4%).

Patients taking Ramipril should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Ramipril can interact with other drugs, leading to adverse effects. Warnings include contraindications during pregnancy and specific drug interactions. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Ramipril received a safety concern score of 85/100 (high concern). This is based on a 93.4% serious event ratio across 119,511 classified reports. The score accounts for 314,718 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

DYSPNOEA8,082 reports
FATIGUE7,878 reports
NAUSEA7,336 reports
DIARRHOEA6,913 reports
DIZZINESS6,526 reports
OFF LABEL USE6,516 reports
DRUG INEFFECTIVE6,279 reports
VOMITING6,053 reports
PAIN5,652 reports
HEADACHE5,360 reports
ACUTE KIDNEY INJURY5,292 reports
GENERAL PHYSICAL HEALTH DETERIORATION5,163 reports
ASTHENIA5,043 reports
MALAISE4,935 reports
ARTHRALGIA4,915 reports
FALL4,890 reports
HYPERTENSION4,782 reports
CONDITION AGGRAVATED4,595 reports
CONFUSIONAL STATE4,536 reports
HYPOTENSION4,346 reports
RASH4,335 reports
DRUG INTERACTION4,283 reports
PNEUMONIA4,126 reports
PYREXIA3,950 reports
PAIN IN EXTREMITY3,640 reports
RHEUMATOID ARTHRITIS3,529 reports
ABDOMINAL DISCOMFORT3,441 reports
PRURITUS3,366 reports
ABDOMINAL PAIN3,230 reports
COUGH3,219 reports
ABDOMINAL PAIN UPPER3,207 reports
CHEST PAIN3,176 reports
JOINT SWELLING3,175 reports
DECREASED APPETITE3,141 reports
ALOPECIA3,093 reports
ANAEMIA3,075 reports
WEIGHT DECREASED3,028 reports
PERIPHERAL SWELLING2,960 reports
WEIGHT INCREASED2,941 reports
NASOPHARYNGITIS2,754 reports
OEDEMA PERIPHERAL2,745 reports
ARTHROPATHY2,735 reports
SYSTEMIC LUPUS ERYTHEMATOSUS2,659 reports
SWELLING2,649 reports
PSORIATIC ARTHROPATHY2,600 reports
PEMPHIGUS2,510 reports
DEPRESSION2,504 reports
INSOMNIA2,493 reports
DRUG INTOLERANCE2,477 reports
BLOOD PRESSURE INCREASED2,459 reports
LIVER INJURY2,432 reports
WOUND2,411 reports
HYPERSENSITIVITY2,401 reports
DRUG HYPERSENSITIVITY2,393 reports
MUSCULOSKELETAL STIFFNESS2,384 reports
SYNCOPE2,381 reports
MUSCLE SPASMS2,380 reports
INFUSION RELATED REACTION2,374 reports
GLOSSODYNIA2,370 reports
HYPONATRAEMIA2,365 reports
MOBILITY DECREASED2,347 reports
HYPOAESTHESIA2,329 reports
PARAESTHESIA2,324 reports
URTICARIA2,321 reports
PRODUCT USE ISSUE2,310 reports
HEPATIC ENZYME INCREASED2,305 reports
PRODUCT USE IN UNAPPROVED INDICATION2,293 reports
ATRIAL FIBRILLATION2,255 reports
CONTRAINDICATED PRODUCT ADMINISTERED2,248 reports
DEHYDRATION2,224 reports
MUSCULAR WEAKNESS2,223 reports
GAIT DISTURBANCE2,218 reports
DEATH2,199 reports
LOWER RESPIRATORY TRACT INFECTION2,188 reports
TYPE 2 DIABETES MELLITUS2,157 reports
HAND DEFORMITY2,152 reports
INTENTIONAL PRODUCT USE ISSUE2,134 reports
CARDIAC FAILURE2,130 reports
SYNOVITIS2,103 reports
PERICARDITIS2,093 reports
MATERNAL EXPOSURE DURING PREGNANCY2,056 reports
WHEEZING2,041 reports
HYPERKALAEMIA2,039 reports
ANXIETY2,037 reports
BLOOD CHOLESTEROL INCREASED1,997 reports
MYALGIA1,997 reports
BLISTER1,996 reports
INFECTION1,943 reports
MEMORY IMPAIRMENT1,915 reports
SLEEP DISORDER1,867 reports
DRY MOUTH1,835 reports
BACK PAIN1,816 reports
STOMATITIS1,793 reports
MYOCARDIAL INFARCTION1,781 reports
MUSCULOSKELETAL PAIN1,778 reports
FIBROMYALGIA1,776 reports
DISCOMFORT1,759 reports
BRADYCARDIA1,755 reports
CONTUSION1,754 reports
DUODENAL ULCER PERFORATION1,747 reports

Key Safety Signals

  • Acute kidney injury is a significant safety signal, with 5292 reports.
  • Cardiovascular events, including atrial fibrillation and pericarditis, are also notable.
  • Drug interactions and ineffective drug performance are common, with 4283 and 6279 reports respectively.

Patient Demographics

Adverse event reports by sex: Male: 56,528, Female: 52,124, Unknown: 178. The most frequently reported age groups are age 71 (2,737 reports), age 72 (2,691 reports), age 69 (2,671 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 119,511 classified reports for RAMIPRIL:

  • Serious: 111,591 reports (93.4%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 7,920 reports (6.6%)
Serious 93.4%Non-Serious 6.6%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Male56,528 (51.9%)
Female52,124 (47.9%)
Unknown178 (0.2%)

Reports by Age

Age 712,737 reports
Age 722,691 reports
Age 692,671 reports
Age 752,601 reports
Age 672,596 reports
Age 732,587 reports
Age 702,583 reports
Age 762,548 reports
Age 742,510 reports
Age 792,503 reports
Age 772,477 reports
Age 782,386 reports
Age 652,363 reports
Age 662,351 reports
Age 682,328 reports
Age 642,276 reports
Age 802,241 reports
Age 632,064 reports
Age 622,034 reports
Age 592,003 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Ramipril can interact with other drugs, leading to adverse effects. Warnings include contraindications during pregnancy and specific drug interactions.

What You Should Know

If you are taking Ramipril, here are important things to know. The most commonly reported side effects include dyspnoea, fatigue, nausea, diarrhoea, dizziness. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor for serious side effects such as kidney injury and cardiovascular issues. Be aware of potential drug interactions and inform your healthcare provider of all medications you are taking. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

Regulatory oversight is ongoing, with the FDA monitoring these adverse events closely. Patients should report any side effects to their healthcare provider.

Frequently Asked Questions

How many adverse event reports has the FDA received for Ramipril?

The FDA has received approximately 314,718 adverse event reports associated with Ramipril. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Ramipril?

The most frequently reported adverse events for Ramipril include Dyspnoea, Fatigue, Nausea, Diarrhoea, Dizziness. By volume, the top reported reactions are: Dyspnoea (8,082 reports), Fatigue (7,878 reports), Nausea (7,336 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Ramipril.

What percentage of Ramipril adverse event reports are serious?

Out of 119,511 classified reports, 111,591 (93.4%) were classified as serious and 7,920 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Ramipril (by sex)?

Adverse event reports for Ramipril break down by patient sex as follows: Male: 56,528, Female: 52,124, Unknown: 178. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Ramipril?

The most frequently reported age groups for Ramipril adverse events are: age 71: 2,737 reports, age 72: 2,691 reports, age 69: 2,671 reports, age 75: 2,601 reports, age 67: 2,596 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Ramipril?

The primary manufacturer associated with Ramipril adverse event reports is Aurobindo Pharma Limited. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Ramipril?

Beyond the most common reactions, other reported adverse events for Ramipril include: Off Label Use, Drug Ineffective, Vomiting, Pain, Headache. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Ramipril?

You can report adverse events from Ramipril to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Ramipril's safety score and what does it mean?

Ramipril has a safety concern score of 85 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Ramipril reports predominantly involve serious conditions like acute kidney injury and cardiovascular issues.

What are the key safety signals for Ramipril?

Key safety signals identified in Ramipril's adverse event data include: Acute kidney injury is a significant safety signal, with 5292 reports.. Cardiovascular events, including atrial fibrillation and pericarditis, are also notable.. Drug interactions and ineffective drug performance are common, with 4283 and 6279 reports respectively.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Ramipril interact with other drugs?

Ramipril can interact with other drugs, leading to adverse effects. Warnings include contraindications during pregnancy and specific drug interactions. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Ramipril.

What should patients know before taking Ramipril?

Monitor for serious side effects such as kidney injury and cardiovascular issues. Be aware of potential drug interactions and inform your healthcare provider of all medications you are taking.

Are Ramipril side effects well-documented?

Ramipril has 314,718 adverse event reports on file with the FDA. A wide range of reactions are reported, indicating diverse safety concerns. The volume of reports for Ramipril reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Ramipril?

Regulatory oversight is ongoing, with the FDA monitoring these adverse events closely. Patients should report any side effects to their healthcare provider. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to RAMIPRIL based on therapeutic use, drug class, or shared indications:

LosartanWarfarinDigoxin
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.