Ramipril lisinopril unterschied

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Which Medication Is Right for You?

If you have been diagnosed with high blood pressure or heart failure, your doctor might have mentioned the medications Ramipril and Lisinopril. Although they belong to the same class of drugs called ACE inhibitors, they have some important differences.


  • Effective: Ramipril is known for its effectiveness in lowering blood pressure and reducing the risk of heart attack and stroke.
  • Flexible dosing: Your doctor can prescribe the right dose for you, as Ramipril comes in various strengths.
  • Once-daily dosing: You only need to take one dose per day, making it more convenient for many people.


  • Well-tolerated: Lisinopril is generally well-tolerated, and its side effects are usually mild and temporary.
  • Long-acting: It has a longer duration of action, so you only need to take it once a day.
  • Lower costs: Lisinopril is often less expensive than Ramipril, making it a more affordable option.

It’s important to note that both medications can have similar side effects, including dizziness, cough, and headache. However, your doctor will consider your medical history and specific needs to determine which medication is most suitable for you.

Consult your healthcare provider to find out which ACE inhibitor, Ramipril or Lisinopril, is the right choice for managing your blood pressure or heart condition. Take the first step towards a healthier heart today!

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Comparison of Ramipril and Lisinopril

Both Ramipril and Lisinopril are angiotensin-converting enzyme (ACE) inhibitors, commonly prescribed for the treatment of high blood pressure (hypertension) and heart failure. While they belong to the same class of drugs, there are some differences in their characteristics and effects.

1. Mechanism of Action:

Ramipril works by inhibiting the conversion of angiotensin I to angiotensin II, a substance that causes blood vessels to constrict. This helps relax and widen the blood vessels, reducing blood pressure. Lisinopril also acts by inhibiting the conversion of angiotensin I to angiotensin II, but it further inhibits the breakdown of bradykinin, a compound that promotes vasodilation and decreases blood pressure.

2. Indications:

2. Indications:

Ramipril is commonly used to treat high blood pressure, heart failure, and to improve survival after a heart attack. Lisinopril is prescribed for similar indications, including hypertension and heart failure. It may also be used as a preventive treatment for individuals at high risk of developing heart failure.

3. Dosing:

The starting dose of Ramipril for hypertension is typically 2.5 mg once daily, while the initial dose for Lisinopril is 10 mg once daily, which may be adjusted based on individual response. The dosing regimens for heart failure and post-heart attack treatment may vary.

4. Side Effects:

Both Ramipril and Lisinopril are generally well tolerated, but they can cause some similar side effects such as dizziness, cough, and fatigue. However, Lisinopril may have a higher incidence of persistent dry cough compared to Ramipril.

5. Drug Interactions:

5. Drug Interactions:

Both medications may interact with other drugs, so it’s important to let your healthcare provider know about all the medications you are taking. For example, combining Ramipril or Lisinopril with NSAIDs (nonsteroidal anti-inflammatory drugs) like ibuprofen or certain diuretics can increase the risk of kidney problems.

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In conclusion, Ramipril and Lisinopril are closely related ACE inhibitors used for the treatment of hypertension and heart failure. While they share many similarities, they also have distinct characteristics, such as their mechanisms of action and dosing regimens. It’s important to consult with a healthcare provider to determine the most appropriate medication for your specific condition.