ramipril
3 interactions related to ramipril
lithium + ace inhibitors
ACE inhibitors lower the rate at which the kidneys clear lithium, so adding one to lithium therapy tends to raise serum lithium levels. Because lithium has a narrow safety margin, this can push levels toward the toxic range. A distinctive feature is delayed onset: toxicity may not appear for several weeks after the ACE inhibitor is started, especially in older adults and those with reduced kidney function.
pomegranate + ace inhibitors
Pomegranate juice modestly lowers blood pressure on its own and can add to the blood-pressure-lowering effect of ACE inhibitors; it also contributes dietary potassium, which may compound the potassium-retaining effect of these drugs.
avocado + ace inhibitors
Avocado is high in potassium, and ACE inhibitors reduce the kidneys' excretion of potassium by lowering aldosterone. Heavy, regular avocado intake combined with an ACE inhibitor — especially alongside other potassium sources or in people with reduced kidney function — can raise serum potassium toward hyperkalemia.