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Ramipril

Prescription
ACE inhibitor (Angiotensin-converting enzyme inhibitor)
Last reviewed 21 Apr 2026 · PetCare.AI Editorial Team
Species
Dog, Cat
Brands
4 available
Formulations
3

Mechanism of action

Prodrug converted to ramiprilat; inhibits angiotensin-converting enzyme, reducing angiotensin II production, decreasing aldosterone secretion, and lowering systemic vascular resistance

At a glance

Class
ACE inhibitor (Angiotensin-converting enzyme inhibitor)
Schedule
Prescription
Storage
Below 25°C, protect from moisture

Dosing

🐕

Dog

Congestive heart failure, chronic kidney disease
Dose
0.125–0.25 mg/kg
Route
PO
Frequency
SID
Max dose
10 mg
Duration: Long-term / lifelong
🐈

Cat

Congestive heart failure, proteinuria
Dose
0.125–0.25 mg/kg
Route
PO
Frequency
SID
Max dose
2.5 mg
Duration: Long-term / lifelong
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Formulations

💊

Tablet — 3

Strength
1.25mg
Available in India
Strength
2.5mg
Available in India
Strength
5mg
Available in India

Storage

Below 25°C, protect from moisture

Safety

Absolute contraindications — do not use

  • Bilateral renal artery stenosis
  • Hypotension

Use with caution

  • Concurrent potassium-sparing diuretics
    Risk of hyperkalemia

Adverse effects

Common
Hypotension
Mild azotemia
Inappetence
Serious
Hyperkalemia
Acute renal failure
Angioedema

Monitoring parameters

Blood pressureBUN/CreatinineSerum potassiumUrine protein:creatinine ratio
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Interactions

No documented interactions.

Brands

International

Vasotop
Intervet/MSD Animal Health
Altace
Sanofi

India

Cardace
Sanofi India
Ramistar
Lupin

FAQs

Frequently asked questions

What is Ramipril?
Ramipril is a ace inhibitor (angiotensin-converting enzyme inhibitor) used in pets. Prodrug converted to ramiprilat; inhibits angiotensin-converting enzyme, reducing angiotensin II production, decreasing aldosterone secretion, and lowering systemic vascular resistance
What is Ramipril used for in pets?
Ramipril is used in veterinary medicine for: Congestive heart failure, chronic kidney disease; Congestive heart failure, proteinuria.
What is the Ramipril dose for dogs?
For dogs, Ramipril is typically dosed as follows — Congestive heart failure, chronic kidney disease: 0.125–0.25 mg/kg PO SID. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What is the Ramipril dose for cats?
For cats, Ramipril is typically dosed as follows — Congestive heart failure, proteinuria: 0.125–0.25 mg/kg PO SID. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What are the side effects of Ramipril?
Common: Hypotension, Mild azotemia, Inappetence. Serious (call your vet immediately): Hyperkalemia, Acute renal failure, Angioedema.
Does Ramipril need a prescription?
Yes. Ramipril is a prescription medication and should only be administered under veterinary supervision.
When should Ramipril not be used?
Do not use Ramipril if: Bilateral renal artery stenosis; Hypotension.
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

References

References

The PetCare.AI drug reference is built from 13 authoritative sources cited across 580 drug monographs.

Textbooks & handbooks — 5

  • Plumb's Veterinary Drug Handbook
  • Withrow & MacEwen's Small Animal Clinical Oncology
  • Merck Veterinary Manual
  • NRC Nutrient Requirements of Dogs and Cats
  • Veterinary Pharmacology and Therapeutics (Riviere & Papich)

Clinical guidelines & consensus — 4

  • ASPCA Animal Poison Control Center Guidelines
  • AAHA Diabetes Management Guidelines
  • ASPCA Poison Control Guidelines
  • RECOVER CPR Guidelines

Journals & peer-reviewed studies — 2

  • EPIC Study (J Vet Intern Med 2016)
  • JVIM FAT CAT Study

Regulatory & approvals — 1

  • CDSCO Veterinary Drug Approval Registry (1969–2026)

Databases — 1

  • Washington State University VCPL MDR1 Database

Related medicines

Other medicines in the same class (ACE inhibitor).

Imidapril
Rx
Prodrug hydrolyzed to active metabolite imidaprilat which inhibits angiotensin-converting enzyme. Reduces angiotensin II and aldosterone, decreasing afterload, preload, and cardiac remodeling. Licensed for veterinary use in some countries.
dogcat
Lisinopril
Rx
Lysine analog of enalaprilat that directly inhibits angiotensin-converting enzyme (ACE), reducing angiotensin II and aldosterone production without requiring hepatic activation (unlike enalapril). Reduces afterload, preload, and cardiac remodeling.
dogcat
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