Chapter R - Chapter
from Drugs: An A–Z Guide
Published online by Cambridge University Press: 18 July 2019
Summary
Ramipril is an ACE-I; ACE-I have a beneficial role in all grades of heart failure, usually combined with a beta-blocker and diuretics. Potassium-sparing diuretics (e.g. spironolactone) should be discontinued before starting an ACE-I because of the risk of hyperkalaemia. However, low-dose spironolactone may also be beneficial in severe heart failure, and when used together with an ACE-I serum potassium needs to be monitored closely.
- Type
- Chapter
- Information
- Handbook of Drugs in Intensive CareAn A-Z Guide, pp. 252 - 261Publisher: Cambridge University PressPrint publication year: 2019