Q. I was recently prescribed Ramipril 2.5mg to treat high blood pressure. After taking it for 9 days I started having diarrhoea, which has persisted for 4 days now. This is listed as a possible side effect but I’m worried about the longevity of it. Is it normal to last this long as my body adjusts to the drug, or is it a concern?I had blood tests taken yesterday that came back normal.
Doctor Answer is medically reviewed by SecondMedic medical review team.
It's understandable to be concerned about the persistent diarrhea you're experiencing after starting Ramipril. While diarrhea is a listed side effect, having it last for four days warrants a consultation with doctor. Here's a breakdown of the situation:
Ramipril and Diarrhea:
- Ramipril is a medication commonly used to treat high blood pressure.
- Diarrhea is a known side effect, but it typically resolves within a few days of starting the medication or adjusting the dosage.
Possible Causes of Persistent Diarrhea:
- Ramipril: While less common, your diarrhea could be a persistent side effect of Ramipril.
- Other Causes: There's a possibility the diarrhea is unrelated to Ramipril and could be due to a different cause like:
- Foodborne illness
- Viral infection
- Underlying digestive issue
Why Your Blood Tests Might Be Normal:
Normal blood tests are a good sign, but they don't necessarily rule out Ramipril as the cause of your diarrhea. Blood tests are typically used to assess overall health and may not pinpoint the exact source of digestive issues.
What to Do:
- Consult Doctor: Discuss the persistent diarrhea with your doctor. Explain the duration, severity, and any other symptoms you might be experiencing.
- Mention Normal Blood Tests: Inform them that your recent blood tests were normal.
- Explore Alternatives: Your doctor might recommend:
- Lower Ramipril Dosage: A lower dose might be sufficient to control your blood pressure and potentially reduce side effects.
- Switching Medications: There are other medications for high blood pressure, and your doctor might suggest trying a different one with a lower risk of causing diarrhea.
- Supportive Measures: They might suggest over-the-counter medications to manage diarrhea while your body adjusts to Ramipril or until an alternative medication is chosen.
Here are some additional tips:
- Stay Hydrated: Diarrhea can lead to dehydration. Drink plenty of fluids to replenish electrolytes and prevent complications.
- Dietary Changes: Consider bland foods like bananas, rice, and toast to ease digestion. Avoid foods high in fiber, dairy, or grease, which can worsen diarrhea.
- Monitor Symptoms: Keep track of your symptoms, including frequency and severity of diarrhea, and any changes in your stool.
Always consult doctor for personalized guidance regarding your medications and side effects. They can determine the best course of action based on your individual situation and medical history.