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Can I take Atenolol and Ramipril together?

Guía de interacción de medicamentos

Taking these two medicines together can cause your blood pressure to drop lower than intended, especially when you first start the combination or when your dose is increased. This might make you feel dizzy, lightheaded, or faint, particularly when standing up quickly. There is also a small risk that the combination could affect your kidney function or increase the levels of potassium in your blood.

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Por qué sucede esto

Both medicines work to lower blood pressure but in different ways: atenolol is a beta-blocker that slows the heart rate, while ramipril is an ACE inhibitor that relaxes blood vessels. When used together, their effects add up (an additive effect). Both can also impact how the kidneys filter blood and manage potassium levels.

It is very common for doctors to prescribe these two medicines together, but you should be monitored closely. When starting this combination, take your first dose at bedtime to avoid dizziness. Stand up slowly from a sitting or lying position. Your doctor will likely perform regular blood tests to check your kidney function and potassium levels. If you feel severely dizzy or faint, contact your GP.

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Asma o EPOC

No tomar atenolol if you have asthma or a history of wheezing. It can cause severe narrowing of the airways, making it very difficult to breathe.

Embarazo

No tomar ramipril if you are pregnant or planning to become pregnant. It can cause serious injury or death to an unborn baby, particularly if used in the second and third trimesters.

Angioedema (Swelling) - ramipril

Seek emergency medical help immediately if you experience swelling of the face, lips, tongue, or throat. This is a rare but life-threatening allergic reaction specific to this type of medicine.

Alcohol

Drinking alcohol can increase the blood pressure-lowering effect of these medicines, which may make you feel dizzy, lightheaded, or faint, especially when you first start taking them or when your dose is increased. It is best to keep your alcohol intake within recommended limits and see how the medicine affects you before drinking.

Salt substitutes (Potassium-rich)

Ramipril can increase the levels of potassium in your blood. Many salt substitutes (such as Lo-Salt) contain potassium chloride instead of sodium. Using these while taking ramipril can cause your potassium levels to become dangerously high. Check with your pharmacist before using salt substitutes.

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Descargo de responsabilidad

Esta información es solo para fines educativos generales y no debe considerarse como un sustituto del consejo médico profesional. Siempre consulte a su médico de cabecera, farmacéutico u otro profesional de la salud calificado antes de tomar decisiones sobre sus medicamentos. Las circunstancias individuales pueden variar, y solo un profesional de la salud que conozca su historial médico puede proporcionar orientación personalizada.

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Historial del artículo

La información en esta página está escrita y revisada por pares por clínicos calificados.

  • 24 Ene 2026 | Publicado originalmente
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