Drug & supplement interaction

Andarine + Ramipril

Ramipril brand name: Altace.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 20, 2026
The bottom line No known interaction

We found no known interaction between Andarine and Ramipril in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Andarine and Ramipril

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Ramipril and Andarine in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Andarine safety at a glance

Andarine overall Avoid Andarine is an unapproved drug with unknown human safety and is not a legal supplement.
Pregnancy Avoid A hormone-affecting drug like this should never be used during pregnancy.
Breastfeeding Avoid It is unsafe and unstudied during breastfeeding and should be avoided.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Ramipril and Andarine? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Ramipril

Interactions in our licensed database are recorded against drug classes, not just single drug names. Ramipril is filed under 5 classifications — including ace inhibitors (aceis), antihypertensive drugs, nephrotoxic drugs. Andarine has documented interactions with 1 drug class — the most serious being androgens (moderate) — and none of Ramipril’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

Andarine Does Interact With Other Medications

Andarine has 9 moderate known drug interactions in our database — Ramipril isn’t one of them. If you take anything else, check it against the full list below.

Moderate 9 No known interaction 2,821 (incl. Ramipril)
Taking anything else?

Check Another of Your Medications Against Andarine

Covers the 2,830 medications we’ve checked against Andarine. Pick one to open its full report.

What to actually watch for

No Interaction Found — But Data Suggests Andarine and Ramipril May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do. 2 of them are worth acting on rather than waiting out — marked below.

  • A heart attack Worth acting on Additional detail

    Andarine

    “Orally, selective androgen receptor modulators, such as andarine, could potentially increase the risk of myocardial infarction, stroke, and liver toxicity. However, no thorough safety evaluations of andarine have been conducted.”

    Andarine · Natural Medicines adverse-effect record, reported in myocardial infarction (mi).

    1 source cited
    1. 98840. FDA. FDA Warns against using SARMs in body building products. October 2017. Available at: https://www.fda.gov/newsevents/newsroom/fdainbrief/ucm583021.htm.

    “The FDA has warned that selective androgen receptor modulators, such as andarine, could potentially increase the risk of myocardial infarction and stroke.”

    Andarine · Natural Medicines adverse-effect record, reported in myocardial infarction (mi).

    1 source cited
    1. 98840. FDA. FDA Warns against using SARMs in body building products. October 2017. Available at: https://www.fda.gov/newsevents/newsroom/fdainbrief/ucm583021.htm.

    Ramipril

    Listed in the ADVERSE REACTIONS section of the FDA label for Ramipril. Read the label on DailyMed ›

  • Liver problems Worth acting on Additional detail

    Andarine

    Recorded for Andarine in the same Natural Medicines adverse-effect record shown under A heart attack above.

    Ramipril

    Listed in the ADVERSE REACTIONS section of the FDA label for Ramipril. Read the label on DailyMed ›

Effects for Ramipril come from the ADVERSE REACTIONS section of its FDA label; effects for Andarine come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

From our Q&A

Questions About Andarine or Ramipril

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Andarine or Ramipril, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Ramipril

This page covers Andarine only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Ramipril page lists 149 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), American Mistletoe (major), Asarabacca (major) and Siberian Cocklebur (major).

By severity: 6 major · 119 moderate · 24 minor.

From our pharmacist’s overview on the Ramipril page

“Ramipril (Altace) is an ACE inhibitor for high blood pressure and heart protection, and its supplement list is one I would treat with real seriousness. Most interacting ingredients either deepen its pressure-lowering effect or push back against it, so readings can drift too low or creep back up.”

Reviewed by 2 · Jul 18, 2026

Open the Ramipril interaction page

One more smart check

Taking Andarine as Part of a Dietary Supplement Product? Check It for Interactions

We hold 13 real supplement products containing Andarine, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Andarine. Even though Andarine itself has no known interaction with Ramipril, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Andarine and Ramipril Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Andarine
Steady interest

#1,059 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Ramipril
Top 25%

#441 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Andarine reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Andarine and Ramipril records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Andarine

What is Andarine?

Andarine
  • Muscle building
  • Strength gains
  • Fat loss / body recomposition
  • Athletic performance enhancement
  • Bone density support

Andarine (S-4) is a synthetic selective androgen receptor modulator (SARM) that is not approved by the FDA for human use and is banned in sports. It is not a legal dietary supplement ingredient, its long-term safety in people is unknown, and reported side effects include vision changes and possible liver and hormone problems. Because of these risks and its illegal status, we do not recommend using it.

Not applicable (synthetic chemical compound) · Capsules, tablets, liquid solutions (sold as research chemicals)

An interaction check asks whether these two react with each other — it does not ask whether Andarine is a good idea for someone in your situation. Here is what our Andarine record says about it on its own.

Andarine: dosing

There is no established or approved dose for Andarine because it is not a recognized medicine or legal supplement. We cannot recommend a safe dose, and doses circulated online are not backed by proper human research.Given that it is unapproved, potentially unsafe, and illegal to sell as a supplement, the safest choice is not to use it at all.

From our Andarine monograph — the full record covers uses, side effects and every documented interaction.

Read the full Andarine monograph & all interactions
Medication

About Ramipril

What Is Ramipril Used For?

Brand name: Altace

Ramipril capsules are used to treat high blood pressure (hypertension), either alone or combined with a thiazide diuretic (water pill). Lowering blood pressure reduces the risk of heart attack and stroke.

In adults 55 and older at high cardiovascular risk, ramipril capsules are used to reduce the risk of heart attack, stroke, or death from cardiovascular causes. Ramipril capsules are also used in stable patients who develop signs of heart failure within the first days after a heart attack, to lower the risk of death and hospitalization related to heart failure.

Most-Reported Side Effects for Ramipril

From FAERS, the FDA’s public side-effect reporting system (123,139 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Dyspnea 8,364 reports
Fatigue 8,165 reports
Nausea 7,572 reports
Diarrhea 7,184 reports
Dizziness 6,764 reports
See full Ramipril drug information
Keep checking

Other Drugs & Andarine

Browse every other medication we’ve checked against Andarine — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
9Moderate
0Minor
2,820No known interaction
9 Moderate 2,820 No interaction
Moderate

9 interactions

No interaction 2,820 drugs checked — show the list

We also checked Andarine against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,820 medications checked with no known interaction — see the full Andarine list.

See the full Andarine interactions page
See every supplement checked against Ramipril, ranked by severity
Evidence & sources

Andarine References

The 1 references that drive our Andarine monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. FDA. FDA Warns against using SARMs in body building products. October 2017. Available at: https://www.fda.gov/newsevents/newsroom/fdainbrief/ucm583021.htm.

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Andarine and Ramipril Together: Common Questions

Is it safe to take Andarine with Ramipril?
We do not list a known interaction between Andarine and Ramipril. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Do Andarine and Ramipril have any of the same side effects?
Yes — our sources link each of them separately to 2 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
How was the Andarine and Ramipril combination checked?
Interactions in our licensed database are recorded against drug classes. Ramipril is filed under 5 classifications, and Andarine has documented interactions with 1 drug class — none of Ramipril's classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.
Does Andarine interact with any other medications?
Yes. Andarine has 9 documented drug interactions in our database — Ramipril is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.
Does Ramipril interact with any supplements?
Yes. Ramipril has documented interactions with 149 supplements in our database — Andarine is not one of them. The Ramipril interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Where next

Keep Exploring

Andarine monograph Uses, safety profile, and every drug interaction in one place Ramipril drug information The full plain-English guide to this medication Ramipril supplement interactions Every supplement checked against Ramipril, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 1 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Ramipril and Andarine?

Our pharmacists answer your medication & supplement questions — free.

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.