Is It Safe To Take Ramipril With Apple Cider Vinegar?

In our latest question and answer, the pharmacist discusses the combined use of apple cider vinegar and the blood pressure medication ramipril.


Is it safe to take Ramipril 5mg capsules with a tablespoon of apple cider vinegar each day?

Asked by Steve On May 31, 2024

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Jun 02, 2024
Last updated Jun 14, 2024


Thanks for your question!

There is no known interaction between ramipril (generic for Altace) and apple cider vinegar. We have this listed on our drug-herbal interaction checker (Apple Cider Vinegar - Ramipril Interaction Details | HelloPharmacist).

While we do list some interactions with apple cider vinegar (e.g., with antidiabetic drugs), it isn't known to affect how our bodies absorb or metabolize ramipril. Apple cider vinegar isn't known to significantly affect blood pressure either.

I do want to point out that we list apple cider vinegar as interacting with blood pressure medications that have a diuretic effect (such as furosemide and hydrochlorothiazide). This is based on studies reporting that apple cider vinegar can lower potassium levels, which many diuretics can also do.

Final Words

If you plan on starting a new dietary supplement and you take prescription medications, I highly recommend speaking with your doctor first so you can be appropriately monitored.

Thanks again for reaching out to us!


  • Hypokalemia, hyperreninemia and osteoporosis in a patient ingesting large amounts of cider vinegar, PubMed
  • The Nutritional and Antioxidant Potential of Artisanal and Industrial Apple Vinegars and Their Ability to Inhibit Key Enzymes Related to Type 2 Diabetes In Vitro, PubMed

About the Pharmacist

Dr. Brian Staiger, PharmD

Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

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