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?
May 31, 2024- There is no known interaction between ramipril and apple cider vinegar. Apple cider vinegar is not known to affect blood pressure or how your body absorbs ramipril. It's always a good idea to tell your doctor before starting any new dietary supplement while taking prescription medications.
Answer
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!
References & sources
Glossary — Terms in This Answer
- Ramipril
- A prescription medication used to treat high blood pressure and heart failure.
- Generic
- A medication that contains the same active ingredient as a brand-name drug but is typically less expensive.
- Drug-herbal interaction
- A reaction that occurs when a prescription medication and a natural plant-based substance affect each other's effectiveness or safety.
- Antidiabetic drugs
- Medications used to treat diabetes by helping to control blood sugar levels.
- Absorb
- The process by which the body takes in and accepts a substance, such as a medication, into the bloodstream.
- Metabolize
- The process by which the body breaks down and processes a substance, such as a medication, for use or removal.
- Diuretic
- A medication that increases the amount of water and salt removed from the body through urine.
- Potassium
- An essential mineral that helps regulate heart rhythm and muscle function in the body.
Dr. Brian Staiger, PharmD
Doctor of Pharmacy, board certified clinical pharmacist (BCPS), American Herbalist Guild, Medication Therapy Management certified
Brian Staiger, PharmD, BCPS, is a licensed pharmacist with more than 13 years of experience across retail pharmacy, clinical pharmacy, medication safety, pharmacy program development, and healthcare administration. He is the founder of HelloPharmacist.com, where he helps patients...
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