Ramipril

[237SJ]

If someone is on 7.5 mg Ramipril and doesn`t take their morning dose, would it make a difference to a blood pressure reading in the mid afternoon?

[Sqad]

It might......or might not.
It is only an academic question as it would not affect the lifespan of someone on hypotensive drugs.

Don't worry.

Has someone missed a dose and have tAken their BP and itnis raised?
If so the monitor the BP over the next few days at the same time each day and if it is still raised, then see your GP.

If this is not the case, then forget the latter part of my post.

[237SJ]

Thanks Sqad. There`s a story behind the question - it`s complicated. My mum was taken off the bendroflumethiazide because her blood pressure is lower but they kept her on the Ramipril with a view to reviewing the situation. The hospital where she has her cancer treatment found her blood pressure (in the morning) to be 99 over 65. I am trying to get her a holiday in a couple of weeks but travel insurance is a problem. You can get it if you exclude your medical conditions which is a bit risky as anything to do with blood pressure won`t be covered if needed. My little mind started ticking overtime and I reckoned that if they took her off the Ramipril as well then she could answer honestly that she is not on high blood pressure medication and she would be covered by insurance. When we went to the doctor, he said her pressure was normal though. Afterwards, she told me that she hadn`t taken her Ramipril that morning. I was wondering if that is why it was normal - because she hadn`t taken the bl@@dy tablet. Needless to say, the doc kept her on the Ramipril but reduced to dose to 5mg.

[Sqad]

LOL.....I trust I never cross you 237..... ;-)

I hope the GMC never see this reply..........at the time that you fill in the insurance form, stop the Ramipril and state that you are not taking BP tablets.Take mum on holiday and and start taking the BP tablets again after about 2-3 days into your holiday. Taking that small dose of Ramipril, it is unlikely that you will run into trouble
Have you got a better scheming plot?....I bet you have.
Dinner is almost ready so forgive me if I am late in replying.

[Sqad]

I have been thinkin...can we use the throw away email address that I thinks that you have.

[237SJ]

Just typed a long reply then pressed the wrong button so I lost it. Will start again. Yes, I am scheming. When you apply for travel insurance you have to declare pre existing conditions. You list them and you are asked what medication/treatment you are having. At the end, you might be told that the policy is not affected, the price might rise or you might be told that they can`t cover you. For someone of my Mum`s age, there is a risk of stroke or heart attack so she needs cover for her hypertension. However, if she was no longer on the drugs, she wouldn`t have to declare the condition because in theory it wouldn`t exist. Therefore, she would be covered under the policy. You can choose to exclude conditions which means the policy covers you for everything else but not anything connected with the condition. If she just stopped taking the medication and she had a stroke or heart attack whilst away, I`m pretty sure the underwriters would want access to her medical records before paying out thousands for treatment/repatriation so just not taking the tablets isn`t an option unfortunately.

[237SJ]

Sorry, I`ve only just seen your second answer. Can you remind me of the addy please as I no longer have it. Thanks

[Sqad]

[email protected]

[237SJ]

Thanks, I`ll keep it for future reference.

[anneasquith]

honesty is usually the best policy .