Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 11/20/2025

Ramipril Dosage Guidelines

Introduction to Ramipril Dosage

  • The American Heart Association recommends a dose of 5 mg twice daily (total 10 mg/day) for patients with heart failure after myocardial infarction, as seen in the AIRE study 1, 2
  • The European Society of Cardiology (ESC) guidelines for heart failure recommend a target dose of 10 mg daily for ramipril 3, 4, 5

Dosage in Clinical Studies

  • The HOPE study used a dose of 10 mg daily for the prevention of cardiovascular events 1, 2
  • The AIRE study used a target dose of 5 mg twice daily (total 10 mg/day) for heart failure after myocardial infarction 1, 2

Dose Adjustment in Special Populations

  • No specific dosage adjustments are recommended for patients with renal impairment, based on the provided citations 1, 2, 3, 4, 5