British Heart Foundation
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Ramipril and panic attacks and anxiety

Hi I’m 40 years old female, just been diagnosed with heart failure? Haven’t actually seen cardiologist since diagnosis as it was sent via the post! Have an appointment early January. I have been started on Ramipril at 2.5mg for 4 weeks and then 5mg for 4 days but become so anxious and kept having panic attacks that my go dropped my dose to 1.25mg a week ago but I am still very anxious and having bad panic attacks. Has this happened to anyone else on Ramipril and is there a better alternative?

I should say that I have suffered with anxiety and panic attacks and anxiety for 15 years but have had it under control for past 6 months before Ramipril ☹️

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My hubby had a bad reaction to Ramipril, very bad cough, he was switched to Candesartan.

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Thank you for your reply

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The *april family of tablets are usually well tolerated although in some people as mentioned earlier they cause an irritating dry cough. Panic attacks are not unknown but usually in males over 60. I would suggest you make an appointment with your GP to discuss...

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Thank you, I will try to get an appointment in the morning.

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Hi I couldn't take ramipril either, mostly due to the cough, I was changed to candesartan, and eventually to entresto, which I am still on, but unfortunately they can't increase the dose of that or the bisoprolol as my blood pressure is so low, so it's not quite doing the job as well as it could, it's def worth mentioning to your gp or cardiologist, as there are alternatives there, take care char xx

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Thank you Chaz1958, I have just got back from doctors and he ha changed me to candesartan. So fingers crossed I won’t be so anxious and panicky. Thanks again for your reply x

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Hi fingers crossed, all will be ok now but I would def go back if you find the candesartan is not working for you either, I sometimes think the side effects from the meds is worse than the condition it's self! 😱 xx

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I totally agree with you! X

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Do not underestimate how a diagnosis of heart failure can adversely impact your mental state. Rampril is not usually associated with anxiety etc. It is very common to get dry cough [with Ramipril] which can cause some people to seek alternatives. I suggest you talk to your GP as its possible that your panic attacks and anxiety have nothing to do with Ramipril per se, but more to do with your reaction to the diagnosis (which happens to coincide with the Ramipril prescription).

Steve

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Thank you

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Hi - I was on Rampril after I had my heart attack but had to come off as with others it gave me a horrible cough and am now on Lorsartan. I was very anxious at the time, but I don't think it was connected to the medication. I remember my doctor telling me it would be a good year before I got over it mentally - and he was right. It is a horribly stressful time, a huge amount to come to terms with, but speak to your Dr - hopefully when you have your appointment in January you will get more information. Hope all goes well for you, take care x

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Thanks you tabitha1964

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on was put on 5mg ramapril when first told i had high blood pressure . And never felt so ill crushing aniexty attacks out of breathe sweats. saw doctors and another doc to give me something else on amproldine it fine apart from. swollen ankles and feeling a bit low .. it might work fine for you ..

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Initially I was on propanolol for BP but Enalapril was added I was horrendous on that and I,m now on Ramapril and I,m not feeling any better horrendous anxiety and panic tinnitus headache and tingling in my legs, Back I go to the surgery tomorrow, didnt have any problems when only on the beta blocker. Then yesterday I was singing in the kitchen and just started crying for no reason.I dont intend to keep taking these drugs if there going to make me feel this bad

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Hi, I only had one dose of Ramipril when I was admitted to hospital with a racing heart and high blood pressure. I became a wreck. I was sobbing my heart out, wanting to go home, calling my husband to come and get me, my sister to come for me, completely out of character. The panic I felt was dreadful. This from a usual placid, calm person. I wore myself out through my crying like a baby. I was given paracetamol and eventually fell asleep through sheer exhaustion. I woke up the next morning feeling more myself again. But I refused to take Ramipril again and I did not experience the same panic again. That was my experience and it could be different for other people.

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Hi Tray. Its possibly not the ramipril.I can understand your anxiety. When I was diagnosed with hf i was a nervous wreck, in fact I probably had a bit of a nervous break down. I live alone, so even harder. I tried anti depressant but it made it worse. (only took one). I joined cardio rehab and stay with my mother or sister for company sometimes. I am trying to look at positives and doing all i can to keep fit, eat well, sleep well etc. I might go on holiday for some of the winter, which gives me a goal and something to look forward to. Please feel free to message me if i can be of any help. Take care.

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