I have been taking Ramipril for about year. I started with 2.5mgs and all seemed OK until recently when my blood pressure was starting to creep up, so my GP upped the dose to 5 mgs, It did get a bit lower and is now in the high 140s, my Dr wasn't happy with the figures so has upped it to 7.5mgs.
Whilst on the lower dose of 2.5mgs my kidney function was 44 and had risen from 38. which I was quite pleased with, however a recent GFR and since taking the higher dose it was back to 38.
I am a bit concerned about taking yet another higher dose to 7.5mgs but my GP said to give it a try and go back in 2 weeks for another blood test, I know I need to keep my b/pressure in control but I'm worried about my kidneys. [ vicious cycle ]
I'm wondering if I could take 5mgs at AM and the other 2.5mgs at PM. as I did find that my b/pressure gets higher as the day went on to the evening, has anyone here split their dose? something perhaps I need to ask the Dr. ? I always think of things after I leave the surgery , I need to write these things down.
I always take my B/P readings before I take my Meds. in the morning.