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Drug interactions

Perphenazine + Ramipril

Severity: Minor

Perphenazine and Ramipril: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Perphenazine can cause orthostatic hypotension, and combined use with ramipril may add to blood pressure lowering. The effect is usually modest.

What this interaction means in plain words

Perphenazine and Ramipril have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Perphenazine belongs to Central Nervous System; Ramipril belongs to Cardiovascular.

Evidence level: Low

Why it happens

Additive hypotensive effects from alpha-adrenergic blockade and ACE inhibition.

What to do

Monitor blood pressure and orthostatic symptoms when starting or adjusting either drug.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Perphenazine with Ramipril?

MediHelp rates the interaction as minor. Perphenazine and Ramipril have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Perphenazine can cause orthostatic hypotension, and combined use with ramipril may add to blood pressure lowering. The effect is usually modest.

How serious is the interaction between Perphenazine and Ramipril?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure and orthostatic symptoms when starting or adjusting either drug.

What other medicines interact with Ramipril?

MediHelp also lists interactions of Ramipril with, for example, Aliskiren, Protein a column, Sacubitril / valsartan. The full list is on the Ramipril page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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