Drug interactions
Ramipril + Shepherd's purse
Severity: Minor
Ramipril and Shepherd's purse: 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
Shepherd's purse has been reported to affect blood pressure, with both hypotensive and pressor effects described in traditional use. It could therefore interfere with the control achieved by ramipril, but data are scant.
What this interaction means in plain words
Ramipril and Shepherd's purse have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Why it happens
Unclear; constituents may have variable effects on vascular tone.
What to do
Advise patients to avoid shepherd's purse supplements, or monitor blood pressure if they choose to use them.
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?
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Other interactions of Ramipril
- Aliskiren + Ramipril Contraindicated
- Protein a column + Ramipril Contraindicated
- Ramipril + Sacubitril / valsartan Contraindicated
- Ramipril + Sacubitril-valsartan Contraindicated
- Amifostine + Ramipril Major
- Amiloride + Ramipril Major
Frequently asked questions
Can I take Ramipril with Shepherd's purse?
MediHelp rates the interaction as minor. Ramipril and Shepherd's purse have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Shepherd's purse has been reported to affect blood pressure, with both hypotensive and pressor effects described in traditional use. It could therefore interfere with the control achieved by ramipril, but data are scant.
How serious is the interaction between Ramipril and Shepherd's purse?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise patients to avoid shepherd's purse supplements, or monitor blood pressure if they choose to use them.
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.
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