Please note, before you can choose the low cost generic option, please ask your doctor to add the generic drug to your prescription.


Metoprolol + Ramipril is used to treat hypertension (high blood pressure) and angina (chest pain). It can also be used to treat and prevent heart failure and reduces the chances of hospitalization among the heart patients. It also protects the function of kidneys particularly in patients who have both hypertension and type II diabetes mellitus. 

Therapeutic Category

Metoprolol: Antihypertensive agents (Beta-blockers)

Ramipril: Angiotensin-converting enzyme (ACE) inhibitors


Metoprolol is a beta-blocker. It blocks the effects of certain chemicals in the body (such as adrenaline) that increases heart rate and blood pressure.

Ramipril is an ACE inhibitor. It blocks the effects of certain enzymes in the body (such as angiotensin converting enzyme (ACE)) that causes narrowing of blood vessels and increase in blood pressure.

Collectively, blocking the actions of adrenaline and ACE which reduces the strain on the heart and relaxes the blood vessels supplying the heart and the kidneys, which improves blood flow and oxygen supply to them and reduces blood pressure and kidney damage.

Common side effects of METOPROLOL+RAMIPRIL

  • headache, tiredness, dizziness
  • feeling faint or dizzy while standing up
  • dry cough, inflammation of sinus
  • stomach pain, nausea, vomiting, diarrhea, indigestion
  • skin rash
  • chest pain
  • muscle pains
  • slow heart rate

When to consult your doctor

Consult your doctor:

  • In case of accidental overdosage
  • If you experience signs of allergic reactions (such as skin rash, swelling of the face, lips, mouth or throat which can lead to difficulty in breathing or swallowing)
  • If you experience severe skin reactions (such as skin rash with itching and redness, blistering and peeling of skin, skin swelling and inflammation of mucous membrane)
  • If you experience chest pain, shortness of breath (signs of heart attack)
  • If you experience inflammation of pancreas (causing severe stomach pain that radiates to the back side of the body)
  • If you experience signs of liver problems (such as fever, muscle pain, rashes, itching, stomach pain, diarrhea, discoloration of eyes, skin and urine)
  • If you experience increased bleeding or bruising, fever, chills, red spots under the skin, tiredness, dizziness, pale skin (signs of low blood cells counts)


  • Reduce your intake of high-sodium items including processed foods, fast food and salty snacks. Lowering sodium intake can help reduce blood pressure
  • Stay hydrated by drinking plenty of water throughout the day. Proper hydration is essential for overall health and blood pressure control
  • Exercise on a regular basis can help decrease blood pressure and enhance cardiovascular health. As prescribed by your doctor, aim for at least 150 minutes of moderate-intensity aerobic activity every week
  • If you are overweight, decreasing weight can improve your blood pressure control substantially. A healthy weight improves general well-being
  • Avoid drinking alcohol as it can affect the blood pressure and interact with your medications
  • Use stress-relieving strategies such as meditation and deep breathing exercises. Stress reduction can improve blood pressure levels
  • Monitor your blood pressure on a regular basis, as directed by your doctor. Keeping track of your blood pressure levels assists you and your doctor in determining the efficacy of the treatment
  • Take Metoprolol + Ramipril exactly as directed by your doctor. Follow the specified dosage and regimen. Do not change the dosage or discontinue the medicine without first consulting your doctor