Important Safety Warning
Ramipril is classified as Avoid during pregnancy. Do not take this medicine without direct guidance from your obstetrician.
Is Ramipril Safe During Pregnancy?
Ramipril and ALL ACE inhibitors are DANGEROUS during pregnancy. They can cause fetal kidney failure and death.
Last reviewed: April 2026
Safety Summary
Ramipril and ALL ACE inhibitors are DANGEROUS during pregnancy. They can cause fetal kidney failure and death.
Category D — Avoid If Possible
Evidence of human fetal risk. Only use if no safer alternative exists.
Trimester-by-Trimester Guide
1st Trimester (Weeks 1–12)
STOP immediately if pregnant. Switch to Methyldopa.
2nd Trimester (Weeks 13–26)
NEVER use. Causes fetal kidney failure.
3rd Trimester (Weeks 27–40)
NEVER use. Can cause fetal death.
Brands Available in India
Safer Alternatives During Pregnancy
Your doctor may suggest one of these alternatives. Always confirm with your obstetrician.
Frequently Asked Questions
Ask GoDavaii AI About Medicine Safety in Pregnancy
Get personalised guidance on medicine safety during pregnancy in 22+ Indian languages — free, instant, and verified by 3 AI models.
Ask GoDavaii AIMedical Disclaimer: Pregnancy safety information is based on available clinical data and FDA classifications. This page is for educational purposes only and does not substitute professional medical advice. Every pregnancy is different — consult your doctor or gynaecologist before taking any medicine. Drug safety classifications may have been updated; always verify current guidelines.