Naproxen and Ramipril: Drug Interaction Guide
Quick answer: This combination requires caution. Naproxen and Ramipril can be used together with adjustments and monitoring.
How Naproxen interacts with Ramipril
NSAIDs inhibit renal prostaglandin synthesis, attenuating ACE inhibitor antihypertensive effect and increasing risk of acute kidney injury and hyperkalaemia.
What you should do
Avoid chronic NSAID use with ACE inhibitors where possible, particularly in elderly or volume-depleted patients; monitor renal function and potassium.
Key facts
Severity
Moderate — caution required
Mechanism
NSAIDs inhibit renal prostaglandin synthesis, attenuating ACE inhibitor antihypertensive effect and increasing risk of a...
Action
Avoid chronic NSAID use with ACE inhibitors where possible, particularly in elderly or volume-depleted patients; monitor...
Frequently asked questions
Can I take Naproxen and Ramipril together?
With caution. Avoid chronic NSAID use with ACE inhibitors where possible, particularly in elderly or volume-depleted patients; monitor renal function and potassium.
What is the severity of this interaction?
The interaction between Naproxen and Ramipril is classified as Moderate — caution required. NSAIDs inhibit renal prostaglandin synthesis, attenuating ACE inhibitor antihypertensive effect and increasing risk of acute kidney injury and hyperkalaemia.
What should I do if I'm prescribed both?
Avoid chronic NSAID use with ACE inhibitors where possible, particularly in elderly or volume-depleted patients; monitor renal function and potassium. Always consult your prescribing clinician — do not stop or change medications without medical guidance.
Last reviewed: by iMedic Medical Editorial Team. Our editorial process.