* Shakiness
* Dry cough
* Dizziness and light-headedness due to low blood pressure
* Fatigue, especially in the early stages
* Mouth dryness in the early stages
* Nausea
* Fainting
* Signs of infection (e.g., fever, chills, persistent sore throat)
* Chest pain
* Neutropenia (low white blood cells)
* Impotence (erectile dysfunction)
* Hyperkalemia
Serious allergic reactions to this drug are unlikely, but immediate medical attention must be sought if they occur. Symptoms of a serious allergic reaction include, but are not limited to a rash or swelling of the face, mouth, tongue, or throat. In extreme cases, ramipril may lead to potentially fatal liver problems.