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Ramipril raising potassium and affecting kidneys

(36 Posts)
25Avalon Mon 10-Nov-25 17:54:54

Dh has serious heart failure and is on Bisoprolol and Spironolactone. Although he was near the top of the permitted potassium levels he was put on Ramipril about 2 months ago. They were talking about increasing it but now blood tests show raised potassium levels affecting kidney function and he has been told to stop taking it altogether and go back for another blood test in a week’s time. There don’t seem to be any suggestions about what other medication he could have or how to reduce potassium apart from drinking more water. Has any one else experienced this and got any advice please?

MayBee70 Mon 17-Nov-25 13:54:25

Lahlah65

This works for my mum too. She was really not drinking enough, but finds it hard to drink cold water. Warm water does the trick for her. You can always flavour it with a slice of lemon, or even a splash of cordial. Warm blackcurrant is nice.

I’m a bit stressed at the moment so I’ve been adding a few drops of Rescue Remedy to it! I also don’t get indigestion as much. I want to add lemon but it makes my teeth a bit sensitive.

Caleo Mon 17-Nov-25 13:26:21

Hot instead of cold water is a good idea. Even better with some fizzy Fanta added to it.

Lahlah65 Mon 17-Nov-25 10:07:50

Sorry - lost MayBee70’s quote
Have you tried drinking hot water? I felt I wasn’t drinking enough water but started having a mug of hot water in the morning and evening and am quite enjoying it.

Lahlah65 Mon 17-Nov-25 10:03:19

This works for my mum too. She was really not drinking enough, but finds it hard to drink cold water. Warm water does the trick for her. You can always flavour it with a slice of lemon, or even a splash of cordial. Warm blackcurrant is nice.

keepingquiet Mon 17-Nov-25 09:12:03

Nannan2

So whats the verdict? Eat bananas or not? I do like bananas.I would hate to give them up altogether.

Years ago I worked with long term dialysis patients and also on renal transplant unit.

The first thing patients asked for post-transplant were bananas and bacon sandwiches, as they hadn't been allowed to eat them before!

This was quite a few years ago though so advice may have changed. Itis entirely up to you whether you do without them altogether or not... but if I was in renal failure I wouldn't eat them, but bacon would be hard to do without all together!

JennyCee Mon 17-Nov-25 09:09:12

Ramipril can be a dangerous drug. I took for 4-5 days and started worst cough possible which stopped me sleeping and caused chronic chest infections 3 x times. Never had those before or since. The 24 hr cough lasted 15 months and now, 12 years later, I am still unable to sleep without drugs.

Jamfriedplumpy Mon 17-Nov-25 04:25:09

Hi Nannan2, maybe cut down on bananas if your potassium is a bit high, or do ‘1 week on, 1 week off’ and see how you feel.
It would be a good idea to discuss your medication with your heart specialist, s/he may have some ideas to lower your bp.
Epilepsy Meds do interact with other meds and herbal supplements- my late husband had an awful time on Tegretol and far fewer problems after changing to Epilim (Sodium Valproate).

I was on 10mg Atorvastatin between 1984-2019 for high cholesterol (only had to move up to 20mg in 2019 when I had a near-fatal medical episode). It seems to work well for me, possibly because I’m mostly vegetarian, and eat a bit of chicken once in a while. Still partial to prawns, though! 😁

Jamfriedplumpy Mon 17-Nov-25 03:46:27

Hi MayBee70 I went through my GP & was referred to the local hospital as I have Stage 4 Chronic Kidney Disease and Ulcerative Colitis, amongst other things.
I am monitored 4 times a year now, sticking to a Mediterranean diet minus this list-
www.healthline.com/nutrition/foods-to-avoid-with-kidney-disease

I do have more problems in Winter, as I have more tinned soups etc. I’m dabbling with boiling fresh/frozen mixed veg, draining & rinsing, then adding that to the soup (matching weight for weight to double the quantity) then the soup nutrition levels are ‘diluted’! Makes 3 meals for me with bread or, if chunky enough, rice or pasta. Different spices and herbs, adding lentils/dhal, shiitake mushrooms (whole, sliced thin-ish & stirfried) to ring a few changes 🙂

Allira Sun 16-Nov-25 19:47:19

NotSpaghetti

There are other options and I expect they will look at those.

Thinking of you.
It's not good to be anxious - hope it's resolved soon.

Yes, I was prescribed it but it didn't suit me.

Nannan2 Sun 16-Nov-25 19:39:59

Theres also NO dietitions to be referred to in our health authority

Nannan2 Sun 16-Nov-25 19:37:32

So whats the verdict? Eat bananas or not? I do like bananas.I would hate to give them up altogether.

polnan Sun 16-Nov-25 19:36:00

I was told by my GP last year, following my annual blood test, that ,,, his words.." You have kidney failure" having enjoyed reasonably good health throughout my "longish " life, ( am 89) I was shocked,, must have gasped or something similar,, and the GP said,, "you aren`t on dialysis" I was too shocked to take the conversation any further. Since then nothing from my GP surgery, but I have been searching on the web for details..

thank you for this thread. I am finding so much conflicting information as Suelld is pointing out here.. I wish the information was a little consistent.. I have been eating a banana a day for years now.. so turning to tinned fruit which this list suggests, says to throw away the fruit juice in the can.. oh dear! consistency would help

Again thankyou for this thread.

Nannan2 Sun 16-Nov-25 19:33:55

Despite being put on ramipril months ago and having a heart valve replaced my bp is still a bit high but NO ONE has mentioned any dietary advice for potassium at all. So thank you for this.I printed the advice from the link..I do get my bloods tested every 3 months or so but gp keeps saying its because of my epilepsy tablets & effect they have on me/other tablets. Have i been hoodwinked? I too have had a constant cough but was hard for gp to pinpoint if it was ramipril or because i already had it from being ill in 2019.They wanted me to take atorvastatin as well still but i'm taking plant sterols at my own choice instead.Maybe i need to discuss my tablets with my heart consultant now?

suelld Sun 16-Nov-25 19:24:17

Oreo

Cut down on eating bananas🍌

kidneycareuk.org/get-support/healthy-diet-support/cooking-with-kidney-disease/kidney-friendly-diet-facts/
I have CKD… and I eat bananas on toast regularly for breakfast … in fact a US study ( MAYO CLINIC) proved that tests on mice fed on WHOLE bananas reversed the disease! So now when I eat bananas I now slice off the ‘strings ‘ and and eat those as well ( they taste fine! ). I am not eating the skins, but as near as! So far about 5 years after diagnosis and kidney stones! at 80 next year I still have it but it has remained stable… so far… I cannot say if the banana eating has helped or not, but, so far, it hasn’t done any harm. 🤞

saltnshake Sun 16-Nov-25 18:16:59

I was on Ramipril but suffered a persistent cough. Check with pharmacist. There are alternatives. I am now on Losartan and have no problems.

Catterygirl Sun 16-Nov-25 18:08:26

I was on Valsartan from about 45 years given in Spain where I worked and paid into the system. Back in the UK they told me that it’s too expensive and causes cancer. It was £30 a month and I have paid full national insurance for over 38 years. Now I am on Losarten. Seems good. My BP has become rather low and they dropped the water tablets and aspirin. I hate bananas but was advised to eat about 8 a week. I did it to please them and do a blood test but the minute I passed their test I donated my bananas to my husband. I wish you all well suffering with high blood pressure.

loopylindy Sun 16-Nov-25 17:04:14

I was recently diagnosed with Heart Failure and high potassium levels with the suggestion that it was caused by failing kidneys. I was put on a (disgusting) powder dispersed in water that removes potassium from body tissues. I just now need another blood test!

Mauduit24 Sun 16-Nov-25 16:48:50

Oreo

Cut down on eating bananas🍌

100 % agree with you . Cut down on them . Too much potassium is as dangerous as too little potassium.

MayBee70 Sun 16-Nov-25 16:43:06

Jamfriedplumpy

Hi 25A, Oreo, MayBee70 & butterandjam have the right ideas & the link has very helpful info- but please change your/DH’s diet with a nutritionist as doing it all in one can give your/DH’s body a shock. Dropping bananas & potatoes is a good 1st step to take, though.
One of Ramipril’s common side effects is a cough- it sent both my Dad and (later) me, crazy! We both felt better within a month of stopping it.
I managed to pull a muscle through coughing bouts before moving onto Losartan sad

Where do you find a good nutritionist? I need to completely rethink my diet as the things I eat to help one thing are bad for another ( high cholesterol, iron deficiency and IBS!).

keepingquiet Sun 16-Nov-25 16:11:52

Bananas and bacon are potassium rich. I would cut them out altogether...

Jamfriedplumpy Sun 16-Nov-25 16:03:06

Hi 25A, Oreo, MayBee70 & butterandjam have the right ideas & the link has very helpful info- but please change your/DH’s diet with a nutritionist as doing it all in one can give your/DH’s body a shock. Dropping bananas & potatoes is a good 1st step to take, though.
One of Ramipril’s common side effects is a cough- it sent both my Dad and (later) me, crazy! We both felt better within a month of stopping it.
I managed to pull a muscle through coughing bouts before moving onto Losartan sad

butterandjam Sun 16-Nov-25 14:56:36

Has the GP recommended diet adjustment to avoid high potassium foods?

www.cuh.nhs.uk/patient-information/potassium-lowering-dietary-advice/

Mauduit24 Sun 16-Nov-25 14:39:51

25Avalon

Dh has serious heart failure and is on Bisoprolol and Spironolactone. Although he was near the top of the permitted potassium levels he was put on Ramipril about 2 months ago. They were talking about increasing it but now blood tests show raised potassium levels affecting kidney function and he has been told to stop taking it altogether and go back for another blood test in a week’s time. There don’t seem to be any suggestions about what other medication he could have or how to reduce potassium apart from drinking more water. Has any one else experienced this and got any advice please?

There is one thing that I would avoid and that is eating bananas. They are supposedly good for you however they they also contain a lot of potassium in them . My late mum was in the same situation and was advised not to eat bananas for the same reason.

Soozikinzi Sun 16-Nov-25 14:22:37

My DH was on ramipril but also had a cough so they put him on losartan which is fine but I dont know of the compatability with your DHs other meds . Just hope he get sorted soon .

Menopauselbitch Sun 16-Nov-25 14:07:46

Look up Plant Sterols on British Supplemnets and read the reviews.