My elderly husband has taken ramipril 5.0mg for many years with apparently no or minimal side effects. But over the last two years he has suffered increasingly from dizziness in the morning. I think he also coughs a great deal more than he ever did.

I've been measuring his blood pressure regularly recently and the diastolic measure is consistently on the edge of 'low' (around 60). The systolic is just into 'high' and it creeps up a bit if he forgets the ramipril however. I wonder if a reduced dose of ramipril might still control the latter with less risk of hypotensive dizziness. Does that make any sense?