I take Rampril also - and after being on it for three months I realized that I have been coughing every single day! I have an appointment to see my doc tomorrow and will see if I can switch to something else. Many of the pharacy's here in Canada have blood pressure monitoring machines that you can use and I try to take mine once every two weeks or so to see how I am doing. Rampril worked for the first month, but now my BP is as high as it ever was (at least the top number is, though the bottom number has dropped significantly). I am also taking a diuretic and have done for about three years - doesn't seem to be doing much in fact it probably made me not report my diabetes symptoms to the doc when I should have as I put the frequent trips to the bathroom down to taking these pills.