Medicine Supply Notification: Ramipril 1.25mg, 2.5mg, 5mg and 10mg capsules

The Department of Health and Social Care (DHSC) has issued a medicine supply notification for: Ramipril 1.25mg, 2.5mg, 5mg and 10mg capsules.

MSN/2026/043

Tier 2 – medium impact

Date of issue: 7 September 2026

  • Ramipril 1.25mg, 2.5mg, 5mg and 10mg capsules are in limited supply until the end of October 2026. Note: a Medicine Supply Notification (MSN) and Serious Shortage Protocol (SSP) were issued in April 2026 for the shortage of ramipril 1.25mg capsules and the advice remains live on the Medicine Supply Tool.
  • Ramipril 1.25mg, 2.5mg, 5mg and 10mg tablets remain available but cannot support uplift in demand.
  • Alternative ACE inhibitors and ARBs remain available; however, routine switching is not recommended as usage is significantly lower than that of ramipril, so could risk compromising other supply chains.

A copy of this medicine supply notification, including supporting information, has been sent to all pharmacy NHS email addresses.

DHSC and NHS England have launched an online Medicines Supply Tool, which provides up-to-date information about medicine supply issues. The contents of these MSNs can now be viewed on the Tool.

The Tool also details any changes to resupply dates and updates to the entries.

To access the Tool you will need an NHS email address. Once set up and logged in, you will be able to access it online.

New shortages not listed on the SPS website, can be reported using our shortage reporting tool.