my doctor changed me from Ramipril 5mg to Amias 4mg because of developing a bad cough while taking Ramipril. but only five days into Amias i became lothargig tiredness headaches, dizzy and pains in my feet while in bed. i realy felt useless and shaky. so stopped taking them and felt better right away although my BP stayed high at 170+/90. I am back on ramipril 5mg today and hope the antibiotics the doctor gave me helps with my cough.