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Nighttime frequency and even persistent urinary tract infections can additionally be result from prostate gland engorgement. Hypotension Altace can cause symptomatic hypotension, after either the initial dose or later dose when the dosage has been increased. All patients should be cautioned that inadequate fluid intake or excessive perspiration, diarrhea, altace efectos or vomiting can lead to an excessive fall in blood pressure, with the same consequences of lightheadedness and possible syncope. Blood concentrations of ramipril and ramiprilat increase with increased dose, but are not strictly dose-proportional. Except for thiazides, no formal interaction studies of ramipril with other antihypertensive agents have been carried out.