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Hepatic Failure Rarely, ACE inhibitors, including Ramipril, have been associated with syndrome that starts with cholestatic jaundice and progresses to fulminant hepatic necrosis and sometimes death. Do not flush zamow ramipril sobota dostawy medications down the toilet or pour them into drain unless instructed to do so. If you notice other effects not listed above, contact your doctor or pharmacist. Last Updated: 08 09 2007 Email this Article Print this Article IM this Article Syndication: diggdel.