In this episode of OSCE Talk, we break down how to counsel a patient starting an ACE inhibitor, with a specific focus on Ramipril, one of the most commonly prescribed antihypertensives in clinical practice.

We cover when ACE inhibitors are indicated, how to explain their benefits in simple, patient-friendly language, and how to counsel safely on side effects, monitoring, and red flags. The episode also explores NICE guidance, patient selection, and what to do if patients cannot tolerate ACE inhibitors — including when to consider an ARB.

Using a simulated patient interaction, we demonstrate how to structure an OSCE-safe counselling conversation, address common concerns, and ensure patients understand when to temporarily stop their medication.

This episode is ideal for OSCE stations involving hypertension management, medication counselling, or cardiovascular risk reduction.

• What ACE inhibitors are and why Ramipril is commonly prescribed

• How to explain ACE inhibitors clearly without medical jargon

• NICE-based indications for starting Ramipril

• Key contraindications and cautions

• Common side effects (dizziness, dry cough)

• Serious but rare risks (renal impairment, hyperkalaemia, angioedema)

• Why kidney function and potassium must be monitored

• Sick day rules and when to stop the medication

• When to switch to an ARB

• How to structure an OSCE-ready medication counselling station