Moving to a higher altitude can temporarily raise blood pressure as your body adapts to lower oxygen levels. Since 10 mg is already the maximum daily dose for Ramipril, further increasing it is not recommended. Instead, your doctor might suggest adding a low-dose second medication, which is often more effective than switching drugs entirely. Excellent generic options to combine with Ramipril include calcium channel blockers (like amlodipine) or thiazide diuretics (like hydrochlorothiazide). \n\nThis is a very common reaction to altitude changes. Please consult a local healthcare provider to safely adjust your prescription and monitor your progress as you acclimate.