What painkillers can be taken with ramipril?

When taking ramipril, common over-the-counter painkillers like acetaminophen (Tylenol) are generally considered safe. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can be used but may require caution, as they can potentially affect kidney function, especially in individuals with existing kidney issues or dehydration. It's always best to consult with a healthcare provider before combining medications.