Ramipril Induced Burning Mouth Symptoms

We report a case of a 74-year-old female patient who presented with symptoms of burning mouth. The patient suffered from hypertension and had been using the following antihypertensive drugs: Angiotensin converting enzyme inhibitor (ACE)-ramipril with felodipine (calcium channel blocker) (Triapin-2.5mg a day) during the past year and a half. After one year of Triapin intake, symptoms of burning mouth evolved. Seven days after the replacement of the offending drug with losartan (angiotensin II receptor antagonist), the burning symptoms disappeared. This case stresses the fact that in cases of patients with oral burning, the symptoms can easily vanish after the withdrawal of the offending drug.