heart attack
"I was prescribed Ramipril (5mg/daily) and 4 other medications (Aspirin, Effient, Atorvastatin, and Coreg)  after a heart attack 6 years ago.  The only side effect I've had is constipation.  I don't take the Coreg or Effient anymore, but the constipation has continued, but is diminished.  So I can't say for sure which medication is causing the issue.

I take 1 small capsule of Ducosate Sodium daily to counteract this side effect (the full dose of 3 capsules seems to be too much for .  This seems to do the trick for me.

I have always had slightly low blood pressure. The Ramipr lowers it a bit more (unfortunately).  I believe that after a heart attack an ACE inhibitor is almost always prescribed regardless of blood pressure"