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In patients with impaired liver function, the metabolism of ramipril to ramiprilat appears to be slowed, possibly because of diminished activity of hepatic esterases, and plasma ramipril levels in these patients are increased about 3-fold. It is therefore important that you see your doctor for check ups and lab tests on a regular basis. At 76 weeks post final injection, 58% of females and 87% of males had plasma CAB concentrations below detectable levels http://www.dansk-apotek.com/. Fetal blood levels approach maternal blood levels following parenteral administration.