Which of the following counseling points is advised for Ramipril?

Ramipril, an angiotensin-converting enzyme (ACE) inhibitor, is important for managing conditions such as hypertension and heart failure. One critical counseling point regarding Ramipril is that it should be avoided during pregnancy. The use of ACE inhibitors in pregnant individuals, particularly during the second and third trimesters, can lead to serious fetal complications, including renal dysfunction, oligohydramnios, and even fetal death. Therefore, patients should be advised to discuss any pregnancy plans with their healthcare provider and to use effective birth control while on this medication.

This precaution is essential because some medications can have teratogenic effects, and Ramipril is known to be harmful during pregnancy, which reinforces the importance of counseling patients correctly. The other options do not align with the safety profile of Ramipril in pregnancy or its interactions with other substances.