Vasotop. The same action on the surface.
Greater ACEi activity at at deeper level.

All ACE inhibitors act systemically by taking pressure off the failing heart. Ramipril (Vasotop), however, also reduces the degenerative effects of ACE in key organ tissue by exhibiting more pronounced inhibition at the local level. So to lower the load on the heart on a systemic level and reduce organ damage on a local level, switch to Vasotop.