I guess I lost my post due to shut down, but I have been on Ramipril 5 mg, generic name, for at least 30 years and no problem and have had COPD for 25 years controlled by Advair and or Symbicort. I would suggest checking with your doctor and telling him the problems you had with that bp med and asking if he can't give you something else to try. Ramipril is tried and true. I am 85 and like I said been on it over 30 years. Should be no problem getting a med that works for you without side effects.
Lot of good advice here, but 160 is bad enough, but 200 is dangerous, you need that lowered immediately, get to doc and I would ask for a older med that is time proved to start on!