I’ve been taking ramipril for about 6months, so far, so good. I monitor a couple of times a week at home, and always take 3 readings a couple of minutes apart. 1st reading is often higher than the others. It’s quite common for the readings to be higher when taken at the docs, and mine varies a lot during the day ( +/- 20)!
I’d recommend getting a decent home monitor to get a better feel for what’s going on, it might be things are ok.
…and moderate exercise makes a heck of a difference!