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ace inhibitor vs arb cough

A 62-year-old male asked:
Dr. Hratch Karamanoukian
31 years experience Phlebology
Altace cough: it is worth trying again as you will know quickly whether you are sensitive to it, and if you are, you can stop it. Best to check with your cardiologi ... Read More
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A 38-year-old member asked:
Dr. Vasudev Ananthram
32 years experience Cardiology
Both effective: Similar effectiveness. Ace inhibitor has a higher incidence of a nuisance cough as a side effect. If this happens you might try an arb.
Dr. Carla Enriquez
50 years experience Pediatrics
Depends: Amer heart assoc recommends both. If you have diabetes, an ace inhibitor is a good choice since it may protect against diabetic kidney disease. You & ... Read More
A 82-year-old member asked:
Dr. Harris Cohen
21 years experience Family Medicine
ARB vs. ACE: Different people respond to blood pressure medications differently -- so in some people, an arb may be more potent than an ace, and in others vice ver ... Read More
Dr. Claude Brachfeld
39 years experience Cardiology
Usually it's not: For most patients there is no advantage. A few patients have a severe cough taking an ace inhibitor, which does not occur with an arb. A very few pa ... Read More
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A 59-year-old male asked:
Dr. Raj Singh
Dr. Raj Singh answered
11 years experience Internal Medicine
Cental alpha agonist: Clonidine acts on the central Alpha receptors and lowers sympathetic tone which lowers heart rate and blood pressure. Clonidine is not a good long ter ... Read More
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A 59-year-old male asked:
Dr. Quang Nguyen
Specializes in Endocrinology
Yes: That's true. About 10-20% of people will experience this. If this happens, switch to a different class.
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7 thanks
A 59-year-old male asked:
Dr. Klaus d Lessnau
36 years experience Pulmonary Critical Care
10%: There is a 10% chance of getting a cough with lisinopril. That means there is a 90% chance of not getting a cough. Lisinopril is still very useful. Be ... Read More
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A 21-year-old female asked:
Dr. Peter Will
Specializes in Cardiology
Side effect: Ankle edema is a side effect of amlodipine. You can't 'combat' it. If the ace caused side effects also then one of the family of arbs may help.
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A 47-year-old male asked:
Dr. Randy Villanueva
23 years experience Internal Medicine
Exam: If you failed treatment for reflux then it warrants further investigation like an endoscopy. At 6 mos with treatment, (proton pump inhibitors or h2blo ... Read More
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A 30-year-old member asked:
Dr. Leroy Fleischer
36 years experience Internal Medicine
They are equal: Both are effective and safe, some people get a dry cough on the ace inhibitors, but otherwise, they are well tolerated.
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A 56-year-old male asked:
Dr. John Szawaluk
31 years experience Cardiology
Reasonable: Alternative. Most of the clinical studiesdone in heart failure, heart attack and hypertension were done with ace inhibitors so there is a tremendous a ... Read More
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1 thank

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