Question 1

2 weeks ramipril (2.5mg qd) caused potassium to go to 8.5 mmol/l and was stopped. does this rule out future use of all other ace inhibitors and arbs?

Accepted Answer

Not necessarily: All ace and arb medications will have some potassium sparing characteristics.  Your likihood of developing hyperkalemia will depend on your state of hydration, other medication, and your renal function.  Check with your doc.

Question 2

i have rising potassium on lisinopril. switched to amlodipine starting tmrw. what can i expect from change of ace inhibitor to calcium channel blocker?

Accepted Answer

Not much: Amlodipine is less likely to cause elevated potassium levels than lisinopril.  It's main side effect is leg swelling / edema.

Question 3

effect of ace inhibitors  making you feel calmer?

Accepted Answer

No: There is a common misconception that calm people don't have hypertension and treating antihypertensives will calm people. Overall that is not the case. There may be one exception.Beta blockers block adrenaline which can make one feel calmer. Acei other antihypertensives  usually do not result in people feeling calmer.

Question 4

what medications are classified as ace inhibitors?

Accepted Answer

They end in -pril: Look at the generic medication name. If it ends in "pril" it's an ace inhibitor. Common ones: lisinopril, enalapril, captopril, ramipril etc.  Their cousins, arbs end in "artan" as in losartan, irbasartan, etc...

Question 5

what enzymatic pathways are affected by ace inhibitors?

Accepted Answer

The RAAS: The main one is the renin-angiotensin-aldosterone system, where renin converts angiotensin I to angiotensin II (AII) through angiotensin converting enzyme (ACE). AII then increases aldosterone production, which ultimately increases blood pressure. ACE blocks that conversion, thereby reducing blood pressure. Bradykinin breakdown is also inhibited, resulting in a dry cough in some patients.

Question 6

which are better ace inhibitors or arb's?

Accepted Answer

They are equal: Both are effective and safe, some people get a dry cough on the ace inhibitors, but otherwise, they are well tolerated.

Question 7

what are ace inhibitors used for?

Accepted Answer

Heart and kidney: Ace inhibitors are blood pressure medications used for blood pressure treatment.  They also have effects independent of the blood pressure effect on the heart, particularly for people with heart failure, and on the kidneys, particulaly for people who have diabetic-induced kidney disease with protein in the urine.

Question 8

what are second generation ace inhibitors?

Accepted Answer

ACE inhibitors: Lower blood pressure by working in the kidneys. Angiotensin converting enzyme inhibitors.

Question 9

how effective are ace inhibitors for treating stroke?

Accepted Answer

ACE: ACE inhibitors are BP treatment but otherwise don't treat CVA specifically

Question 10

what is better for hypertension: arbs or ace inhibitors?

Accepted Answer

Equivalent : Both classes of medications are equivalent in blood pressure reduction, prevention of diabetes and delaying kidney damage in patients with high blood pressure.

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Doctor answers about:

Ace inhibitors potassium

A member asked:

2 weeks ramipril (2.5mg qd) caused potassium to go to 8.5 mmol/l and was stopped. does this rule out future use of all other ace inhibitors and arbs?

A member asked:

I have rising potassium on lisinopril. switched to amlodipine starting tmrw. what can i expect from change of ace inhibitor to calcium channel blocker?

A member asked:

Effect of ace inhibitors making you feel calmer?

A member asked:

What medications are classified as ace inhibitors?

A member asked:

What enzymatic pathways are affected by ace inhibitors?

A member asked:

Which are better ace inhibitors or arb's?

A member asked:

What are ace inhibitors used for?

A member asked:

What are second generation ace inhibitors?

A member asked:

How effective are ace inhibitors for treating stroke?

A member asked:

What is better for hypertension: arbs or ace inhibitors?

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