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A 36-year-old member asked:

What is better for hypertension: arbs or ace inhibitors?

4 doctor answers5 doctors weighed in
Dr. Liviu Klein
Cardiology 23 years experience
Equivalent : Both classes of medications are equivalent in blood pressure reduction, prevention of diabetes and delaying kidney damage in patients with high blood pressure.
Dr. Kevin Griffiths
Specializes in Nephrology and Dialysis
No Difference: Ace and arb both are used to treat hypertension by similar mechanisms. They decrease blood flow to part of the kidney that causes an overall decrease in total blood pressure. The only difference is that with an ace you can develop a persistent dry cough. Once this occurs, you have an allergy to the ace. The arb treats the BP without the cough.
Dr. Yash Khanna
Family Medicine 57 years experience
Both Are Good BUT: Ace Inhibiters and Angiotensin Receptor Blockers are both effective and bring the Blood Pressure down effectively I will say Arbs are preferred overAce Inhibiter because of side effects like cough and angio edema with Ace Inhibiters as compared to ARBS
Dr. Mohammed Al hallak
Internal Medicine 16 years experience
Lisinopril: both has the same side effects including cough and angioedema.. Losing prop is cheaper and I start with that usually

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Last updated Apr 6, 2015

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