Top
40
Doctor insights on: Ace Inhibitor Cough Relief

Share
1

1
What is better for hypertension: arbs or ACE inhibitors?

What is better for hypertension: arbs or ACE inhibitors?

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. ...Read more

See 3 more doctor answers
Dr. Sue Ferranti
3,611 doctors shared insights

Cough (Definition)

The cough reflex is a protective mechanism that uses muscles in your throat and chest to expel mucous and saliva that may contain pathogens that would otherwise possibly be inhaled via aerosol or to expel pathogens infecting the throat and respiratory system. Cough benefits the host by reducing load and benefits the pathogen which may then spread via aerosol. ...Read more


2

2
Explain ACE inhibitor use as a anti hypertensive?

Explain ACE inhibitor use as a anti hypertensive?

Relaxes vasc muscle: Angiotensin i is a hormone that is converted to angiotensin ii with the help of the angiotensin converting enzyme (ace). Angiotensin ii is a very powerful constrictor of vascular muscle and in doing so increases the pressure inside the vessels (the blood pressure). If you inhibit (or neutralize) the ace then you don't produce as much angiotensin ii and the BP does not increase. ...Read more

See 1 more doctor answer
4

4
Azd 6244- mek inhibitor- a selective mitogen-activated protein kinase (mek) inhibitor. Mk 2206- akt inhibitor. Why prescription for me? It ? Nsclc/mets

Azd 6244- mek inhibitor- a selective mitogen-activated protein kinase (mek) inhibitor.    Mk 2206-  akt inhibitor.  Why  prescription for me? It ? Nsclc/mets

Molecular targeting: These agents are designed to selectively knock out key pathways your tumor may use to grow. Presumably you already had your tumor tested for these different mutations. Ask the doctor offering these options to explain their rationale. These are investigational studies and many of the treatment costs may be covered-ask. ...Read more

5

5
Is calmepan contraindicated with proton pump inhibitor?

Is calmepan contraindicated with proton pump inhibitor?

No problem: These two medications should have no significant interactions. ...Read more

6

6
Is it safe to take Robitussin Cough + Chest Congestion DM while on Lexapro, (escitalopram) Synthroid, Zyrtec, Dymista Nasal Spray & Albuterol nebulizer?

Is it safe to take Robitussin Cough + Chest Congestion DM while on Lexapro, (escitalopram) Synthroid, Zyrtec, Dymista Nasal Spray & Albuterol nebulizer?

Many meds: At your age (or anyone else for that matter) taking five medicines and wanting another one is not smart unless your doctor has told what medical problems you have. Having said that, if your doctor did prescribe those meds, over time the meds should be reduced. Please let me know what develops. ...Read more

7

7
Which are better ACE inhibitors or arb's?

Which are better ACE inhibitors or arb's?

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

8

8
Is it okay to combine h2 blockers like Zantac (ranitidine) with proton pump inhibitors (ppi)?

Is it okay to combine h2 blockers like Zantac (ranitidine) with proton pump inhibitors (ppi)?

Sure, best at night: Some ppi's don't last all day, so acid production rises by evening. Such patients may benefit from either a second dose of ppi medication before dinner, a switch to a longer acting ppi, or the addition of h2 blocker medication at bedtime. ...Read more

13

13
Coreg (carvedilol) and lisinopril for htn. Last 6 weeks wheezing, fatigue, short breath during running w/o cough. Inhaler does not help. Rest resolves. Allergies?

Coreg (carvedilol) and lisinopril for htn. Last 6 weeks wheezing, fatigue, short breath during running w/o cough.  Inhaler does not help.  Rest resolves. Allergies?

See provider: I am concerned that your cardiovascular disease may be getting worse, or that you may have asthma or COPD that requires more than one inhaler. Please see your healthcare provider. ...Read more

See 1 more doctor answer
15

15
Is homeopayhic medication effevtive against allergies regarding recurremt cold and cough?

Is homeopayhic medication effevtive against allergies regarding recurremt cold and cough?

Not usually: There is no scientific proof that they do work but if they work for you, I have no problem with it. This is not to say that herbal medicine has no role it is just that the basis of homeopathic medicine is that even trace quantity (often unmeasurable) of the purported active ingredient would control disease. ...Read more

16

16
Clonidine as an anti-hypertensive---is it an ACE inhibitor, arb, beta blocker? What class of medication is it in for hbp?

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 term medication due to numerous side effects and ideally has be used for short duration only. ...Read more

17

17
Does ACE inhibitor as a cure for hypertension decrease sexual urges?

Not typically: Not typically but i've had some patients say otherwise so i listen to them & pick alternatives & see if things improve. ...Read more

19

19
Can i take expectorant+antihistamine combi cough syrup? aren't the actions contradictory? expectorant increasing & anti-histamine drying secretions?

Can i take expectorant+antihistamine combi cough syrup? aren't the actions contradictory? expectorant increasing & anti-histamine drying secretions?

No: Not contradiction, rather complementing each other, antihistamines act as cough suppressants besides help decrease excessive secretions, expectorants rather loosen the thick secretions helping to get rid of them, that's why plain water is the best expectorant ...Read more

23

23
I was switched from a beta blocker to an ACE inhibitor for hbp due to bad side effects. How long will it take for the cough with lisinopril?

I was switched from a beta blocker to an ACE inhibitor for hbp due to bad side effects. How long will it take for the  cough with lisinopril?

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 optimistic that you are in the 90%. ...Read more

24

24
How to combat ankle edema caused as a side effect by s-amlodipine.The hypertensive pt.Was previously put on ACE inhibitor but developed cough?

How to combat ankle edema caused as a side effect by s-amlodipine.The hypertensive pt.Was previously put on ACE inhibitor but developed cough?

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. ...Read more

26

26
If it is not uncommon for ACE inhibitors to produce an annoying cough, why not prescribe arbs from the get go? Are they generally less effective?

If it is not uncommon for ACE inhibitors to produce an annoying cough, why not prescribe arbs from the get go?  Are they generally less effective?

Reasonable: Alternative. Most of the clinical studiesdone in heart failure, heart attack and hypertension were done with ace inhibitors so there is a tremendous amount of data backing its use. There is more data regarding arb's in the last few years. ...Read more

27

27
One of symptom of CHF is cough, can ACE inhibitors be used as it also causes cough.

One of symptom of CHF is cough, can ACE inhibitors be used as it also causes cough.

CHF: Treatment of congestive heart failure is complex. One of the most important medications is an ace inhibitor to improve the cardiac function. Although there is a potential side effect of a dry cough in a small percentage of patients using an acei, the benefit far outweighs the risk and it should be a first line medication. Speak with your cardiologist for details of dosing. ...Read more

See 1 more doctor answer
28

28
Can you tell me what the ACE inhibitor is?

Type of BP med: An ace inhibitor, or angiotensin-converting enzyme inhibitor, is a type of blood pressure medication to control high blood pressure. ...Read more

See 1 more doctor answer
31

31
Which is better, ACE inhibitor vs. Arb in layman terms please?

Which is better, ACE inhibitor vs. Arb in layman terms please?

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 & your doctor should discuss alternative treatments for htn. If you have certain kinds of heart disease, then a beta blocker or diuretic may be a better choice. Thats why it's best to discuss treatment with your doctor. ...Read more

See 1 more doctor answer
32

32
Hbp #: how long would it typically take for an extended release ACE inhibitor to have it's full effect?

Days: Most long-acting ace-i (and many other cardiac meds) produce a measurable response within a couple days but may take up to 2-3 weeks for the full effect. ...Read more

See 1 more doctor answer
35

35
Is ACE inhibitor such as captropil effective as an antihypertensive or everyone?

Is ACE inhibitor such as captropil effective as an antihypertensive or everyone?

1size never fits all: In medicine, one size doesn't fit all. An ace inhibitor may be more appropriate if you have diabetes, since it can protect the kidneys from diabetic damage. If you have cardiac problems, a beta blocker may be more appropriate. Sometimes, a pt needs to use more than one HTN medication. This is why you & your doctor should discuss which blood pressure med is best in your p[articular case. ...Read more

36

36
What is an ACE inhibitor/medicine?

What is an ACE inhibitor/medicine?

Blood Pressure Treat: Ace inhibitors block the conversion angiotensin i to angiotensin ii, which constricts the vessels, increases the following: salt retention in the kidney, sympathetic tone, aldosterone and ADH (vasopressin) (anti-diuretic hormone) secretion. The inhibition of this conversion decreases blood pressure and wall stress in the heart muscle. ...Read more

See 1 more doctor answer
37

37
What are some different types of ACE inhibitor medications?

ACE-I: ACE-I or angiotensin converting enzyme-inhibitors, usually end with the suffix "-pril." They include benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, and trandolapril. ...Read more

39

39
Hbp #: if there were to be unwanted side effects for a prescribed ACE inhibitor, would it be more prevalent with an extended release form, or not?

Hbp #: if there were to be unwanted side effects for a prescribed ACE inhibitor, would it be more prevalent with an extended release form, or not?

No difference: Side effects form the medication are no different whether given as short- or long-acting. You may feel the effect of the medication more with short-acting forms (such as lightheaded with BP meds as it brings the pressure down). The most common side effect from ace is cough which occurs with either form. ...Read more

See 1 more doctor answer
40

40
Is it possible that a beta blocker for hbp may give minimal lowering results but a switch to an ACE inhibitor may result in better lowering results?

Hypertension: Various medications can have varied effectiveness in different patients. Beta blocker is not a highly potent antihypertensive. Ace inhibitors are effective but not always more so than beta blockers. ...Read more