Doctor insights on:
Ace Inhibitor Overdose
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Hbp #: how long would it typically take for an extended release ACE inhibitor to have it's full effect?
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
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 moreSee 1 more doctor answer
Can an ace-inhibitor 20 mg. Tab be cut in half and taken twice daily, instead of one time, since it reduces (it's working) side effects in a patient?
Depends: I agree that twice daily dosing in clinical trials has somewhat better effects on the neuroendocrine system, however many pills are not safe to split--especially extended release formulations. It depends on the manufacturer. Aceon, mavik, (trandolapril) and univasc may be splittable ace inhibitors if you are trying to save money, but please consult your doctor first! don't split non-scored pills! ...Read more
Pharmacological treatment of heart failure include:
Ace inh OR ARB (not both) and
Sometimes, one is more useful than the other, and depending of circumstances, MDs may elect to omit one or two.
Exercise, diet, weight loss, are always part of treatment of CHF. ...Read more
Lisinopril choices: Lisinopril is a member of the ace-inhibitor (a) class of drugs. It not only reduces blood pressure, it also reduces proteinuria. The most common adverse effect of drugs of a class is a dry cough. Another class of drugs, call angiotensin receptor blockers (arb) can do the same two things and have a much lower reported incidence of cough. Ask your physician for more advice. ...Read more
Several: There are several alternatives. It is a good drug generally. ...Read more
Any, if tolerated: Ace inhibitors are a cornerstone of almost any hypertensive patient, especially if a patient has diabetes or heart failure. Monitoring of kidney tests and potassium and watching for cough or rarely rashes or swelling of the lips and eyelids are adverse effects that need medical attention. ...Read moreSee 1 more doctor answer