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Doctor insights on: Ace Inhibitor Vs Arb Cough

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Dr. Sue Ferranti
3,554 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


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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

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Why might an arb be more effective in stabilizing blood pressure than an ACE inhibitor?

Why might an arb be more effective in stabilizing blood pressure than an ACE inhibitor?

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 versa. These medications work at different parts of the renin-angiotensin pathway. ...Read more

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

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

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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

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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

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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

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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

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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.

Yes: Cough due to CHF is due to excessive fluid buildup in lungs due to inefficient heart function. Cough due to ace inhibitors is a benign (though irritating) side effect seen in a minority of patients. Ace inhibitors are first line drugs for "systolic" CHF ( due to weakened heart muscle). Presence of cough does not exclude use, but most physicians would switch to alternative "arb" medication. ...Read more

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Can ACE inhibitor/arbs safely used to control microscopic proteinuria in a 60 yo m type2dm (20yr)with single kidney (normotensive)?

Can ACE inhibitor/arbs safely used to control microscopic proteinuria in a 60 yo m type2dm (20yr)with single kidney (normotensive)?

Yes: Yes, ace inhibitors slow the progression of kidney disease and spilling of protein in the urine. This is common knowledge and you should be on one if you are diabetic even if you have not protien in the urine. ...Read more

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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

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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

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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

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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?

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

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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

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