Doctor insights on:
Ace Inhibitor Vs Arb Cough
Cough upon Altace trial 10 yrs ago. Possible I might not have same reaction now, esp w/diff brand of Ace Inhibitor? ACE studies look better than ARB.
Altace cough: it is worth trying again as you will know quickly whether you are sensitive to it, and if you are, you can stop it. Best to check with your cardiologist. ...Read more
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
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
Clonidine as an anti-hypertensive---is it an ACE inhibitor, arb, beta blocker? What class of medication is it in for hbp?
I hear that the chances of a strong annoying cough due to an ACE inhibitor for hbp (no diabetes) is experienced by many patients. How true is this?
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?
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?
Short of breath, lump in throat, difficulty swallowing, cough daily for 6 mos. And getting worse. One dr. Says reflux the other says ACE inhibitor (angioedema). Which is most likely given the symptoms?
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?
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 moreSee 1 more doctor answer
Can ACE inhibitor/arbs safely used to control microscopic proteinuria in a 60 yo m type2dm (20yr)with single kidney (normotensive)?
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
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
- Wrap ace bandage