Doctor insights on:
Ace Inhibitor Vs Beta Blocker
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?
The beta blocker had too many side effects and did not reduce BP well enough. Ace inhibitor is now substituted. Could this reduce the pressure better?
Depending on Pt: Each pt is different. People respond to different meds differently. Some pts ace inhibitor works very well. Some pts it does not. We have to try one med at a time and see if it works. If it doesnt will try next option. ...Read more
What are the best anti-hypertensive drugs to be given for a patient with hyperlipidemia (beta-blocker vs ACE inhibitor)?
Depends on co-morbid: Depends on other co-morbidities. That is, if hypertensive patient is also diabetic, then ACE inhibitor. If patient is hypertensive and has a history of coronary disease, then ACE inhib and beta-blocker given their secondary benefits, etc. Each patient is unique and the whole pic needs to be considered. ...Read more
Into my 2nd day of switching from a beta blocker to an ACE inhibitor due to dizzy side effects from beta. Dizzy with the ace. Will this lessen at all?
Which is the better medication to be on following a heart attack: a beta blocker or an ACE inhibitor?
Heart attack: Actually both drugs can increase longevity after a heart attack. ...Read more
Why is it necessary that white patients should be started with an ACE inhibitor or beta blocker while blacks with calcium channel blocker/diuretics?
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?
Clonidine as an anti-hypertensive---is it an ACE inhibitor, arb, beta blocker? What class of medication is it in for hbp?
Is there a beta blocker or ACE inhibitor that does not have nightmares, dizziness, hair loss as side effects?
Side effects...: The short answer is yes. Discuss your side effects with the doctor who prescribes your medications. ...Read more
Can I have two glasses of orange juice while I am taking 8 mg Perindopril ACE inhibitor and 10 mg of bisoprolol beta blocker daily for hypertension.
Not the best idea: While there are no specific precautions about drinking orange juice with these medications, you may be referring to the fact that sometimes orange juice contains potassium supplementation. You are correct that one should be very cautious with extra potassium while taking an ACE inhibitor. Beyond that, two glasses of orange juice contains 220 calories of simple carbohydrate: not a healthy choice. ...Read more
Is unstable angina controlled by just a beta blocker? Or does it need a combination of beta, ace-inhibitors, calcium blockers, or other?
Is there an adjustment period moving from a beta blocker (felt fatigue, etc.) to an ACE inhibitor of equivalent strength?
Maybe: If you have been on the beata blocker for a long period of time or have been on a high dose you may go through a short period of withdrawal where your body is learning to function without the medicaiton. A common compalint is fatigue which should improve over time. That said, you should contact your md & tell them what you are experiencing & let them decide how to proceed. ...Read more
Generally, how potent is clonidine when compared to other hypertensive medications, such as beta blockers and ACE inhibitors? Or, is it so individual?
Hypertension: Current 1st line medication for hypertension or high blood pressure is a thiazide diuretic (water pill) like hctz (hydrochlorothiazide) unless you have a compelling reason eg diabetes, heart disease, kidney disease, etc for something else. Clonidine is far down list. It works but all BP meds work. Down side of Clonidine is rebound hypertension if you forget to take dose. Some find it sedating. Potency depends upon dose. ...Read more
What are the long term effects of beta blockers and ace inhibitors ie : lisinopril 2.5 and metoprolol succinate 50mg both q daily.
Are beta blockers alone effective in vasodilation around the heart or is combination therapy neccessary, i.e. ace-inhibitors, calcium blockers, etc?
BB not vasodilators:
The medicines you mention act in three different ways and depending in what you are trying to achieve they can be used separately or together for a variety of conditions, from hypertension to even heart failure (although cal antagonists not recommended for the latter).
But beta blockers are not vasodilators
The calcium: Channel blocker might if your hr is too low or the combination if your HTN is overtreated. ...Read more
Not usual: Calcium channel blockers are not commonly associated with heart burn but in a given individual, anything is possible. In these circumstances, it's usually a good idea to temporarily stop the medicine until you're feeling better and then restart it. If the heartburn comes right back, you may have to switch to a different drug. ...Read more
How to treat ankle edema as a side effect of amlodipine plus if the hypertensive pt.Had been changed frm ACE inhibitor to a calcium channel blocker?
I have rising potassium on lisinopril. Switched to amlodipine starting tmrw. What can I expect from change of ACE inhibitor to calcium channel blocker?
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
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
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
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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