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Doctor insights on: Ace Inhibitors, Beta Blockers And Severe Allergic Reactions To Insect Stings

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Generally, how potent is clonidine when compared to other hypertensive medications, such as beta blockers and ACE inhibitors? Or, is it so individual?

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

Dr. John Chiu
2,573 doctors shared insights

Allergies (Definition)

Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more


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What are the long term effects of beta blockers and ace inhibitors ie : lisinopril 2.5 and metoprolol succinate 50mg both q daily.

What are the long term effects of beta blockers and ace inhibitors ie : lisinopril 2.5 and metoprolol succinate 50mg both q daily.

Improved LV Function: The long term benefit of these medications in the treatment of CHF or Cardiomyopathy are well established highly beneficial and according to guidelines. It is all good. Prolong and improve life expectancy. ...Read more

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Are beta blockers alone effective in vasodilation around the heart or is combination therapy neccessary, i.e. ace-inhibitors, calcium blockers, etc?

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 ...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?

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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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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Is there an adjustment period moving from a beta blocker (felt fatigue, etc.) to an ACE inhibitor of equivalent strength?

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

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Why is it necessary that white patients should be started with an ACE inhibitor or beta blocker while blacks with calcium channel blocker/diuretics?

Why is it necessary that white patients should be started with an ACE inhibitor or beta blocker while  blacks with calcium channel blocker/diuretics?

There's no rule: There's no rule that white patients need to be started on ACEI or Beta blocker and vice versa. It all depends on what is being treated HTN vs Coronary artery disease. ...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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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

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What are the best anti-hypertensive drugs to be given for a patient with hyperlipidemia (beta-blocker vs ACE inhibitor)?

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

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Is there a beta blocker or ACE inhibitor that does not have nightmares, dizziness, hair loss as side effects?

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

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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?

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?

HTN meds: Dizziness may be due to how low your BP goes. It would be helpful to measure your BP when you develop this dizziness to see if that is the cause. If not your pmd will evaluate other potential causes of your symptoms. ...Read more

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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.

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

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What is hibernating myocardium? On coreg, (carvedilol) can't take ACE inhibitors (allergic), heart is paced if goes below 55bpm.

What is hibernating myocardium? On coreg, (carvedilol) can't take ACE inhibitors (allergic), heart is paced if goes below 55bpm.

Use and ARB: Patients who need the renin-angiotensin blocade & who can't take an ace should take an arb which is chemically different. Hibernating myocardium is heart muscle that is viable (alive) but not functioning (non-contractile) because it has compromised circuation. Revascularization can restore function and increase the ejection fraction. Thallium scans are the test of choice. ...Read more

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How long do hypertension medications (diuretics vs ACE inhibitors vs Ca channel blockers vs etc.) take to achieve full effect?

How long do hypertension medications (diuretics vs ACE inhibitors vs Ca channel blockers vs etc.) take to achieve full effect?

Hours to weeks: The oral medications for treating high blood pressure start to work as soon as they are absorbed and the full effect of a single dose occurs within hours. Most blood pressure drugs sustain the reduction in BP for 24 hours so they can be taken once daily. When starting medication or changing dose there may be some further blood pressure reduction over the next several weeks. ...Read more

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Sensitive to arbs and allergic to ACE inhibitors, what drug should I take to control my blood pressure?

Sensitive to arbs and allergic to ACE inhibitors, what drug should I take to control my blood pressure?

diuretic: Start with a diuretic. Hydrochlorothiazide (hctz) is cheap, effective, and well tolerated. Depending on the severity of your hbp, you may require more than 1 drug. Avoid salt and attain/maintain normal weight if you can. ...Read more

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Severe sulfa allergic reaction. Taking benedryl and prednisone. Not getting any better. Broke out in blisters all over body, red skin with pain stings?

Severe sulfa allergic reaction. Taking benedryl and prednisone. Not getting any better. Broke out in blisters all over body, red skin with pain stings?

Go to the er: There can be a very severe reaction that is a skin emergency. The most significant variant is called toxic epidermal necrolysis (ten). Another slightly less severe condition but on the same continuum is stevens-johnson syndrome. It is important with your current symptoms you get evaluated asap. The most common cause of both of these is drug reactions. ...Read more

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Can ACE inhibitors or ARBs given to control Bp if s.cr is1.56 in patient with atrial fibrillation?

Can ACE inhibitors or ARBs given to control Bp if s.cr is1.56 in patient with atrial fibrillation?

ACE-ARB, CRF A-FI: ACE and ARB in chronic renal failure can be administered together. However will have no therapeutic effect on chronic atrial fibrillation. For arterial hypertension with chronic renal failure you will require to switch one of the current HPT med to a beta blocker. Such as Sotalol 80 mg twice a day (minimal dose), and have BP controlled twice a day, adjust as . Have you ever underwent cardio-versi ...Read more

Dr. John Chiu
1,030 doctors shared insights

Allergic Reaction (Definition)

Sensitivities to substances, called allergens, that come into contact with the skin, nose, eyes, respiratory tract, and gastrointestinal tract. They can be inhaled into the ...Read more


Stings (Definition)

Stings can come from different sources. Insect stings such as a honey bee is one of the most familiar. Sting by fish in water is another common experience many of ...Read more