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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
2,491 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

Dr. John Chiu
1,005 doctors shared insights

Allergic Reaction (Definition)

Allergic reactions are 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