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Doctor insights on: Ace Inhibitors Potassium

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2 weeks Ramipril (2.5mg qd) caused  potassium to go to 8.5 mmol/L and was stopped. Does this rule out future use of all other ACE inhibitors and ARBs?

2 weeks Ramipril (2.5mg qd) caused  potassium to go to 8.5 mmol/L and was stopped. Does this rule out future use of all other ACE inhibitors and ARBs?

Not necessarily: All ace and arb medications will have some potassium sparing characteristics. Your likihood of developing hyperkalemia will depend on your state of hydration, other medication, and your renal function. Check with your doc. ...Read more

Dr. Madhu Kandarpa
1,327 Doctors shared insights

Potassium (Definition)

Potassium is an essential electrolyte, important in the functioning of many organs including the heart, kidneys, muscles, nerves, and digestive system. Deficiency can be caused by diseases such as kidney failure, vomiting, and diarrhea, or by ...Read more


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Effect of ACE inhibitors making you feel calmer?

Effect of ACE inhibitors making you feel calmer?

No: There is a common misconception that calm people don't have hypertension and treating antihypertensives will calm people. Overall that is not the case. There may be one exception. Beta blockers block adrenaline which can make one feel calmer. Acei other antihypertensives usually do not result in people feeling calmer. ...Read more

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What medications are classified as ACE inhibitors?

What medications are classified as ACE inhibitors?

They end in -pril: Look at the generic medication name. If it ends in "pril" it's an ace inhibitor. Common ones: lisinopril, enalapril, captopril, ramipril etc. Their cousins, arbs end in "artan" as in losartan, irbasartan, etc... ...Read more

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What are the distinctions between ACE inhibitors and arbs?

What are the distinctions between ACE inhibitors and arbs?

Ace vs arb: They are drugs which block functions at different points in the same pathway. Ace blocks an enzyme and arb blocks a receptor, their effects are similar. It's something like either cutting a wire to a spark plug or damaging the plug itself. Either way you don't get a spark. ...Read more

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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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What are ACE inhibitors used for?

What are ACE inhibitors used for?

Heart and kidney: Ace inhibitors are blood pressure medications used for blood pressure treatment. They also have effects independent of the blood pressure effect on the heart, particularly for people with heart failure, and on the kidneys, particulaly for people who have diabetic-induced kidney disease with protein in the urine. ...Read more

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What is better for hypertension: arbs or ACE inhibitors?

What is better for hypertension: arbs or ACE inhibitors?

No Difference: Ace and arb both are used to treat hypertension by similar mechanisms. They decrease blood flow to part of the kidney that causes an overall decrease in total blood pressure. The only difference is that with an ace you can develop a persistent dry cough. Once this occurs, you have an allergy to the ace. The arb treats the BP without the cough. ...Read more

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Angioendema? Can it be caused by ACE inhibitors. Can a ACE test level be decreased in other conditions. Emphysema, lung cancer, cystic fibrosis. Copd?

Angioendema? Can it be caused by ACE inhibitors. Can a ACE test level be decreased in other conditions. Emphysema, lung cancer, cystic fibrosis. Copd?

ACE Inhibitors: Angiotensin converting enzyme (ace) inhibitors are the leading cause of drug-induced angioedema in the U.S. Because they are widely prescribed. Most common is swelling of the lips, tongue, or face, although episodic abdominal pain due to intestinal angioedema may occur. Urticaria and itching are notably absent. The rest of the question is too complex to address here. Thanks. ...Read more

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Why do ACE inhibitors cause hyperkalemia?

Why do ACE inhibitors cause hyperkalemia?

Block aldosterone: The primary mechanism of action of a ace inhibitors is to interrupt the renin angiotensin system. One of the results is reduced aldosterone synthesis. Aldosterone is an important hormone responsible for regulating potassium excretion by the kidney. Thus blocking aldosterone reduces the capacity of the kidney to excrete potassium. ...Read more

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How do ACE inhibitors reverse microalbuminuria?

How do ACE inhibitors reverse microalbuminuria?

Unclear: I don't believe that the mechanism is well understood but they do act on the renal glomerulus, improving membrane integrity, reducing protein leakage, and thus do help microalbumenuria. In addition, they also lower blood pressure which is also beneficial. ...Read more

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Do ACE inhibitors cause intestinal angioedema?

Do ACE inhibitors cause intestinal angioedema?

Possibly: In susceptible individuals, ace inhibitors can cause angioedema. This typically involves the lips or the face, but can affect any part of the skin and internal organs such as the intestines. It would be unusual for acei to cause angioedema of only the intestines, however. A thorough evaluation by an allergist can help you sort this out. ...Read more

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Could you explain why ACE inhibitors are better for hypertension than Diuretics?

ACEs vs diuretics: They are not. Diuretics are, on the average much better and less expensive than ACEs. Especially if you are African American. ...Read more

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Enalapril, benazepril are both ACE inhibitors?

ACE inhibitors: Yes: I specialize in high blood pressure and happy to do 2nd opinion. Live. ...Read more

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Before administration of ACE inhibitors to older adults, which lab?

Before administration of ACE inhibitors to older adults, which lab?

Electrolytes kidney: Important to check electrolytes, especially potassium, as well as kidney function prior to beginning an ace. I would be surprised if any physician would start an ace without having those tests done. ...Read more

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Can you tell me about loop diuretics, analgesices, atb, arbs, ccbs, ACE inhibitors etc?

Not in 400 letters!: This is too big of a question and cannot be answered in such a short format. You could ask something more specific so that we can help you. ...Read more

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How do ACE inhibitors help with chf?

How do ACE inhibitors help with chf?

ACE-I: Reduces the resistance against which the failing heart has to pump, reduces the internal renin angiotensin aldosterone hormones that are increased with heart failure and can cause more problems, thus reduces the mortality of heart failure. ...Read more

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Why might ACE inhibitors contribute to cardiac arrhythmia?

Why might ACE inhibitors contribute to cardiac arrhythmia?

ACE inhibitors: In general wouldn't contribute to arrhythmia so. In some situations could lower pressure and cause cathechol stimulus to arrhythmia. In others might cause electrolyte shift and be associated. Wouldn't be common ...Read more

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Can you tell me how angiotensin converting enzyme inhibitor (ace)inhibitors modulate stress on the heart and blood pressure?

ACE I: They modulate stress through decreasing preload and to an extent afterload on the heart. There may also be direct effect on the myocardium but this isn't as well worked out. ...Read more

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Non-diabetic:ace inhibitors:nephrotoxic or protective.? Nephrectomy 87.Hptn. On toprol, (metoprolol) zestril, hctz, hydralazine;which to dc? /ckd 3a/age 69.

ACE inh: Ace inhibitors are great medications for BP and diabetes and scledoderma hypertensive crisis. However, in some patientds they may adversely affect the kidneys, specially if there is underlying renovascular disease. Since you only have one kidney be very carefull. ...Read more

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Why are ACE inhibitors particularly prescribed for persons with left ventricular contractile dysfunction?

Mortality benefit: There are three main reasons why ACE-inhibitors are used in systolic heart failure. Compared to placebo they: 1. Reduced mortality. 2. Reduce hospital readmissions for heart failure. 3. Reduce chance of having another heart attack. ...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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How is it that ACE inhibitors work to lower blood pressure?

How is it that ACE inhibitors work to lower blood pressure?

Blood Pressure: Meds: 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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What are the benefits of ACE inhibitors with type 1 diabetes?

What are the benefits of ACE inhibitors with type 1 diabetes?

It help: Compared with placebo ace inhibitors (captopril, lisinopril, enalapril, perindopril, and ramipril) are more effective at reducing progression to macroalbuminuria, and at increasing regression to normoalbuminuria in normotensive people with type 1 diabetes and microalbuminuria. ...Read more

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