Top
30
Doctor insights on: Ace Inhibitors Vs Calcium Blockers

Share
2

2
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

3

3
Could my calcium channel blocker and ACE inhibitor make me feel tired all the time?

Could my calcium channel blocker and ACE inhibitor make me feel tired all the time?

The calcium: Channel blocker might if your hr is too low or the combination if your HTN is overtreated. ...Read more

4

4
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

5

5
Is it normal to have heart burn after taking calcium channel blocker 2nd day with ACE inhibitor?

Is it normal to have heart burn after taking calcium channel blocker 2nd day with ACE inhibitor?

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

6

6
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?

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?

Ankle edema: You could go back on the ace inhibitor, or try another medicine, but the ankle edema is a side effect of the amlodipine. It may also be seen with other calcium channel blockers. ...Read more

8

8
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

9

9
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

10

10
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

12

12
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

13

13
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

14

14
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

17

17
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

18

18
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

19

19
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

20

20
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

21

21
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

22

22
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

23

23
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

24

24
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

25

25
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

26

26
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

28

28
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

29

29
Enalapril, benazepril are both ACE inhibitors?

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

30

30
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