Top
40
Doctor insights on: Ace Inhibitors Vs Ccbs

Share
1

1
Enalapril, benazepril are both ACE inhibitors?

Enalapril, benazepril are both ACE inhibitors?

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

See 1 more doctor answer
6

6
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

See 3 more doctor answers
7

7
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

8

8
Do ACE inhibitors work better than Verapamil or CCBs for endothelial dysfunction?

Endothelial dysfnc: The endothelial cell lining controls the smooth muscle in artery walls. Endothelial dysfunction means that instead of making arteries relax, certain triggers make them constrict instead. This is part of the cause of atherosclerosis, erectile dysfunction, and other conditions. The best treatment depends on many clinical factors. Consider a consultation to address your particular case. ...Read more

9

9
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

See 1 more doctor answer
10

10
What is the difference between ACE inhibitor and angiotensin receptor antagonist?

Names say it all: Angiotensin converting enzyme(ace) inhibitor vs angiotensin receptor blocker(arb). The names really say it all. Angiotensin which raises blood pressure needs to be activated to work. Aces prevent that activition. Arbs directly block the activity of angiotensin. Both have similar effects but there is more evidence for heart protection with aces than arbs but slightly more side effects with aces. ...Read more

13

13
Explain ACE inhibitor use as a anti hypertensive?

Relaxes vasc muscle: Angiotensin i is a hormone that is converted to angiotensin ii with the help of the angiotensin converting enzyme (ace). Angiotensin ii is a very powerful constrictor of vascular muscle and in doing so increases the pressure inside the vessels (the blood pressure). If you inhibit (or neutralize) the ace then you don't produce as much angiotensin ii and the BP does not increase. ...Read more

See 1 more doctor answer
14

14
Resistant pulmonary htn due to sjogrens. Norvasc (amlodipine) works but isosorbide unpredictable. Beta blocker worsens. Arb acs contraindicated ckd high K. Advice?

Resistant pulmonary htn due to sjogrens. Norvasc (amlodipine) works but isosorbide unpredictable. Beta blocker worsens. Arb acs contraindicated ckd high K. Advice?

Pulmonary HTN: There are a range of molecules available by prescription that address P HTN ;go see a cardiologist or pulmonologist that has an interest in treating this condition ...Read more

17

17
Is calmepan contraindicated with proton pump inhibitor?

Is calmepan contraindicated with proton pump inhibitor?

No problem: These two medications should have no significant interactions. ...Read more

18

18
Are beta blockers propranolol just as good at treating hypertension as ACE inh lisinopril

Are beta blockers propranolol just as good at treating hypertension as ACE inh lisinopril

Not the first choice: According to the newest JNC guidelines, beta blockers are not the first choice for treating hypertension. If you have conditions like portal hypertension, panic disorder, or chronic migraine headache along with hypertension, then the doctor may choose propanolol to treat two conditions with just one medicine. ...Read more

See 1 more doctor answer
19

19
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

20

20
Which is better, ACE inhibitor vs. Arb in layman terms please?

Which is better, ACE inhibitor vs. Arb in layman terms please?

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

See 1 more doctor answer
21

21
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

23

23
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

24

24
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

25

25
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

26

26
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

27

27
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

28

28
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

29

29
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

32

32
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

33

33
Do ACE inhibitors work better than Verapamil or CCBs for endothelial dysfunction?

Endothelial dysfnc: The endothelial cell lining controls the smooth muscle in artery walls. Endothelial dysfunction means that instead of making arteries relax, certain triggers make them constrict instead. This is part of the cause of atherosclerosis, erectile dysfunction, and other conditions. The best treatment depends on many clinical factors. Consider a consultation to address your particular case. ...Read more

34

34
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

See 3 more doctor answers
35

35
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

36

36
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

37

37
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

See 1 more doctor answer
38

38
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

40

40
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