Doctor insights on:
Ace To Arb Conversion Chart
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. That's why it's best to discuss treatment with your doctor. ...Read more
My specialist changed my hypertensive script from an ACE to an arb. How do I safely switch to the new one - do I just stop one and start the other?
A friend was taking Losartan, but that didn't work. Switched to Valsartan. It worked. Both in ARB, why would the latter work instead?
Here are some. ..: Check if she/he made some change in lifestyle such as decrease coffee drink or better sleep, etc. &/or added other hight-BP-related drugs; these may make BP control different. So, look into other factors so to sort out what might be. But occasionally, one may claim one is better than another for the drugs in the same class, like what happens in using Viagra, Levitra, (vardenafil) or Cialis in PDE-5is. ...Read more
Is Benicar a more potent ARB than generic Cozaar? Losartan 100 seems much weaker than 40mg of Benicar, There is obviously a large cost difference.
ARB vs ARB for BP: Is Benicar a more potent ARB than generic Cozaar? Losartan 100 seems much weaker than 40mg of Benicar, There is obviously a large cost difference. ANS: no head to head comparisons 2 judge so in absence of data I recommend the cheapest one 1st. If it gets BP to goal stay with it. If max does does not work then not likely another ARB will work well. But always worth a try if other agents don't work ...Read more
Which is the most safest, effective, popular, and least side effect class BP medicine used long terms: ccb, bb, diuretics, arb, ACE or other. Thanks.?
Cannot answer: That cannot be answered. All of these classes of anti-hypertensives have side effects. It all depends on your other co-morbidities, your other medications for all other conditions, response to individual classes of medications, and side effects you may display to a class of medication based on genetics. ...Read more
Neither: These drugs don't cause fatigue and are equivalent in their efficacy. Arbs, which generally don't cause cough have a side effect profile that is indistinguishable from placebo. Ace-inhibitors cause cough in 10% of users but are available as a generic and very inexpensive for those who don't get the cough. ...Read more
Taking a beta blocker for hbp for about 6 months but have side effects Dr told me to take losartan and stop beta safe to just stop beta and start arb?
Curious as to why I still get elevated BP readings due to white coat htn even while on a low dose arb. What good is a med that works part of the time.
Its the syndrome: White coat HTN might persist despite medication. Sometimes a beta blocker can blunt the hypertensive response. Sometimes one simply needs another medication in addition to the other medications. Check your BP sitting and standing each morning at home to judge the adequacy of your medications. ...Read more
Cough upon Altace trial 10 yrs ago. Possible I might not have same reaction now, esp w/diff brand of Ace Inhibitor? ACE studies look better than ARB.
Altace cough: It is worth trying again as you will know quickly whether you are sensitive to it, and if you are, you can stop it. Best to check with your cardiologist. ...Read more
Could 10 mg isosorbide mono causes dependency. Made my other bb& arb/hct BP med not work. Noticed spikes until itake the iso mon again then BP goes down?
No-nitrate tolerance: Oral nitrates can drop BP early after taking by dilating veins and reducing cardiac filling. If dehydrated this can cause light headedness. Should not affect other BP meds except in additive fashion. Will not make them less effective. ...Read more
ARB (Losartan) won't stop my stress induced hypertension. What is a better option without lots of side effects?
Stressed out: Certainly chronic stress can lead to hypertension. Lifestyle changes such as healthy food choices, exercising regularly, and getting enough sleep can significantly impact blood pressure. Engaging in healing arts such as yoga and tai chi help to calm the mind and strengthen your body. Carving out time to spend with family and friends helps to maintain a sense of connectedness with community. Best. ...Read more
If an ARB is sufficient in controlling HTN, is there any benefit for an advanced CKD patient with proteinuria to use combinations of ACE & ARB?
Not recommended: The combination of ACE-inhibitors and ARBs is not recommended. ...Read more
Creatinine increases from 1.0 to 1.5 in last 4 months. Stabilizes around 1.6 (2.0 with arb). ANA positive only u1rnp elevated. Possible treatment?
You need renal eval: You need to see a nephrologist because this increase in creatinine needs to be clarified. You also need to discuss this with your rheumatologist since the U1RNP can be associated with SLE which can involve the Kidneys or overlap MCTD which is less likely to involve teh kidneys ...Read more
I take an arb (losartan) for hypertension but still notice occasional spikes due to anxiety. Hr rate increases also. Is a beta blocker better for this?
Morning hp 120/80 but goes up to 185/85 just after taking bystolic (nebivolol) or isosorbide and stays for an hour. On 5 mg pred/arb in pm/no issues. Adh issue?
Amazing occurence. Bystolic (nebivolol) is a balanced blocker with both beta and some alpha blocking - not likely the cause. Isosorbide is a vasodialator and in fact has been reported as a cause of paradoxical hypertension.
See: http://www. Ncbi. Nlm. Nih. Gov/pubmed/9752888
Would consult with your cardiologist, as to relevance of this possibility in your case. ...Read more
How long does an arb (avapro) take to settle in? Specifically, I am feeling very weak and tired after about a week on 150mg of avapro, (irbesartan) will that start to subside after awhile? If so, how long?
Avapro (irbesartan): I don't think that Avapro (irbesartan) should make you weak unless it lowers your blood pressure too much (would cause lightheadedness), worsens your kidney function, or increases your serum potassium too much. Avapro (irbesartan) works quickly and it's full effect is felt after about a week or so. Discuss these issues with your physician. ...Read more
Urine protein to creatinine of 206/1.8 or 2. Do I need ACE or arb inhibitor for protein problem? I'm conerned about side effects.
Forgive my frankness: Even if you have significant proteinuria, nobody here can advise you about medication without a big picture ofyour health. The most common cause of proteinuria is simply standing up -- several percent of people are like this, and a first-voided morning urine without significant proteinuria would confirm this if it's you. Don't treat lab values and demand to understand your workup. ...Read more
70 year old high exercise level recreational road bicyclist with recent reduced exercise tolerance. Echo shows Basal Septal LVH. ACE or ARB?
Septal hypertrophy: Asymmetric septal hypertrophy can produce a heart murmur as well as place strain on the left ventricle. If your ejection fraction is perfectly normal and you still have diminished exercise tolerance, diastolic dysfunction is also a factor. Since there is some obstruction to blood flow, relaxation of the ventricle with beta blocker or certain calcium channel blocker like cardizem is preferred thera ...Read more
If a person is hypertensive, does this cause kidney damage when I see that I have proteinurea in my urine even I'm taking ARB and calcium channel??
What dietary modification should be done to decrease levels of proteinurea in a hypertensive patient taking arb and calcium channel blocker, help plz?
Possibly low protein: You are on appropriate therapy. The aim should be to use the arb (or acei) with other drugs in an effort to reduce proteinuria while controlling hypertension and preserving renal function. How severe is the proteinuria? Is the BP controlled? Do we need to consider therapy directed at a glomerular disease? Is there a correctable cause of the proteinuria? Your physician should be able help answer. ...Read more
My eGFR hovers around 60, sometimes lower. I also am treated for high BP with ACE/ARB. My internist says I needn't see a nephrologist. Is he right?
Your Internist is not being good to you!
You MUST see a Nephrologist!
Hope all goes well - please keep me informed! ...Read more
Are ARB's for Isolated Systolic Hypertension 50yr old best treatment with good BMI With healthy LifestyleI? Can they be used alone without diuretics?
For some patients: ARBs are a good choice for high blood pressure in some patients, and can be used without a diuretic. However, the best choice of medication is based on the other conditions a patient has, the other medications they are taking, race, and how high the blood pressure is. Your doctor will be able to make a recommendation for which medication is right for you. ...Read more
Is it healthy to live having proteins in the urine after 24hr of urine collection while taking arb to protect heart and kidneys? Level is 350mg protein
No: This level of protein in urine is too much follow up with your nephrologist. ...Read more
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