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Doctor insights on: Ace To Arb Conversion Chart

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How do arb drugs work?

How do arb drugs work?

Blocks Receptor: Arb is short for angiotensin ii receptor blocker. These medications work by competitively, or non-competitively, blocking the receptor activated by a blood pressure raising compound known as angiotensin ii. ...Read more

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Which are better ACE inhibitors or arb's?

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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Microalbuminuria which is better for eliminating or stabilizing condition ACEOr ARB meds?

Microalbuminuria which is better for eliminating or stabilizing condition ACEOr ARB meds?

Both are good: Both of these types of medications are useful in this fashion but there are several factors usually based on your personal health history that would sway a physician to use on over the other, cost can also play a part and insurance formularies. ...Read more

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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. That's why it's best to discuss treatment with your doctor. ...Read more

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Which ARB type do you normally recommend for your Patients as safe and good BB medicine.

Which ARB type do you normally recommend for your Patients as safe and good BB medicine.

Usual suspects: I treat the ARBs as a safe class in general and have prescribed valsartan, losartan, and olmesartan, although I like the combinations, like the one you're taking currently. ...Read more

Dr. James Lin Dr. Lin
1 doctor agreed:
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A friend was taking Losartan, but that didn't work. Switched to Valsartan. It worked. Both in ARB, why would the latter work instead?

Dr. James Lin Dr. Lin
1 doctor agreed:
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

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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

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Tried Losartan 100mg as an alternative to Benicar 40mg due to $. Benicar works great, Losartan does not. Is cozaar the the weakest among ARB medications?

Unlikely.: Their effectiveness is essentially all the same. It might be that the generic medicine is not as effective though the FDA assures us they are very strict with quality control. ...Read more

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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.?

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

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Which class of hypertension drugs are more likely to cause fatigue -- arb or ace?

Which class of hypertension drugs are more likely to cause fatigue -- arb or ace?

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

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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.

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

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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?

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

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Why might an arb be more effective in stabilizing blood pressure than an ACE inhibitor?

Why might an arb be more effective in stabilizing blood pressure than an ACE inhibitor?

ARB vs. ACE: Different people respond to blood pressure medications differently -- so in some people, an arb may be more potent than an ace, and in others vice versa. These medications work at different parts of the renin-angiotensin pathway. ...Read more

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ARB (Losartan) won't stop my stress induced hypertension. What is a better option without lots of side effects?

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

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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?

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

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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?

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?

No, isosorbide: B"sd
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

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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?

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

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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.

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

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70 year old high exercise level recreational road bicyclist with recent reduced exercise tolerance. Echo shows Basal Septal LVH. ACE or ARB?

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

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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??

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??

Yes, but: HTN is one of many causes of kidney damage. Anything that damages the glomerulus results in leaking of protein in the urine. ARBs have been shown to help but are not a cure. Be sure your BP is well controlled ( ...Read more

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What dietary modification should be done to decrease levels of proteinurea in a hypertensive patient taking arb and calcium channel blocker, help plz?

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

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Are ARB's for Isolated Systolic Hypertension 50yr old best treatment with good BMI With healthy LifestyleI? Can they be used alone without diuretics?

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