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Doctor insights on: Arb Vs Ace Inhibitor For Hypertension

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Does ACE inhibitor as a cure for hypertension decrease sexual urges?

Does ACE inhibitor as a cure for hypertension decrease sexual urges?

Not typically: Not typically but i've had some patients say otherwise so i listen to them & pick alternatives & see if things improve. ...Read more

Dr. Stephen Scholand
325 doctors shared insights

Hypertension (Definition)

A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more


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Why is it important to take the ACE inhibitor Lisinopril for hypertension?

 Why is it important to take the ACE inhibitor Lisinopril for hypertension?

Why ACE for HTN?: Why is it important to take the ACE inhibitor Lisinopril for hypertension? ANS: it will enable you to live longer and healthier. But causes some to cough. I specialize in high blood pressure and happy to do 2nd opinion. Live. ...Read more

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Taking perindopril ACE Inhibitor for essential Hypertension since last four years. is it possible that there can be angioedema occurring now.

Taking perindopril ACE Inhibitor for essential Hypertension since last four years. is it possible that there can be angioedema occurring now.

Edema: Ace inhibitors are a wonderful class of antihypertensive agents. However, known side effects include angioedema, other words fluid retention and low potassium levels. Allergic reactions can occur at any time during drug use, even after periods of no symptoms ...Read more

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Can I have two glasses of orange juice while I am taking 8 mg Perindopril ACE inhibitor and 10 mg of bisoprolol beta blocker daily for hypertension.

Can I have two glasses of orange juice while I am taking 8 mg Perindopril ACE inhibitor and 10 mg of bisoprolol  beta blocker daily for hypertension.

Not the best idea: While there are no specific precautions about drinking orange juice with these medications, you may be referring to the fact that sometimes orange juice contains potassium supplementation. You are correct that one should be very cautious with extra potassium while taking an ACE inhibitor. Beyond that, two glasses of orange juice contains 220 calories of simple carbohydrate: not a healthy choice. ...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. Thats why it's best to discuss treatment with your doctor. ...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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Clonidine as an anti-hypertensive---is it an ACE inhibitor, arb, beta blocker? What class of medication is it in for hbp?

Clonidine as an anti-hypertensive---is it an ACE inhibitor, arb, beta blocker? What class of medication is it in for hbp?

Cental alpha agonist: Clonidine acts on the central Alpha receptors and lowers sympathetic tone which lowers heart rate and blood pressure. Clonidine is not a good long term medication due to numerous side effects and ideally has be used for short duration only. ...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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Is there an effective drug of choice for hypertension that is labile and stress related? ACE inhibitors and ARBs don't stop the spikes.

Is there an effective drug of choice for hypertension that is labile and stress related?  ACE inhibitors and ARBs don't stop the spikes.

Labile Bp: The life style approaches would be. 1. Try classic transcendental meditation. Works great for some. Get loseit and track salt sodium intake for a week or fitness pal and do both Na and K. If Na>1,500 mg/ d or K <4,700 mg /d get DASH EATIMG PLAN. POCKET BOOKS, DASH DIET VGOR HTN. Do chap9 exactly for 2 weeks. Get back with me then. ...Read more

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

 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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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

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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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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

Dr. Payam Mehranpour
2,116 doctors shared insights

Hypertension (Definition)

Hypertension is defined as elevated blood pressure systolic over 140 and diastolic over ...Read more