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Doctor insights on: Cough Caused By Ace Inhibitors

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Dr. Sue Ferranti
3,701 doctors shared insights

Cough (Definition)

The cough reflex is a protective mechanism that uses muscles in your throat and chest to expel mucous and saliva that may contain pathogens that would otherwise possibly be inhaled via aerosol or to expel pathogens infecting the throat and respiratory system. Cough benefits the host by reducing load and benefits the pathogen which may then spread via aerosol. ...Read more


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How to combat ankle edema caused as a side effect by s-amlodipine.The hypertensive pt.Was previously put on ACE inhibitor but developed cough?

How to combat ankle edema caused as a side effect by s-amlodipine.The hypertensive pt.Was previously put on ACE inhibitor but developed cough?

Side effect: Ankle edema is a side effect of amlodipine. You can't 'combat' it. If the ace caused side effects also then one of the family of arbs may help. ...Read more

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One of symptom of CHF is cough, can ACE inhibitors be used as it also causes cough.

One of symptom of CHF is cough, can ACE inhibitors be used as it also causes cough.

CHF: Treatment of congestive heart failure is complex. One of the most important medications is an ace inhibitor to improve the cardiac function. Although there is a potential side effect of a dry cough in a small percentage of patients using an acei, the benefit far outweighs the risk and it should be a first line medication. Speak with your cardiologist for details of dosing. ...Read more

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Angioendema?Can it be caused by ACE inhibitors.Can a ACE test level be decreased in other conditions.Emphysema, lung cancer, cystic fibrosis.Copd ?

Angioendema?Can it be caused by ACE inhibitors.Can a ACE test level be decreased in other conditions.Emphysema, lung cancer, cystic fibrosis.Copd ?

ACE Inhibitors: Angiotensin converting enzyme (ace) inhibitors are the leading cause of drug-induced angioedema in the U.S. Because they are widely prescribed. Most common is swelling of the lips, tongue, or face, although episodic abdominal pain due to intestinal angioedema may occur. Urticaria and itching are notably absent. The rest of the question is too complex to address here. Thanks. ...Read more

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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

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Can proton pump inhibitors cause pneumonia?

Can proton pump inhibitors cause pneumonia?

Consult with your dr: it should not but talk to your doctor for more information, I am available for second opinion if needed ...Read more

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What is the best treatment for dry cough caused by allergic laryngitis in elderly taking antihypertensive medication ?

Dry cough: in an elderly taking antihypertensive medications: first-off, it might be due to the antihypertensive drug itself if it is from some group like ACE inhibitors. Second, you need to see a doctor for several reasons for dry cough, local or systemic, best wishes ...Read more

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Would an antihistamine spray reduce my runny nose caused by viruses/bacteria or strictly the one caused by allergens?

Would an antihistamine spray reduce my runny nose caused by viruses/bacteria or strictly the one caused by allergens?

Possibly: Since the nasal antihistamines possess anti-cholinergic effect , they may potentially reduce the nasal discharge. However there is another Rx spray would likely work far better. ...Read more

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Which specific birth defects can be caused by valsartan (diovan)?

Which specific birth defects can be caused by valsartan (diovan)?

From Package insert : Use of drugs that act on the renin-angiotensin system during the second and third trimesters of pregnancy reduces fetal renal function and increases fetal and neonatal morbidity and death. Resulting oligohydramnios can be associated with fetal lung hypoplasia and skeletal deformations. Potential neonatal adverse effects include skull hypoplasia, anuria, hypotension, renal failure, and death. ...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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Could a ACE inhibitor cause skin cancer?

Could a ACE inhibitor cause skin cancer?

No: Ace inhibitors used to treat hypertension ( high b p ) acts by preventing conversion of angiotensin i to active angiotensin ii will not cause skin cancer. ...Read more

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Can using proton pump inhibitor medicines for 20 days cause any damage?

Can using proton pump inhibitor medicines for 20 days cause any damage?

Probably not, but...: Usually not, but we don't know you nor your entire medical history so this would be a question to ask the doctor who suggested you take the medication. In general, ppi's are well tolerated and safe in otherwise healthy people without major medical problems, and who don't take any medications that have an interaction with the ppi. Hope that helps. ...Read more

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Can H Pylori be spread by coughing or sneezing?

Can H Pylori be spread by coughing or sneezing?

Possibly: The main mode of transmission of H. pylori is fecal-oral, meaning from feces and insufficient hand washing to mouth. However, H. pylori has been detected in the mouth, nasal secretions and even tears, so that transmission by sneezing and coughing is possible, ...Read more

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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

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Does Prilosec successfully prevent cancer caused by gerd?

Does Prilosec successfully prevent cancer caused by gerd?

No: This medication is used to treat symptoms, but it does not prevent cancer development. If the symptoms are removed, but you don't treat the underlying cause if the problem, you may not prevent the disease from progressing. In general, however, Prilosec is an excellent medication for reflux symptoms. ...Read more

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Is congestive heart failure caused by a virus?

Is congestive heart failure caused by a virus?

Possibly: A viral infection of the heart is referred to as myocarditis. If damage to the heart is severe, this can result in congestive heart failure. Among all adult patients presenting with congestive heart failure, myocarditis is not a common cause. ...Read more

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One of symptom of CHF is cough, can ACE inhibitors be used as it also causes cough.

CHF: Treatment of congestive heart failure is complex. One of the most important medications is an ace inhibitor to improve the cardiac function. Although there is a potential side effect of a dry cough in a small percentage of patients using an acei, the benefit far outweighs the risk and it should be a first line medication. Speak with your cardiologist for details of dosing. ...Read more

See 1 more doctor answer
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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

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How to combat ankle edema caused as a side effect by s-amlodipine.The hypertensive pt.Was previously put on ACE inhibitor but developed cough?

Side effect: Ankle edema is a side effect of amlodipine. You can't 'combat' it. If the ace caused side effects also then one of the family of arbs may help. ...Read more

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Angioendema?Can it be caused by ACE inhibitors.Can a ACE test level be decreased in other conditions.Emphysema, lung cancer, cystic fibrosis.Copd ?

ACE Inhibitors: Angiotensin converting enzyme (ace) inhibitors are the leading cause of drug-induced angioedema in the U.S. Because they are widely prescribed. Most common is swelling of the lips, tongue, or face, although episodic abdominal pain due to intestinal angioedema may occur. Urticaria and itching are notably absent. The rest of the question is too complex to address here. Thanks. ...Read more

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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

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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

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2 weeks Ramipril (2.5mg qd) caused  potassium to go to 8.5 mmol/L and was stopped. Does this rule out future use of all other ACE inhibitors and ARBs?

2 weeks Ramipril (2.5mg qd) caused  potassium to go to 8.5 mmol/L and was stopped. Does this rule out future use of all other ACE inhibitors and ARBs?

Not necessarily: All ace and arb medications will have some potassium sparing characteristics. Your likihood of developing hyperkalemia will depend on your state of hydration, other medication, and your renal function. Check with your doc. ...Read more

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I was switched from a beta blocker to an ACE inhibitor for hbp due to bad side effects. How long will it take for the cough with lisinopril?

I was switched from a beta blocker to an ACE inhibitor for hbp due to bad side effects. How long will it take for the  cough with lisinopril?

10%: There is a 10% chance of getting a cough with lisinopril. That means there is a 90% chance of not getting a cough. Lisinopril is still very useful. Be optimistic that you are in the 90%. ...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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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

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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

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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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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

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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