Doctor insights on:
Lisinopril And Niacin
I take BP med lisinopril 10 mg. Can I take a multi with c, d3, k, thiamin, ribo, niacin, b6b12, biotin, pantothenic acid, cal, iod, mag, zinc, manganese, chromium, +?
High blood pressure: Lisinopril is a medication that is mainly used to treat high blood pressure (HBP) in adults and children, in whom it’s FDA-approved over 6 years of age (although it may sometimes be prescribed “off-label” to children who are younger). It is also prescribed to people who have heart failure or who have had a heart attack, even if they do not have HBP, to prevent future events. ...Read more
BP reduction: A decrease in bp.Get a more detailed answer ›
Isolated reading or: Average? If in doubt call your physician. Not dangerous but if average reading....Inadequately controlled on current dose. ...Read more
ACE inhibitor: No Lisinopril is belonging to a class of medications called ace inhibitors. These medications are commonly prescribed for elevated blood pressure but are also commonly prescribed in patients with diabetes or after a cardiac event. Never stop or change a medication without first consulting your physician. ...Read more
Niacin.: Supplementing with 2000-3000mg of flush free Niacin daily can help to control your cholesterol levels quite nicely, even increasing your HDL and converting your LDL to a less harmful subtype. As a negative, Niacin can cause facial flushing and redness so get the flush free variety. And have your liver enzyme values monitored, as they can be affected by Niacin use. NiaSpan (niacin) is prescription Niacin ...Read more
HBP and lisinopril: Lisinopril (l) is a drug of the ace-inhibitor (a) class of drugs. It is an excellent drug to control BP as well as reducing protein in the urine, as do all drugs in that class. There are other drugs in that class that are on the market. Ask your doctor to see if ramipril (r) is a good substitute for l in your case. As you can see from the image, r is quite effective in reducing cv complications. ...Read more
Stick with Rx. Forms: Niacin, a b vitamin, in high doses (1-2) grams a day has a positive impact on the lipid profile. Early studies done with Niacin in men with heart disease showed no mortality benefit but secondary outcomes reduced recurrent mi. It has been shown to reduce plaque buildup when combined with bile acid binding resins. Recent studies in well treated patients have been neutral, with side effect concerns. ...Read more
Yes: Niacin is used as an antioxidant and in the treatment of nutritional deficiencies. While Niacin is well known for preventing pellagra, it is only in the past 15 to 20 years that other medicinal uses for this common vitamin have emerged. it is also used to treat low hdl- good cholesterol. ...Read more
Yes: They are both ace inhibitors, commonly used to treat high blood pressure, heart disease, kidney disease, and used routinely to protect kidney function in diabetic patients. There is no reason to use them together, one or the other is fine. Baseline blood and urine tests should be obtained, especially looking for the potassium level since ace inhibitors can cause an elevation of potassium. ...Read more
Lowers chol + TG: Niacin lowers cholesterol, raises the "good" HDL and lowers triglycerides - but at much higher doses than 250. You need to get up to 1500 mg/day or more to see much effect. The downside is that it can cause flushing and raise both sugar (not good if you are diabetic) and uric acid (not good if you are prone to gout.). ...Read more
Not common: Seems like any medication can cause just about anything! But statistically it's not something I run into commonly in daily practice...and I use this med a lot! Some patients feel "saggy" or run down a few hours after taking it, but usually pull out of this sensation later in the day. If this is happening then try taking the lisinopril at bedtime and see if this corrects the issue. Good luck! ...Read more
Nicotinic acid or Niacin is not intended to treat depression and has not been approved in this condition.
Niacin is used for treatment of "dyslipidemis or imbalance of cholesterol - it increased "good" HDL cholesterol. It should not be taken without medical consult due to possible liver toxicity. ...Read more
Increase blood sugar:
Increase blood sugars is a side effect seen with niacin. (a dose-related effect). Close blood glucose monitoring is advised for diabetics/ potentially diabetic patients during treatment with niacin; adjustment of diet and/or antidiabetic therapy may be necessary.
See your physician for evaluation and care. ...Read more
Just minimally: Lisinopril and related drugs (ace/arbs) minimally lower heart rate (just 2-3 points on average), more only if the potassium goes up excessively. Other BP meds that lower heart rate more include beta-blockers, clonidine, and sometimes Diltiazem verapamil. Rates of 60 and above usually are ok, . ...Read more