Doctor insights on:
List Of Arbs And Ace Inhibitors
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
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
Clonidine as an anti-hypertensive---is it an ACE inhibitor, arb, beta blocker? What class of medication is it in for hbp?
Ace vs arb: They are drugs which block functions at different points in the same pathway. Ace blocks an enzyme and arb blocks a receptor, their effects are similar. It's something like either cutting a wire to a spark plug or damaging the plug itself. Either way you don't get a spark. ...Read more
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
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
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
Not in 400 letters!: This is too big of a question and cannot be answered in such a short format. You could ask something more specific so that we can help you. ...Read more
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?
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
ACE: ACE inhibitors are BP treatment but otherwise don't treat CVA specifically ...Read more
You can: You can, in fact they make combination pills that contain both. ...Read more
Why are ACE inhibitors particularly prescribed for persons with left ventricular contractile dysfunction?
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
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
Blood Pressure: Meds: Ace inhibitors block the conversion angiotensin I to angiotensin ii, which constricts the vessels, increases the following: salt retention in the kidney, sympathetic tone, aldosterone and ADH (vasopressin) (anti-diuretic hormone) secretion. The inhibition of this conversion decreases blood pressure and wall stress in the heart muscle. ...Read more
Vasodilators: They dilate blood vessels.Get a more detailed answer ›
Proteinuria and ACE: Ace-inhibtors reduced proteinuria (p) by reducing the vasoconstriction caused by angiotensin ii on the efferent arteriole (ea) of the glomerulus. Once this pressure is reduced, there is less back pressure in the glomerulus, thereby reducing the amount of p the patient has. Other agents, such as angiotensin receptor blockers can also do the same thing. ...Read more
Endothelial dysfnc: The endothelial cell lining controls the smooth muscle in artery walls. Endothelial dysfunction means that instead of making arteries relax, certain triggers make them constrict instead. This is part of the cause of atherosclerosis, erectile dysfunction, and other conditions. The best treatment depends on many clinical factors. Consider a consultation to address your particular case. ...Read more
ACE inhibitors: In general wouldn't contribute to arrhythmia so. In some situations could lower pressure and cause cathechol stimulus to arrhythmia. In others might cause electrolyte shift and be associated. Wouldn't be common ...Read more
Sensitive to arbs and allergic to ACE inhibitors, what drug should I take to control my blood pressure?
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
Can ACE inhibitors or ARBs given to control Bp if s.cr is1.56 in patient with atrial fibrillation?
ACE-ARB, CRF A-FI:
ACE and ARB in chronic renal failure can be administered together. However will have no therapeutic effect on chronic atrial fibrillation.
For arterial hypertension with chronic renal failure you will require to switch one of the current HPT med to a beta blocker. Such as Sotalol 80 mg twice a day (minimal dose), and have BP controlled twice a day, adjust as.
Have you ever underwent cardio-versi ...Read more
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?
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
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
How do ACE inhibitors work? How is it that they lower vascular resistance yet cardiac output, rate and contractility are the same?
Ace inhibitors: The enzyme they block does not directly affect the heart, it works at the blood vessel level. ...Read more
Is unstable angina controlled by just a beta blocker? Or does it need a combination of beta, ace-inhibitors, calcium blockers, or other?
Hba1c is 6.8 but microalbumin level 165. Is going up. While I am taking ACE inhibitors from 4 months. Now how to stop it? How much serious it is?
Diabetic nephropathy: You have 2 problems. One is your hba1c and the other is your proteinuria (p). An endocrinologist can help with the first. Your p needs to be controlled. You may ask your doctor to increase the dose of your ace-i (a) to its maximum, as p decreases in relation to the dose of a. Control of bp, p and hba1c levels are the key to preventing diabetic nephropathy. Good luck. ...Read more