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Doctor insights on: List Of Arbs And Ace Inhibitors

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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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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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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 are the distinctions between ACE inhibitors and arbs?

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

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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

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What medications are classified as ACE inhibitors?

What medications are classified as ACE inhibitors?

They end in -pril: Look at the generic medication name. If it ends in "pril" it's an ace inhibitor. Common ones: lisinopril, enalapril, captopril, ramipril etc. Their cousins, arbs end in "artan" as in losartan, irbasartan, etc... ...Read more

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Can you tell me about loop diuretics, analgesices, atb, arbs, ccbs, ACE inhibitors etc?

Can you tell me about loop diuretics, analgesices, atb, arbs, ccbs, ACE inhibitors etc?

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

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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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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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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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Before administration of ACE inhibitors to older adults, which lab?

Before administration of ACE inhibitors to older adults, which lab?

Electrolytes kidney: Important to check electrolytes, especially potassium, as well as kidney function prior to beginning an ace. I would be surprised if any physician would start an ace without having those tests done. ...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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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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Enalapril, benazepril are both ACE inhibitors?

ACE inhibitors: Yes: I specialize in high blood pressure and happy to do 2nd opinion. Live. ...Read more

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How do ACE inhibitors help with chf?

How do ACE inhibitors help with chf?

ACE-I: Reduces the resistance against which the failing heart has to pump, reduces the internal renin angiotensin aldosterone hormones that are increased with heart failure and can cause more problems, thus reduces the mortality of heart failure. ...Read more

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How is it that ACE inhibitors work to lower blood pressure?

How is it that ACE inhibitors work to lower blood pressure?

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

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What are the benefits of ACE inhibitors with type 1 diabetes?

What are the benefits of ACE inhibitors with type 1 diabetes?

It help: Compared with placebo ace inhibitors (captopril, lisinopril, enalapril, perindopril, and ramipril) are more effective at reducing progression to macroalbuminuria, and at increasing regression to normoalbuminuria in normotensive people with type 1 diabetes and microalbuminuria. ...Read more

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How do ACE inhibitors reduce proteinuria with regard to nephrin levels?

How do ACE inhibitors reduce proteinuria with regard to nephrin levels?

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

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Do ACE inhibitors work better than Verapamil or CCBs for endothelial dysfunction?

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

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Why might ACE inhibitors contribute to cardiac arrhythmia?

Why might ACE inhibitors contribute to cardiac arrhythmia?

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

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Sensitive to arbs and allergic to ACE inhibitors, what drug should I take to control my blood pressure?

Sensitive to arbs and allergic to ACE inhibitors, what drug should I take to control my blood pressure?

Diuretic: Start with a diuretic. Hydrochlorothiazide (hctz) is cheap, effective, and well tolerated. Depending on the severity of your hbp, you may require more than 1 drug. Avoid salt and attain/maintain normal weight if you can. ...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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Can ACE inhibitors or ARBs given to control Bp if s.cr is1.56 in patient with atrial fibrillation?

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

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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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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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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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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?

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