Quick Answer: What Can I Use Instead Of ACE Inhibitors?

What medication can replace lisinopril?

Other common ACE inhibitors (like lisinopril) you may have heard of include Lotensin (benazepril), Vasotec (enalapril), Accupril (quinapril), and Altace (ramipril)..

What is a heart cough?

While most people associate coughing as a common symptom that accompanies lung or respiratory issues, its connection to heart failure often goes unnoticed. This is called a cardiac cough, and it often happens to those with congestive heart failure (CHF).

Which is better an ACE inhibitor or an ARB?

Moreover, recent studies have shown that ARBs produce a greater decrease in cardiovascular events than ACE inhibitors, especially in patients with established cardiovascular disease. An advantage of ARBs over ACE inhibitors is fewer adverse effects: in general, ARBs are better tolerated than ACE inhibitors.

Is there an ACE inhibitor that does not cause cough?

ARBs like losartan do not cause a cough and are often a good alternative. Otherwise, lisinopril and losartan have fairly similar side effects to other ACE inhibitors and ARBs.

What is the safest ACE inhibitor?

For increasing ejection fraction and stroke volume, enalapril was the most effective and the placebo ranked the lowest in efficacy. For reducing SBP and DBP, trandolapril ranked first and lisinopril ranked last. For decreasing MAP, enalapril was the most effective, whereas the placebo was the least effective.

Can you come off ACE inhibitors?

As with any prescribed medication, you should never stop taking an ACE inhibitor unless instructed by your doctor. It may be tempting to stop taking the medication once you’re feeling better.

What is the most effective blood pressure medication with the least side effects?

There are three major types of diuretics: thiazide, potassium-sparing, and loop diuretics. Thiazide diuretics generally have fewer side effects than the others. This is especially true when they’re prescribed in the low doses that are generally used in treating early high blood pressure.

What happens if you stop taking ACE inhibitors?

If you stop taking lisinopril, your blood pressure could rise back up again. If you need blood pressure-lowering medicines, you’ll probably need to take them for the rest of your life. Remember, by keeping your blood pressure low, you’re protecting yourself against having a heart attack or stroke in the future.

Do ACE inhibitors make you pee?

Lisinopril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a “water pill” (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water.

Do ACE inhibitors cause weight gain?

ACE inhibitors, ARBs, and calcium channel blockers Antihypertensive medications that are not associated with weight gain or insulin resistance include angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), and calcium channel blockers (CCBs) (TABLE 2).

Why do you cough with lisinopril?

ACE inhibitors cause the body to increase nitric oxide production, and nitric oxide is known to irritate the lungs and possibly cause coughing.

What is the best time of day to take ACE inhibitors?

Many doctors recommend their patients take heart drugs in the morning with their breakfast, but a new study from Canada suggests that one group of drugs, angiotensin-converting enzyme (ACE) inhibitors, works best when taken at bedtime because they reduce the effect of a hormone that is most active during sleep.

Do all ACE inhibitors cause cough?

ACE inhibitors are associated with a dry, persistent cough in 5%-35% of patients who take them. The mechanism of cough is likely multifactorial. ACE inhibitors prevent the breakdown of bradykinin and substance P, resulting in an accumulation of these protussive mediators in the respiratory tract.

Are all ACE inhibitors the same?

ACE inhibitors are very similar. However, they differ in how they are eliminated from the body and their doses. Some ACE inhibitors remain in the body longer than others, and are given once a day. Some ACE inhibitors need to be converted into an active form in the body before they work.

Why are ACE inhibitors bad for you?

ACE inhibitors can lower blood pressure and cause kidney failure or high potassium levels in the blood of the mother. They can cause death or deformity in the newborn.

What is the safest blood pressure medicine for the elderly?

Angiotensin Receptor Blockers ARBs are considered the alternative first-line treatment for hypertension in the elderly population when a diuretic is contraindicated. In elderly hypertensive patients with diabetes or HF, ARBs are considered first-line treatment and an alternative to ACE inhibitors.

How long does an ACE inhibitor cough take to go away?

Resolution typically occurs within 1 to 4 weeks after the cessation of therapy, but cough may linger for up to 3 months. The only uniformly effective treatment for ACE inhibitor-induced cough is the cessation of treatment with the offending agent.

Why do you cough with ACE inhibitors?

Pathogenesis of ACE-I-Induced Cough The possible mediators that play a role in the development of cough are bradykinin and substance P, which are destroyed by ACE. Thus, bradykinin and substance P accumulate in the upper and lower respiratory tracts by inhibition of this enzyme by ACE-I.

What are the safest blood pressure medications?

Dr. Clements adds that ace inhibitors, angiotensin receptor blockers, calcium channel blockers, and thiazide diuretics may be safer treatment options for people with hypertension. “People who are on other types of blood pressure medications have an increased risk of death,” he adds.

How safe are ACE inhibitors?

ACE inhibitors are well-tolerated by most individuals. Nevertheless, they are not free of side effects, and some patients should not use ACE inhibitors. ACE inhibitors usually are not prescribed for pregnant women because they may cause birth defects.

Who should not take ACE inhibitors?

The following are people who shouldn’t take ACE inhibitors:Pregnant women. … People with severe kidney failure. … People who have ever had a severe allergic reaction that caused their tongue and lips to swell, even if it was from a bee sting, should not take ACE inhibitors.

What is the most troublesome side effect of ACE inhibitors?

Dry cough. Increased potassium levels in the blood (hyperkalemia) Fatigue. Dizziness from blood pressure going too low.

How do I get rid of an ACE inhibitor cough?

A cough caused by ACE inhibitors requires no treatment other than discontinuation of the drug. That said, you should never stop taking lisinopril or any other ACE inhibitor without consulting with your doctor.

What is the difference between a beta blocker and an ACE inhibitor?

Beta-blockers treat many of the same conditions as ACE inhibitors, including high blood pressure, chronic heart failure, and stroke. Both types of medications also prevent migraines. Unlike ACE inhibitors, however, beta-blockers can help relieve angina (chest pain).

What foods act as ACE inhibitors?

Below, we describe the ACE inhibitory/antihypertensive peptides found in major food protein sources.Milk and Dairy Products. Milk proteins still have a leading role as a source of ACE inhibitors and/or bioactive peptides in general (Iwaniak and Dziuba 2009). … Eggs. … Meat and Fish.

Why is lisinopril bad for you?

If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys resulting in a stroke, heart failure, or kidney failure.

What is the first drug of choice for hypertension?

Initial first-line therapy for stage 1 hypertension includes thiazide diuretics, CCBs, and ACE inhibitors or ARBs. Two first-line drugs of different classes are recommended with stage 2 hypertension and average BP of 20/10 mm Hg above the BP target.

What does an ACE inhibitor cough feel like?

A dry, tickly and often bothersome cough is the most common adverse effect of ACE inhibitors. Recent studies indicate that cough may develop in around 10% of the patients treated with ACE inhibitors.

How can I stop coughing from lisinopril?

To ease the cough, you could continue on the Tessalon Perles until it clears or try dextromethorphan (Delsym), an over-the-counter cough medicine, at one teaspoon every six hours, as needed. It will probably take several months for the coughing to disappear entirely.

Are there any natural ACE inhibitors?

There are natural ACE inhibitors and alternatives to blood pressure medications that you can add to your diet, such as pomegranate juice, flaxseed, beet juice, apple juice, prunes, dark chocolate, kiwis and blueberries.

How do you stop ACE inhibitor cough?

Until now the options have been: (1) stop ACE inhibitor therapy, which is a remedy for the cough but creates a problem if an ACE inhibitor is the therapy of choice; (2) use of cromoglycate, nifedipine, or a nonsteroidal agent, which lends to modest improvement by exposing the patients to drugs with their own side- …

What blood pressure medicine makes you cough?

Lisinopril is a blood pressure medication, and it causes side effects in some patients. The most common side effect is a persistent cough. Most lisinopril side effects are harmless, but you should be aware of serious side effects, which can indicate an allergic reaction.