Posted by: birdie | 2005/11/18

BP meds

I know I'm eventually going to need to take bp meds but I dread the day. I just can't handle the idea of dealing with side effects. What do you think of ARBs?

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Our expert says:
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Dear Birdie,

ARB’s are already accepted as good therapy for hypertension. They were developed to get around the annoying side effect of cough, which was experienced by a small percentage of patients take ACE inhibitors. ACE inhibitors are excellent meds for BP control, and if you are not one of the unfortunate few who develops the cough, then you can just as well take ACE inhibitors, which are fractionally cheaper, and reserve the ARB’s for in case you do develop the cough.

But don’t think that ARB’s have no side effects at all. Just like any other medication, they have a list of POSSIBLE side effects, and there is no way of predicting which, if any, you will have. You may have none at all, or you may have any of the listed one eg headache, rash, abdominal pain, insomnia, etc etc.

In managing hypertension, it can be tricky to find the best meds for the patient, and often one has to try out the one which is thought to be best. If problems arise, then a different category can be tried, and so on, until the best possible balance of control vs side effects is obtained. So be prepared for that. But please do not delay starting treatment if your BP already warrants it – you can be doing irreversible damage to your organs, and may pay a hefty price in years to come.

Good luck.


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Our users say:
Posted by: Jackie | 2005/12/13

What does ARB mean?

Reply to Jackie
Posted by: birdie | 2005/11/28

you might want to repost your question as a separate question so that you can get an answer from the doc.

Reply to birdie
Posted by: Ayezed | 2005/11/24

Hi there, please let me what Ace inhibitors and ARB's are as Im on chronic medication for hypertention. Thanks.

Reply to Ayezed
Posted by: birdie | 2005/11/20

Thank you so much for such a prompt reply! My husband takes the Ace inhibitors and they do control the bp well but he does have the annoying cough.

Reply to birdie

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