Question: Why Is Lisinopril Bad For African American?

Is angioedema a side effect of lisinopril?

The swelling may occur soon after you start taking a new medicine, or possibly months or even years later.

Medicines that can cause angioedema include: angiotensin-converting enzyme (ACE) inhibitors, such as enalapril, lisinopril, perindopril and ramipril, which are used to treat high blood pressure..

How common is angioedema with lisinopril?

Like any prescription medications, there are potential side effects from ACE inhibitors, angioedema being one of the most serious. Angioedema is estimated to occur in 0.1%–0.7% of patients on ACE inhibitor therapy.

What can replace lisinopril?

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 blood pressure medications contain ACE inhibitors?

Examples of ACE inhibitors include:Benazepril (Lotensin)Captopril.Enalapril (Vasotec)Fosinopril.Lisinopril (Prinivil, Zestril)Moexipril.Perindopril.Quinapril (Accupril)More items…•Aug 20, 2019

What is the safest blood pressure medication with the least side effects?

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. Examples of thiazide diuretics include: chlorthalidone (Hygroton)

What is safest blood pressure medication?

Methyldopa, which works to lower blood pressure through the central nervous system, has the lowest risk of harming the mother and developing fetus. Other possible safe options include labetalol, beta-blockers, and diuretics.

Why does lisinopril cause angioedema in African American?

The mechanism of ACE inhibitor-associated angioedema is not known, although a plausible mechanism involves the vasoactive peptide bradykinin [6, 7]. The increased risk in black patients may be related to racial differences in the kallikrein-kinin system and increased sensitivity to bradykinin [8].

Why are ACE inhibitors less effective in black patients?

Angiotensin converting enzyme (ACE) inhibitors, β blockers, and angiotensin receptor antagonists are generally less effective as monotherapy in black hypertensives,22,23 because of the tendency towards a low renin state and a lower cardiac output, with increased peripheral resistance.

Which fruit is best for high blood pressure?

1. Citrus fruits. Citrus fruits, including grapefruit, oranges, and lemons, may have powerful blood-pressure-lowering effects. They’re loaded with vitamins, minerals, and plant compounds that may help keep your heart healthy by reducing heart disease risk factors like high blood pressure ( 4 ).

Is lisinopril really made from snake venom?

The creation of Lisinopril has an interesting history that dates back to the 1960’s when the very first ACE inhibitors were discovered. Curiously, the ACE inhibitors trace their roots back to snake venom.

When should I stop taking lisinopril?

If you get severe diarrhoea or vomiting from a stomach bug or illness, tell your doctor. You may need to stop taking lisinopril for a while until you feel better. Drinking alcohol with lisinopril can make you feel dizzy or lightheaded. Lisinopril is also called by the brand name Zestril.

What is the first drug of choice for hypertension?

The strongest body of evidence indicates that for most patients with hypertension, thiazide diuretics are the best proven first-line treatment in reducing morbidity and mortality.

What are the top 5 blood pressure medications?

Common Medications for High Blood PressureIrbesartan (Avapro) is an angiotensin II receptor blocker. … Lisinopril (Prinivil, Zestril) is an ACE inhibitor. … Losartan (Cozaar) is an angiotensin II receptor blocker. … Metoprolol (Lopressor, Toprol XL) is a beta blocker. … Valsartan (Diovan) is an angiotensin II receptor blocker.More items…

What are the side effects of long term use of lisinopril?

Long-TermSwelling in the face, throat, hands, feet, ankles, or lower legs.Difficulty breathing or swallowing, which can indicate a serious allergic reaction.Hoarseness.Jaundice (yellowing of the skin and eyes due to liver damage)Fainting or lightheadedness.Chest pain.Aug 1, 2019

What are the 4 worst blood pressure medicines?

6 Outdated High Blood Pressure Medications You Should Consider UpgradingAtenolol. … Furosemide (Lasix) … Nifedipine (Adalat, Procardia) … Terazosin (Hytrin) and Prazosin (Minipress) … Hydralazine (Apresoline) … Clonidine (Catapres)May 23, 2018

Are beta blockers good for African American?

ACE inhibitors and beta blockers are less effective when used as monotherapy in Black hypertensives, especially when used at low doses, although the combination of either of these drugs with a diuretic eliminates some of the ethnic differences between Blacks and non-Blacks.

What is the safest blood pressure medicine for the elderly?

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.

Is 150 90 A good blood pressure?

They’re both measured in millimetres of mercury (mmHg). As a general guide: high blood pressure is considered to be 140/90mmHg or higher (or 150/90mmHg or higher if you’re over the age of 80) ideal blood pressure is usually considered to be between 90/60mmHg and 120/80mmHg.

What are the negative side effects of lisinopril?

What Are Side Effects Associated with Using Lisinopril?dizziness.cough.headache.high potassium levels.diarrhea.low blood pressure.chest pain.fatigue.More items…

What is the best blood pressure medicine for African American?

Calcium channel blockers, namely amlodipine (Norvasc), or the less often prescribed felodipine, are also recommended as first choice to control blood pressure, specifically in African Americans.

Which drug therapy is best for hypertension in non African American patients?

Thiazide diuretics, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, and calcium channel blockers are the preferred medications in nonblack patients; thiazide diuretics and calcium channel blockers are preferred in black patients.