Question: Is Lisinopril Bad For African American?

Why are ACE inhibitors contraindicated in African American?

Core tip: African Americans have exceptionally high rates of hypertension and hypertension related complications.

Due to a greater likelihood of having a low plasma renin levels, inhibitors of the renin angiotensin system (RAS) are often not recommended as initial antihypertensive therapy..

Can you eat bananas when taking lisinopril?

Lisinopril food interactions consist of foods high in potassium. Lisinopril can increase blood potassium levels. So, using salt substitutes or eating high-potassium foods may cause problems. Foods to avoid in excess include bananas, oranges, potatoes, tomatoes, squash, and dark leafy greens.

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.

What is the safest blood pressure pill?

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.

What can I take instead of 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 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.

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.

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 vitamins should not be taken with lisinopril?

lisinopril food It is recommended that if you are taking lisinopril you should be advised to avoid moderately high or high potassium dietary intake. This can cause high levels of potassium in your blood. Do not use salt substitutes or potassium supplements while taking lisinopril, unless your doctor has told you to.

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.

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 ).

What are the 4 worst BP meds?

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

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.

Is angioedema a side effect of lisinopril?

Angiotensin-converting enzyme (ACE) inhibitors are commonly used in the treatment of hypertension. Angioedema is a known side effect of ACE inhibitors.

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.

How long does angioedema from lisinopril last?

Discontinue ACE inhibitor — Angioedema caused by ACE inhibitors usually resolves within 24 to 72 hours. If ACE inhibitors are continued, there is an increased and unpredictable rate of angioedema recurrence, and attacks may become more severe or life-threatening [34,73].

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].

Who should not take lisinopril?

3. Who can and cannot take lisinoprilhave had an allergic reaction to lisinopril or any other medicine in the past.are trying to get pregnant, are already pregnant or breastfeeding.are having dialysis or any other type of blood filtration.have heart, liver or kidney problems.have unstable or low blood pressure.More items…•Mar 17, 2020