Which Hypertension Medication Is Best For African American?

Why are calcium channel blockers African American?

Calcium blockers are with diuretics among the most effective classes of drugs to reduce blood pressure in patients of African ancestry [3,7].

This drug type remains effective in all subgroups of sex, age and blood pressure strata, including high baseline diastolic blood pressure (>/= 110 mm Hg)..

Is lisinopril good for African American?

However, lisinopril was associated with an increased risk for heart failure (relative risk [RR] for African Americans=1.32; 95% CI, 1.11–1.58) and stroke (RR for African Americans=1.4; 95% CI, 1.17–1.68), and amlodipine was associated with a higher risk of heart failure (RR in African Americans=1.47; 95% CI, 1.24–1.74) …

Are ACE inhibitors safe for African American?

Angiotensin converting enzyme (ACE) inhibitors have been avoided as an initial therapeutic option in the treatment of hypertension in African-Americans. A major reason for this has been the widespread perception of clinicians that these agents have poor blood pressure (BP) lowering efficacy in this population.

Which is better losartan or amlodipine?

In this study amlodipine proved to be more effective than losartan in achieving the primary end point of reducing mean sitting and standing diastolic and systolic blood pressures, although there was no difference in the percentages of each drug in who reached goal pressure at the initial dosages.

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 with beta blockers?

If you are taking a beta-blocker, your health care provider may recommend that you limit your consumption of bananas and other high potassium foods including papaya, tomato, avocado and kale.

What is a good replacement for losartan?

OlmesartanOlmesartan was approved in 2002 as brand-name Benicar, but is now available as a cheaper generic.Olmesartan is available in convenient combination tablets: olmesartan/HCTZ and olmesartan/amlodipine/HCTZ.Olmesartan is better than losartan at lowering blood pressure and generally provides good 24-hour coverage.More items…•Mar 15, 2019

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 is normal blood pressure for African American male?

The guidelines urge doctors to aggressively treat African American patients with high blood pressure as well as other risk factors and lower their blood pressure from the normally recommended 140/90 mm Hg to 130/80 mm Hg.

Which is the preferred drug for the treatment of hypertension in African American patients quizlet?

Rationale: According to the JNC-8 guidelines, calcium channel blockers and diuretics are recommended as first-line therapy for management of hypertension in African-American patients. The other drugs are not recommended as first-line drugs for this group.

What blood pressure medication is not good for African American?

African Americans: African American patients with high blood pressure have lower levels of renin activity, a hormone that controls blood pressure. For this reason ACE Inhibitors and ARBs are not as effective.

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

Is amlodipine bad for kidneys?

Amlodipine and lisinopril should not cause kidney damage and in fact are used to treat high blood pressure and slow the progression of chronic kidney disease (CKD).

What is the best combination of blood pressure meds?

Combination Drugs for the Treatment of HypertensionDrugBrand nameAtenolol and chlorthalidone (50 mg/25 mg, 100 mg/25 mg)TenoreticBisoprolol and hydrochlorothiazide (2.5 mg/6.25 mg, 5 mg/6.25 mg, 10 mg/6.5 mg)ZiacMetoprolol and hydrochlorothiazide (50 mg/25 mg, 100 mg/25 mg, 100 mg/50 mg)Lopressor HCT30 more rows•May 15, 2000

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].

Is amlodipine good for African American?

The African American Diovan (Valsartan) Amlodipine (Norvasc) Clinical Efficacy (AADVANCE) trial has demonstrated that the angiotensin receptor blocker (ARB) valsartan, combined with a diuretic, low-dose hydrochlorothiazide (valsartan/HCTZ), is as effective at lowering blood pressure as monotherapy with the calcium …

Is metoprolol good for African American?

Our study showed that metoprolol increased SUA and risk of GRM use in African American adults. This is consistent with other clinical studies involving beta blockers.

What is the best 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 potassium-sparing diuretics include:amiloride (Midamor)spironolactone (Aldactone)triamterene (Dyrenium)Mar 19, 2018

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 is the safest beta blocker?

A number of beta blockers, including atenolol (Tenormin) and metoprolol (Toprol, Lopressor), were designed to block only beta-1 receptors in heart cells. Since they don’t affect beta-2 receptors in blood vessels and the lungs, cardioselective beta blockers are safer for people with lung disorders.

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.