What drugs do ACE inhibitors interact with?
ACE inhibitors have few interactions with other drugs. Since ACE inhibitors may increase blood levels of potassium, the use of potassium supplements, salt substitutes (which often contain potassium), or other drugs that increase the body’s potassium may result in excessive blood potassium levels.
Can you take ACE inhibitors with food?
Use this medicine exactly as prescribed. Captopril (Capoten®) should be taken on an empty stomach (1 hour before or 2 hours after a meal). Other ACE inhibitors may be given with or without food. Do not give salt substitutes or potassium supplements, unless recommended by your doctor.
What drugs should not be taken with ACE inhibitors?
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve), decrease the effectiveness of ACE inhibitors. Taking an occasional dose of these medications shouldn’t affect how an ACE inhibitor works, but talk to your doctor if you regularly take NSAIDs .
What foods are ACE inhibitors?
Several food products like milk, gouda cheese, soybean, tofuyo fermented soybean food, peptides derived from egg white, peptides from Royal jelly, the edible mushroom (Tricholoma giganteum) and enzymatic hydrolysate of defatted canola meal have been found to be effective as ACE inhibitor.
Why are NSAIDs contraindicated with ACE inhibitors?
When NSAIDs are taken with an ACE inhibitor, the blood pressure lowering effect of the ACE inhibitor is decreased. When NSAIDs are taken with a diuretic the effect of the diuretic is reduced and any heart failure may be exacerbated.
What foods should you not eat while taking lisinopril?
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.
Can I take lisinopril with food?
You can take lisinopril with or without food. Swallow lisinopril tablets whole with a drink. If you’re taking lisinopril as a liquid, it’ll come with a plastic syringe or spoon to help you measure out the right dose. If you do not have one, ask your pharmacist for one.
What are the contraindications of ACE inhibitors?
Contraindications to ACEI use include hyperkalemia (>5.5 mmol/L), renal artery stenosis, pregnancy (ACEI or Australian Drug Evaluation Committee [ADEC] pregnancy category D), or prior adverse reaction to an ACEI including angioedema.
Can you eat oranges with blood pressure medication?
People taking ACE inhibitors or ARBs should limit their intake of high-potassium foods like bananas, oranges, avocados, tomatoes, white and sweet potatoes and dried fruits —, especially apricots.
Why are bananas bad for high blood pressure?
Bananas are extremely low in sodium. High blood pressure patients are often told to limit their sodium intake. Excess sodium puts extra pressure on blood vessels and also disrupts the water balance. Potassium acts as a vasodilator.
What are ACE inhibitors examples?
Angiotensin-converting enzyme inhibitor (ACE inhibitors) drugs include Benazepril (Lotensin), Captopril (Capoten), Enalapril/Enalaprilat (Vasotec oral and injectable), Fosinopril (Monopril), Lisinopril (Zestril and Prinivil), Moexipril (Univasc), Perindopril (Aceon), Quinapril (Accupril), Ramipril (Altace), and …
Are there any drug interactions with ACE inhibitors?
Drug interactions common to all angiotensin-converting enzyme (ACE) inhibitors include those with thiazide diuretics and other antihypertensive agents.
How are ACE inhibitors related to heart failure?
Interactions involving specific ACE inhibitors include captopril-digoxin, resulting in decreased clearance of digoxin from plasma in patients with heart failure, and captopril-probenecid, causing a decrease in captopril clearance. Tissue kinins, such as bradykinin, are metabolised by ACE inhibitors.
What foods should you avoid when taking ACE inhibitors?
ACE inhibitors such as captopril (Capoten), enalapril (Vasotec), and lisinopril (Prinivil, Zestril), used to lower blood pressure or treat heart failure. And avoid mixing with some diuretics, such as triamterene (Dyrenium), used to reduce fluid retention and treat high blood pressure.
How is bradykinin metabolised by an ACE inhibitor?
Tissue kinins, such as bradykinin, are metabolised by ACE inhibitors. Interactions involving bradykinin include captopril-indomethacin, in which an attenuation of the antihypertensive effects of captopril is manifest. Interestingly, neither enalapril nor lisinopril appear to show this interaction with indomethacin.
