Angiotensin-converting enzymes (ACE) inhibitors help blood vessels to relax and open. This can help improve blood flow and lower blood pressure.
Doctors typically prescribe ACE inhibitors for heart-related conditions like high blood pressure and heart failure. But these medications can also help to treat other diseases like diabetes and chronic kidney disease.
Antihypertensives are medications that lower blood pressure and come in a variety of classes. ACE inhibitors are one class of antihypertensives.
ACE inhibitors can also help to treat other conditions like:
- heart failure
- chronic kidney disease
- proteinuria, excess protein in the urine
- glomerular diseases, which are conditions that inhibit filtration in the kidneys
- atherosclerosis, a narrowing of arteries due to plaque build up
There are many different medications under the ACE inhibitor classification. The main difference between the types is their duration. Some types of ACE inhibitors are more effective in the short term, while others are more common for long-term treatments.
Common ACE inhibitors include:
- benazepril (Lotensin)
- captopril (Capoten)
- enalapril (Vasotec)
- fosinopril (Monopril)
- lisinopril (Zestril)
- quinapril (Accupril).
- ramipril (Altace)
- moexipril (Univasc)
- perindopril (Aceon)
- trandolapril (Mavik)
On April 22, 2022, Pfizer issued a
Most ACE inhibitors are oral medications. The exception is enalapril, which doctors will administer intravenously.
ACE inhibitors have two primary functions. First, they stop the production of a hormone called angiotensin II. This hormone causes your blood vessels to narrow, reducing flow. As levels of this hormone drop due to ACE inhibitors, your vessels will relax and open up, increasing blood flow around the body.
Secondly, ACE inhibitors decrease the amount of sodium retained in the kidneys.
The combination of these factors can help treat a range of blood-related conditions, not just hypertension.
Some over-the-counter pain medications may decrease the effectiveness of ACE inhibitors. Make sure to check with your doctor before taking ibuprofen (Advil), naproxen (Aleve), and other nonsteroidal anti-inflammatory drugs (NSAIDs).
Taking these pain medications occasionally while taking a prescribed ACE inhibitor may not be immediately harmful. But you should avoid using them regularly. Speak with your doctor or pharmacist if you have any concerns about potential drug interactions.
ACE inhibitors are also not as effective in treating chronic kidney disease in people who smoke. As the exact reason for this is currently not clear, people who smoke should speak with their doctor about their risks before using an ACE inhibitor.
Your diet can also interact with medications. Eating a diet high in salt can reduce the effectiveness of ACE inhibitors in lowering blood pressure.
If a person’s blood-potassium levels increase due to ACE inhibitor use, doctors may need to lower their dosage. Patients can help prevent this from occurring by reducing the amount of potassium they eat in their diet.
Most people tolerate these medications well. But like all medications, ACE inhibitors can cause several side effects, including:
Due to the possible side effects of ACE inhibitors, you should always follow medical advice regarding taking them. If your doctor prescribes your ACE inhibitors, you should only take the amount they recommend. In some instances, they may not prescribe these medications at all.
Can pregnant people take them?
Due to the risk of side effects, doctors typically
Studies show that exposure to ACE inhibitors during pregnancy
Can children take them?
As with all medications, caregivers should ensure that children take ACE inhibitors as medical professionals direct.
As with any prescribed medication, you should never stop taking an ACE inhibitor unless instructed by your doctor. It may be tempting to stop taking the medication once you’re feeling better. But consistently taking prescribed medication will help keep your blood pressure in a healthy range.
If you’re experiencing side effects, call your doctor before you stop taking the medication. Your side effects may diminish over time. Your doctor may also have special instructions on how to discontinue the medication.
ACE inhibitors can be an important tool in maintaining normal blood pressure and a healthy heart. The key is taking your medication as prescribed and being mindful of potential interactions.