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<h1>What are the medications for high blood pressure can cause cough</h1>
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<h2>BewertungenWhat are the medications for high blood pressure can cause cough</h2>
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<h3>Cardiovascular Disease 2022</h3>
<p>What are the medications for high blood pressure can cause a cough?

High blood pressure (arterial hypertension) is a widespread disease, which can eventually lead to serious complications such as heart attack, stroke, or kidney failure be liable. For the treatment of various groups of Drugs are used, some of which, however, as a side effect of a dry cough can trigger.

Drugs that can cause cough 

ACE inhibitors (Angiotensin‑converting enzyme inhibitor)

This drug group is one of the most common triggers of a drug-induced cough. Among the well-known representatives:

Lisinopril

Enalapril

Ramipril

Captopril

The cough occurs in 10-20% of patients with ACE‑inhibitor use, and is often dry, lovely and durable. It can occur at any time during the therapy, but usually within the first few weeks or months.

Pathomechanism: ACE inhibitors inhibit the enzyme for the removal of substances such as Bradykinin is responsible. The resulting increased concentration of Bradykinin in the respiratory tract, irritating the nerve endings, triggering the cough reflex.

ARB (Angiotensin II receptor blockers)

This group includes substances like:

Losartan

Valsartan

Candesartan

Compared to ACE‑inhibitors, ARB cause significantly less cough (&lt;5% of the cases), thus, are considered as an Alternative in patients who respond to ACE inhibitors, with cough.

Differential diagnosis and Management

In the event of a persistent cough during an anti-hypertensive therapy, the following steps should be taken:

To the exclusion of other possible causes:

Diseases of the respiratory system (e.g. Asthma, COPD)

Infections of the respiratory tract

Heart failure with pulmonary edema

Reflux disease

Medication review:

Determination of whether a ACE is taken inhibitor 

Analysis of other possible drugs interactions

Therapy adjustment:

In cases in which the connection between ACE inhibitors and cough:

Discontinuation of the ACE Inhibitor

Switching to an ARB or other antihypertensive agent (e.g., calcium channel blockers, thiazide diuretic)

Observation:

The cough subsides, usually within 1-4 weeks after Discontinuation of the drug.

Conclusion

A dry cough may occur as a known side‑effect, in particular when taking ACE inhibitors. This reaction by the pharmacological mechanism of action of these classes of compounds is explained. In cases of suspected drug-related cough is a careful differential diagnosis is necessary, followed by a targeted adjustment of hypertension therapy. The change to the ARB, or other antihypertensive agents often allows the continuation of an effective reduction in blood pressure without coughing load.

Note: Prior to any Change in medication, a doctor's consultation is mandatory. Independent Discontinuation of Hypertension drugs can be dangerous.

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Medicines for high blood pressure: What is suitable for the elderly?

High blood pressure, known medically as hypertension referred to, is one of the most common health problems in advanced age. According to studies, more than half of the people are suffering more than 60 years of high blood pressure. Without adequate treatment, this disease can lead to serious consequences — from heart attacks and strokes to kidney damage.

But which drugs are suitable for elderly patients the best? Choosing the right therapy is particularly important here, because in the age of the body often reacts more sensitive to medicines, and many older people are already taking other medication for other diseases.

Common groups of Drugs for high blood pressure

Doctors, different drug categories are used in the treatment of hypertension in older people. The most important are:

ACE inhibitors (e.g., Enalapril, Ramipril):
They work by the enzyme ACE inhibit the formation of a Pressor substance (Angiotensin II) responsible. They are considered to be well tolerated and to protect in addition to the kidney, especially in older patients is of great importance.

AT1‑receptor blocker (so-called Sartans, such as Losartan, Valsartan):
Similar to ACE inhibitors lower the blood pressure by influencing the Renin‑Angiotensin system, but with a lower pitch to a tormenting cough as a side effect.

Calcium channel blockers (e.g., amlodipine, nifedipine):
These medicines relax the blood vessels, which facilitates the flow of blood and the pressure lowers. They are particularly in the elderly with isolated systolic hypertension (high elevated upper value) effectively.

Thiazide diuretics (e.g. hydrochlorothiazide):
They promote the excretion of water and salt through the kidneys, reducing the blood volume and thus blood pressure to drop. In low doses they are in older patients is often a good first choice, or a useful addition to other medications.

Beta-blockers (e.g., Metoprolol, Bisoprolol):
You were the first choice, today they are used particularly if, in addition, congestive heart failure or coronary heart disease. In the case of pure hypertension without other heart problems, you will no longer apply to the elderly as the drugs of first choice.

Peculiarities in the treatment of older patients

In medication selection for older people, Doctors need to consider several factors:

Side effects: excessive drop in blood pressure can lead to dizziness and Falls in older people are particularly dangerous.

Interactions: Many older people take multiple drugs at the same time (Polypharmacy). The combination must therefore be weighed carefully.

Kidney function: The age, the kidney function decreases often. Some medicines need to be prescribed in lower doses to avoid Overdose.

Conclusion

The treatment of high blood pressure in old age requires an individual approach. There is no one drug, but the choice depends on the total situation of the patient. Usually, the therapy begins with a low dose of a calcium channel blocker or a thiazide‑Diuretic, possibly in combination with an ACE inhibitor or an AT1‑receptor blocker.

It is crucial, however: A drug therapy should always be a healthy way of life accompanied by sufficient exercise, a balanced diet with reduced salt consumption, and not Smoking and moderate alcohol consumption. Only in this way can the blood pressure in the long term, to maintain stable and the risk of complications is significantly lower.

Before taking any medication, always consult a doctor. This Text is for General Information only, and is not a substitute for medical advice.

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<p>

High blood pressure under control — your path to a better quality of life!

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