High Blood Pressure Support Group
Hypertension or high blood pressure is a medical condition wherein the blood pressure is chronically elevated. Persistent hypertension is one of the risk factors for strokes, heart attacks, heart failure and arterial aneurysm, and is a leading cause of chronic renal failure. Doctors recommend weight loss and regular exercise as the first steps in treating mild to moderate...
Who does not believe you??
Lisinopril, as ALL the Inhibitors of the Angiotensin II Converting Enzyme (IACEs) inhibits also the production of bradiquina and therefore, depending on your sensibility, can produce a dry cough. It is one of the most frequent side effects.
You have 3 options:
1) Divide your doses between morning and evening and see if you feel better.
2) Try another IACE, eg: Enalapril.
3) Change to an Agonist of Receptors of Angiotensin II (ARA II) that do not produce that effect, eg.: Losartan
Jesus
Doctor said that the cough is not dose-dependent, and it should not get worse on the higher dose (well it did for me). He switched me to candesartan and was fine.
John
Generally, if you have this reaction on one medication, you will have it on all ACE inhibitors, so as Jesus said, switching to an ARA or ARB (angiotensin receptor blocker, which is the more commonly used term for the angiotensin receptor anagonists) such as irbesartan (Avapro), telmisartan (Micardis) or losartan (which is available via generic), can help.
Before considering the divided dose, please talk with your pharmacist. Many of these medications used to be taken twice a day regardless of dose, but have been reformulated to once daily dosing. So even if that tablet is scored or you take two tablets, check first splitting your dose. You want to ensure you will still get and keep enough medication in your syste throughout the day to keep your BP at the right level and not have too many fluctuations. And make sure it's the actual pharmacist you talk with, not the technician who is pretending to play one!
Good luck! :)
PS I was never aware of being tired on ACE inhibitors until I was switched to Avapro (irbesartan), an angiotensin receptor antagonist/blocker (next generation BP medication that works on the same general blood pressure system).
Ruth has a good point when it comes to splitting your doses. Can't hurt to call the pharmacist for advice.
Jen