ACE抑制剂(血管紧张素转化酶抑制剂):用途、剂量、副作用与监测指南 vs ARBs(血管紧张素II受体拮抗剂):用途、剂量、副作用与监测指南:完整对比 | 康心伴
比较ACE抑制剂(血管紧张素转化酶抑制剂):用途、剂量、副作用与监测指南和ARBs(血管紧张素II受体拮抗剂):用途、剂量、副作用与监测指南用于Blood Pressure。了解有效性、副作用、如何选择以及主要区别。
ACE抑制剂(血管紧张素转化酶抑制剂):用途、剂量、副作用与监测指南
血管紧张素转化酶抑制剂(ACEI)
ARBs(血管紧张素II受体拮抗剂):用途、剂量、副作用与监测指南
血管紧张素II受体拮抗剂
共同点
Both are used to treat: 高血压, 糖尿病肾病保护
Both require monitoring: creatinine, potassium
Both require prescription
Both should be taken as directed by your doctor
主要差异
ACE抑制剂(血管紧张素转化酶抑制剂):用途、剂量、副作用与监测指南
Dosing: ACE抑制剂(血管紧张素转化酶抑制剂):用途、剂量、副作用与监测指南: 每日一次或两次,可与食物同服或空腹服用. ARBs(血管紧张素II受体拮抗剂):用途、剂量、副作用与监测指南: 每日一次,可与食物同服或空腹服用.
Time to effect: 数小时内可见血压下降;完全效果需数周
Form: 片剂:多种规格;依那普利也有口服溶液剂型
ARBs(血管紧张素II受体拮抗剂):用途、剂量、副作用与监测指南
Dosing: ACE抑制剂(血管紧张素转化酶抑制剂):用途、剂量、副作用与监测指南: 每日一次或两次,可与食物同服或空腹服用. ARBs(血管紧张素II受体拮抗剂):用途、剂量、副作用与监测指南: 每日一次,可与食物同服或空腹服用.
Time to effect: 降压效果2-4小时;完全获益2-4周
Form: 片剂:25mg、50mg、100mg、150mg、300mg、320mg、40mg、80mg
副作用
ACE抑制剂(血管紧张素转化酶抑制剂):用途、剂量、副作用与监测指南 may cause: 干咳, 站立时头晕, 疲劳. ARBs(血管紧张素II受体拮抗剂):用途、剂量、副作用与监测指南 may cause: 头晕或站立时眩晕, 疲倦或乏力, 轻度胃部不适.
何时选择ACE抑制剂(血管紧张素转化酶抑制剂):用途、剂量、副作用与监测指南
1 . You have diabetes with kidney involvement
2 . You've had a heart attack (ACE inhibitors have proven survival benefit)
3 . Cost is a consideration (ACE inhibitors are often generic and less expensive)
何时选择ARBs(血管紧张素II受体拮抗剂):用途、剂量、副作用与监测指南
1 . You developed a cough on ACE inhibitors
2 . You have had angioedema (swelling) with ACE inhibitors
3 . You prefer a medication with fewer cough-related side effects
重要考虑事项
• Both medications require a prescription and medical supervision
• Individual response varies - what works for others may not work for you
• Never switch medications without consulting your doctor
• Both medications have serious warnings - discuss with your doctor
• Regular lab monitoring may be required
• Tell your doctor about all medications and supplements you take
咨询您的医生
此对比仅供参考。只有您的医疗保健提供者才能确定哪种药物适合您。