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。

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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。