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Medical Forum / Diseases and Disorders / Diabetes / December 2005

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ACE to ARB-Time taken to stop coughing

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ck - 12 Dec 2005 01:11 GMT
How long does it takes for the cough to subside after switching from
Enarapril(ACE) to DIovan(ARB)?
ck
Ozgirl - 12 Dec 2005 01:56 GMT
> How long does it takes for the cough to subside after switching from
> Enarapril(ACE) to DIovan(ARB)?

A few days in my case. I was on a fairly low ACE dose at the
time though. How long since your change?
ck - 12 Dec 2005 03:35 GMT
She switch to ARB on Thursday, 3 days ago.
Ozgirl - 12 Dec 2005 10:01 GMT
> She switch to ARB on Thursday, 3 days ago.

I think possibly early days yet, then. If it is not gone
within another week might be worth having a chat with the
doctor.
Andrew B. Chung, MD/PhD - 12 Dec 2005 09:50 GMT
> How long does it takes for the cough to subside after switching from
> Enarapril(ACE) to DIovan(ARB)?
> ck

Typically within 24-48 hours.

Would be more than happy to "glow" and chat about this and other things
like cardiology, diabetes and nutrition that interest those following
this thread here during the next on-line chat (12/15/05) from 6 to 7 pm
EST:

http://tinyurl.com/cpayh

For those who are put off by the signature, my advance apologies for how
the LORD has reshaped me:

http://tinyurl.com/bgfqt

Many Christmas blessings,

Andrew
http://tinyurl.com/b6xwk
Nev. - 12 Dec 2005 10:30 GMT
> How long does it takes for the cough to subside after switching from
> Enarapril(ACE) to DIovan(ARB)?
> ck

Depends.  If the cough is not caused by the ACE, it probably won't.

Years ago I had a fellow worker tell me I should see a doctor about
a cough, so I saw my endocrinologist, and he took me off the ACE
medication.

Some time later on I went to a cardiologist, and the first thing he told
was that I had serious asthma and it was long term.  He prescribed
medication which helped with the cough and improved my energy
levels.  He also diagnosed a sticky heart valve.

When I told my GP about this, he said, "How would he know."

When I went back to my endo and told him about this, he put me
back on the ACE medication.

Nev
Andrew B. Chung, MD/PhD - 12 Dec 2005 10:45 GMT
> > How long does it takes for the cough to subside after switching from
> > Enarapril(ACE) to DIovan(ARB)?
[quoted text clipped - 12 lines]
>
> When I told my GP about this, he said, "How would he know."

Better physician.

> When I went back to my endo and told him about this, he put me
> back on the ACE medication.

That was wise.

Would be more than happy to "glow" and chat about this and other things
like cardiology, diabetes and nutrition that interest those following
this thread here during the next on-line chat (12/15/05) from 6 to 7 pm
EST:

http://tinyurl.com/cpayh

For those who are put off by the signature, my advance apologies for how
the LORD has reshaped me:

http://tinyurl.com/bgfqt

Many Christmas blessings,

Andrew
http://tinyurl.com/b6xwk
Ma¢k - 12 Dec 2005 14:14 GMT
The other day I was watching a drug company commercial on Altace an
ACE inhibitor.  They got to the end where they list all of the
possible side effects.  Amazingly they did not use a speed talker to
read the list of side effects.  I have none of them except 1, and this
is the first time I have seen or heard of with Altace.  

Some users will experience severe hypoglycemia.

Pardon!?!?!?!?

so I checked the dates on when I started experiencing severe sudden
hypos and when I started taking Altace and when the dosage was upped.
Shortly after I started taking it I started having a lot of hypos.
Shortly after I upped the dosage, again I started having a lot of
hypos.  Both times they tapered off with some adjustments in insulin
dosage.  I still get sudden hypos, very severe just not as frequently.

Does anyone know if hypos is listed anywhere as a possible side effect
with ARBs?

When I get in to see my endo about this we are in for one hell of a
bitch session if he knew about this possibility.

Signature

Mâck©®
Type 1 since 1975
http://www.alt-support-diabetes.org
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http://www.insulin-pumpers.org

"To announce that there must be no criticism of the
President, or that we are to stand by the President
right or wrong, is not only unpatriotic and servile,
but is morally treasonable to the American public."
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        (o o)  
--ooO-(_)-Ooo--------------------

"I don't know half of you
half as well as I should like;
and I like less than half of you
half as well as you deserve."

Jesus never hated anyone.

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Andrew B. Chung, MD/PhD - 12 Dec 2005 18:10 GMT
> The other day I was watching a drug company commercial on Altace an
> ACE inhibitor.  They got to the end where they list all of the
[quoted text clipped - 15 lines]
> Does anyone know if hypos is listed anywhere as a possible side effect
> with ARBs?

Lowered need for insulin (or other hypoglycemic medications) is a
potential side benefit for both ACE-Is and ARBs.

> When I get in to see my endo about this we are in for one hell of a
> bitch session if he knew about this possibility.

This is a well-known side benefit for ACE-Is and ARBs.

Would be more than happy to "glow" and chat about this and other things
like cardiology, diabetes and nutrition that interest those following
this thread here during the next on-line chat(12/15/05) from 6 to 7 pm
EST:

http://tinyurl.com/cpayh

For those who are put off by the signature, my advance apologies for how
the LORD has reshaped me:

http://tinyurl.com/bgfqt

Many Christmas blessings,

Andrew
http://tinyurl.com/b6xwk
Jason - 12 Dec 2005 18:55 GMT
> > The other day I was watching a drug company commercial on Altace an
> > ACE inhibitor.  They got to the end where they list all of the
[quoted text clipped - 40 lines]
> Andrew
> http://tinyurl.com/b6xwk

Hello,
This message is for the OP (original poster):
Check this
PMID: 1553691
Pub Med
Do a google search for National Library of Medicine
or NCBI

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We respect those subscribers that ask for advice or provide advice.
We do NOT respect the subscribers that enjoy criticizing people.

Kurt - 12 Dec 2005 19:53 GMT
> The other day I was watching a drug company commercial on Altace an
> ACE inhibitor.  They got to the end where they list all of the
[quoted text clipped - 18 lines]
> When I get in to see my endo about this we are in for one hell of a
> bitch session if he knew about this possibility.

I've been taking Altace (5mg) for over 2 years and have never noticed
any hypos because of it.  Not to say it might have had some play into a
few mild hypos, but nothing that I can directly tie to the Altace.  How
much are you taking?  Maybe the bigger the dose, the more that side
effect happens.

This is from their official website www.altace.com

"Prescription ALTACE is not for everyone. ALTACE may cause swelling of
the mouth, tongue, or throat, which could cause extremely serious risk
and requires immediate medical care. There have been rare reports of
low blood sugar in patients taking ALTACE with medicine for diabetes.
Please contact your doctor if you have symptoms of low blood sugar such
as sweating or shakiness. Common side effects include persistent dry
cough, dizziness, and light-headedness due to low blood pressure. Do
not take ALTACE during pregnancy, as death or injury to your unborn
child may result, or if you've experienced serious side effects related
to previous ACE inhibitors."

They mention low blood sugar when taken with other diabetes medicine so
it could be having an affect on you.  It hasn't with me.

Best,
Kurt
Ma¢k - 12 Dec 2005 21:03 GMT
>> The other day I was watching a drug company commercial on Altace an
>> ACE inhibitor.  They got to the end where they list all of the
[quoted text clipped - 24 lines]
>much are you taking?  Maybe the bigger the dose, the more that side
>effect happens.

20 mg now.

>This is from their official website www.altace.com
>
[quoted text clipped - 14 lines]
>Best,
>Kurt

Signature

Mâck©®
Type 1 since 1975
http://www.alt-support-diabetes.org
http://www.diabetic-talk.org
http://www.insulin-pumpers.org

"To announce that there must be no criticism of the
President, or that we are to stand by the President
right or wrong, is not only unpatriotic and servile,
but is morally treasonable to the American public."
...Theodore Roosevelt

        (o o)  
--ooO-(_)-Ooo--------------------

"I don't know half of you
half as well as I should like;
and I like less than half of you
half as well as you deserve."

Jesus never hated anyone.

http://tinyurl.com/dgb3q
http://tinyurl.com/aw4mh

Loretta Eisenberg - 12 Dec 2005 19:47 GMT
ck, I switched and I think it was fairly quick although I dont remember
exactly how long

I couldnt stand that cough

Loretta

--
In tribute to the United States of America and the State
of Israel, two bastions of strength in a world filled with strife and
terrorism.
Nev. - 13 Dec 2005 23:48 GMT
> ck,  I couldnt stand that cough

Note:

YMMV,
This is not a cure,
This is not a medical treatment.

I was going to computer studies at night and was having trouble
trying to stop coughing during the lectures, and was trying all sorts
of lozenges, etc.  This was being caused by the asthma I didn't
know I had..

Eventually the best thing I found to minimize my coughing was
sugar free caramel or chocolate confectionery.  Eventually
I took the table of contents along to one of the medical specialists
I was seeing and asked him what was in this confectionery that
helped make my coughing much more bearable.  He looked at
list of contents and said he couldn't see anything there that should
alleviate my coughing.  I could only guess that perhaps the
66% maltitol and 16.5% Mannitol were somehow lubricating
my throat etc.  These days I would only have piece of
confectionery on one day and maybe no more tor another week

Nev.
Sleepyman - 14 Dec 2005 21:44 GMT
>> ck,  I couldnt stand that cough
>>
[quoted text clipped - 21 lines]
>
>Nev.

I'm sure they were "lubricating" something.........

Sleepy  

"I used to think I was poor. Then they told me I wasn't poor, I was needy. Then they
told me it was self-defeating to think of myself as needy, I was deprived. Then they
told me deprived was a bad image, I was underprivileged. Then they told me
underprivileged was overused, I was disadvantaged. I still don't have a dime,
but I sure have a great vocabulary."

-Unknown
Ricavito - 12 Dec 2005 23:05 GMT
> How long does it takes for the cough to subside after switching from
> Enarapril(ACE) to DIovan(ARB)?
> ck

Hi ck, it took almost a week for my cough to be gone (I switched from
lisinopril to benicar, with a lapse of a couple of months in between
dropping the ACE and my insurance finally approving the ARB).
 
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