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Doctors' Answers to "Frequently Asked Questions" - Vasotec

These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. An individual patient is always advised to consult their own physician.

Vasotec Questions [posted 11/18/98]
Question: My father is taking vasotec 20 mg. He is complaining that he cannot remember anything ever since he started taking this specific drug. He also is a on the go person is upset that he is very tired all the time also. He is only 47 and would like to know if there is anything to counter act these side effects. 

Answer: What is his blood pressure at home sitting and standing. Often, patients blood pressure is treated only with office readings and hence overtreated. The vasotec per se should not cause this problem unless he is being overtreated(very common by the way).

Vasotec Side Effects [posted 10/13/98]
Question: I have been taking Vasotec for hypertension for the last 10 years. No side effects. During the past 8 months, I have noticed one side of my face is swollen. Sometimes my tongue is swollen and sometimes I feel like my throat is swollen. I became concerned and asked the pharmacist for the pamphlet on Vasotec, as my physician checked everything else and couldn't find the cause. I read in the pamphlet that angio adema could be a side effect of Vasotec. I am experiencing symptoms of edema just as those explained. I go to the doctor next week, but want to know more before my appointment.

Answer: It certainly can be. I would try 6 weeks or so off the medication on another class of drugs and see what happens. You also need some evaluation of this problem by your physician.

Vasotec & Prenatal Vitamins [posted 10/6/98]
Question:I am 27 years old. I have been taking prenatal vitamins for a couple of months and I have been recently diagnosed with hypertension and my doctor prescribed me Vasotec 5mg to be taken daily. I wanted to know if that's okay to take together. If not, is there another high blood pressure medication which you can recommend I take instead of the Vasotec? If you can please respond to this matter for me as soon as possible, I would appreciate it. Thank you for your time and cooperation.

Answer: No interactional problem, excellent drug while pregnant.

Decreased Sex Drive
Question:I'm taking vasotec 2.5mg twice a day. Since starting the drug, my sex drive had gone dome dramatically. I'm 27 years old and have never had this problem.

Answer:Blood pressure medicines in general are notorious for causing difficulties with erections. You don't say whether your libido is decreased or your erectile force. In general, blood pressure medicines have little effect on libido. They often effect erectile ability or force. So, if you are having normal erections but no desire I doubt whether the medicine has anything to do with the problem. Stopping the drug for a few days would be an adequate test since it will be cleared within 12-14 hours. Check with your doctor first.

General Information
Question:I would appreciate more information you could provide on the drug Vasotec. My husband's CHF is worsening and I learned of this drug on the net.

Answer: Vasotec is a drug which belongs to a class called ACE inhibitors. In general, they are extremely effective as long as they don't lower blood pressure excessively or don't result in renal problems(probably 5% of patients). Any of this class will be of about the same effect.

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