Ace inhibitors

Posted by Janice on April 22, 1999 at 15:38:03
I have idiopathic dilated cardiomyopathy and recently read where ace inhibitors are beneficial in large doses and not as helpful in lower dosages for IDC and CHF.  What would be considered a large enough dose of prinivil?  Janice

Posted by CCF CARDIO MD - MTR on April 23, 1999 at 08:31:35
Dear Janice, thank you for your question.  The dose range of prinivil is 5 - 40 mg/day.  We generally start a patient on the lowest dose and titrate the dose up until the maximum dose is reached as long as the BP is not lowered too much and the patient is able to tolerate the higher dose.  I agree that the highest tolerated dose of an ACE inhibitor should be used whenever possible.
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