Heart Disease Expert Forum
Ramipril and Plavix
About This Forum:

This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Ramipril and Plavix

Hi, can you tell us the difference(s) between Altace (ramipril) and metoprolol? What different effects do they each have that are different from each other?

Are there any long-term bad side effects to ramipril?

And your opinion to a combination of aspirin and Plavix to decrease the bloodclotting potential of just aspirin alone?

Thank you.

Ross I.

Related Discussions
239757_tn?1213813182
rossi,

Both ramipril and metoprolol are antihypertensives, meaning they lower blood pressure. While both achieving the same goal, they do it by different mechanisms and have different side effects.  Beta-blockers (metoprolol) block receptors on blood vessels and the heart that are affected by adrenaline.  Ramipril is in a class of medications called ace inhibitors.  ACE inhibitors affect an enzyme produced by the kidneys that affects blood pressure.

Sice the medications are different they have different side effects.  Some of the beta blockers side effects include decreased energy and libido.  ACE inhibitors can cause renal problems in some and sometimes a persistant cough.

There are also people that one drug is favored over another.  Beta blockers are good for people after MI and with angina, ace inhibitors are beneficial in diabetics.  Truthfully, both have alot of overlap and are often prescribed together to maximize the benefits of both agents such as in people with congestive heart failure.  

There are no long term bad effects of ramipril. In fact, there may be some other beneficial effects of the medication outside of its blood pressure effects.

Aspirin and plavix together can be synergistic in people with coronary heart disease. Certainly in people with coronary heart disease, I give them both consideration -- especiall in those that undergo revascularization or have recuurent events.

good luck

hope this is a start.
Blank
Continue discussion Blank
This Forum's Experts
Avatar_dr_m_tn
CCFHeart MD25Blank
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
How to Silence Your Inner Critic an...
14 hrs ago by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eaters: How to Silence Yo...
Mar 26 by Roger Gould, M.D.Blank
1344197_tn?1392822771
Blank
Vaginal vs. Laparoscopic Hysterecto...
Feb 19 by J. Kyle Mathews, MD, DVMBlank