Luo Tingxin has a cough, what medicine should I change?

Disease analysis: ACE inhibitor drugs have one obvious problem, that is, some patients have a severe cough and even can't bear it. Your situation is also intolerant of Lodin Xin***, and you can only consider changing the dressing.

Advice: Don't know what your blood pressure is? To what extent?

Since you can't eat Rodin Xin, you can change it to Nifuda and take a look. This pharmacy is called nifedipine sustained-release tablets, which is a calcium channel blocker antihypertensive drug, and it also has the effect of protecting the heart. View the original post

Analysis: Male, 62 years old, with high blood pressure, taking Lotin for one week, severe cough. Lotensin-converting enzyme inhibitors have the advantages of lowering blood pressure, reversing left ventricular hypertrophy, preventing myocardial infarction, and delaying renal failure due to atrial fibrillation.

But the downside is a dry cough. Suggestion: It is recommended that you change to (ARB antihypertensive drugs) Daiwen, Kosoya, etc., if it is not ideal, you can use a combination of drugs:

Daiwen + Amlodipine wishes you a speed**! View the original post

Condition analysis: Hello, Lotin belongs to the ACE II class of drugs, and a certain proportion of patients will have dry cough during the taking process, which is normal for this drug. However, please know that ACE inhibitors have a good effect on patients with high blood pressure, especially those with kidney damage

Please do not stop taking the drug or change the type of drug without authorization, you can discuss with your doctor to change to other acei drugs

Condition analysis: Hello, Lotin is produced by Beijing Novartis Pharmaceutical, and the generic name is benazepril hydrochloride tablets, which are angiotensin-converting enzyme inhibitors. As long as the drug called benazepril hydrochloride tablets can be substituted regardless of which manufacturer produces them.

Advice: Antihypertensive drugs.

There are many types, and such antihypertensive drugs may cause cough when taken for a long time.

Target***. Other classes of antihypertensive drugs may be replaced.

Hello, dry cough is considered to be the best medicine, if the symptoms are serious, it is best to follow the doctor's instructions to give other medicines**, usually pay attention to drink more water.

If it is caused by drugs, it is recommended to change to other antihypertensive drugs, such as CCB or ARB (similar to the pharmacology of lodinexin, but there is no dry cough, and it is often used as an alternative to drugs that cannot tolerate lodexin, and the effect is satisfactory, but it is slightly expensive. Consult your doctor on a case-by-case basis, i.e., individualize medication and don't blindly follow suit. You've been off for more than 10 days, are you getting your blood pressure down these days**?

In addition, there are many causes of cough, and it is recommended to find a doctor to see if it is caused by drugs.

The 2nd floor statement is correct, cough is significantly associated with taking lodinesin, consider lodinexin***. To add, **, it is recommended to give ketotifen 1mg 2 times a day 1 tablet 1 time, if the effect is good, the diagnosis is basically clear. Not too complicated.

It is recommended that antihypertensive drugs should still be taken, and the effect is good.

If the cough is severe, you can stop using it and change to other medicines, such as Nifuda and Shoubishan.

Cough that doesn't stop: Take Cough Biqing 25mg three times a day to work well.

If you can tolerate it, stick to ACE inhibitors, and only switch to ARB (all types of sartan) if cough is not tolerated; According to various meta-analyses, ARBs do not surpass ACE inhibitors in terms of hard indicators such as cardiovascular death and new-onset diabetes;

According to the results of the phase II of the international large-scale hypertension study, ACE inhibitor + Luohuxi is the best combination among many combination drugs; Absolute contraindications to the use of ACE inhibitors, contraindications are allergies and intractable cough;

Cough caused by increased concentrations of bradykinin and prostaglandins indicates that the drug is working;

Generally tolerable, you take it for a few days.

It usually disappears after a few days.

Renal biopsy shows mild mesangial enlargement of the glomeruli.

At present, the urine routine is basically normal, and there is only 1-2+ occult blood, indicating that the current renal lesions are relatively stable. Of course, please add: blood pressure, liver and kidney function, 24h protein quantification, endogenous creatinine clearance, urine trace protein, urine osmolality, etc.

First of all, you should be clear in your mind that kidney disease is a long process of diagnosis and treatment, and it is a lesion caused by autoimmune abnormalities, so your condition is relatively stable at present, and the type of kidney pathology is mild, but long-term and regular review of urine routine is necessary. Secondly, to prevent the aggravation of kidney disease is what you need to pay attention to, it is very necessary to prevent colds, diarrhea, pneumonia, urinary tract infections, etc., which need to be paid attention to through your daily life, exercise to enhance physical fitness, pay attention to diet and avoid eating spicy products, etc. Finally, what other medications are you currently taking besides the new drug Lotten?

As long as your blood pressure is not lower than 90 60mmHg, or there is a hypotensive reaction, and you exclude severe renal insufficiency, pregnancy, renal artery stenosis, single kidney, drug allergies, etc., it is safe to take the drug for a long time. In case of recurrence of illness and other conditions, you should go to a nephrologist for medical attention in time.

Hello, expert introduction: changes in kidney function may occur in some sensitive patients. But it is mainly for patients with impaired kidney function, if you only have a kidney, and the function of this kidney is normal, it can meet the needs of the body, there will be no problem.

Note that it cannot be taken for a long time, and should be taken as directed by the doctor.

I would like to ask how old you are, because your blood pressure is not very high without medication.