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ACE inhibitors and ARBs
Posted on 19 Mar 2021
DO NOT STOP USUAL THERAPY.
ACE inhibitors and ARBs are medicines that are used mainly in the treatment of high blood pressure (hypertension) and heart failure. They are also used in some people with diabetes, for some forms of kidney disease, and after a heart attack, to help protect the heart. ACE inhibitors tend to have names ending in 'pril' such as Enalapril or Ramipril and ARBs tend to have names ending in 'sartan' such as Lorartan or Candesartan.
There has been some publicity regarding the theoretical adverse effect of ACE inhibitors in patients infected with the coronavirus but there is no clear evidence that this is the case and there is a clear hazard in some patients if their therapy is stopped.
Current advice issued from our Glasgow Heart Disease Managed Clinical Network (MCN) is not to interrupt therapy if coronavirus infection is suspected or confirmed unless there are other clamant reasons to do so. As always, prior to the coronavirus pandemic, we would advise Sick Day rules be followed during a period of a dehydrating illness. This advice would continue. Please see more detailed information in other news stories.