ACE inhibitors vs. beta blockers: Which blood pressure medication is right for you?

seventy-five million american adults have high blood imperativeness ( high blood pressure ), but lone 54 % of them have their levels under control. fortunately for a condition equally common as eminent blood coerce, there ’ s a variety of medications that can help. Among them are ace inhibitors and beta blockers, which most doctors will prescribe before any other type of medicine .
If you are asymptomatic, like many people with high blood atmospheric pressure are, a sophisticate will credibly try an ACE inhibitor first. If your senior high school blood pressure is accompanied by thorax pain or anxiety, a beta blocker could be a better option. Doctors may even prescribe both types of medications at the same time under certain circumstances .
What ’ s the best blood press medication for you ? Use this steer to compare ACE inhibitors vs. beta blockers to prepare for your future doctor ’ s visit.

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How do ACE inhibitors and beta blockers work ?

ACE inhibitors ( angiotensin-converting-enzyme inhibitors ) dilate lineage vessels and decrease blood volume, which lowers blood pressure and increases blood stream to the heart. To do so, ACE inhibitors block the angiotensin-converting enzyme from converting angiotensin I to angiotensin II—a hormone that constricts blood vessels. By blocking the hormone, a person ’ s rake imperativeness is lowered .
ACE inhibitors are most normally prescribed by doctors to treat high blood atmospheric pressure and heart failure. They can besides help reduce the risk of fatalities after a heart fire ( myocardial infarct ) .
Beta blockers ( beta-adrenergic obstruct agents ) block the effects of stress hormones that are region of the sympathetic skittish system. These hormones include noradrenaline and epinephrine ( besides called epinephrine ). Blocking these hormones allows blood vessels to relax and dilate. In go, beta blockers can slow the heartbeat, lower blood imperativeness, and improve blood flow .
Beta blockers can treat high blood pressure along with other hmnealth conditions like congestive kernel failure, abnormal heart rhythm, anxiety, and chest pain .
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ACE inhibitors vs. beta blockers
ACE inhibitors
Beta blockers
Health conditions treated

  • high lineage blackmail
  • Heart failure
  • coronary artery disease
  • Chronic kidney disease
  • gamey blood imperativeness
  • congestive heart failure
  • abnormal heart rhythm
  • Chest pain
  • anxiety
  • glaucoma
  • Migraines
  • tachycardia

Commonly prescribed medications

  • lisinopril
  • Enalapril maleate
  • Benazepril HCl
  • Acebutolol HCl
  • atenolol
  • Bisoprolol fumarate

Common side effects

  • dizziness
  • Dry cough
  • confusion
  • constipation
  • disturb sleeping
  • Some can cause weight profit


  • Dangerous for pregnant women and can cause parturition defects
  • Raises potassium levels and can cause hyperkalemia
  • Dangerous for meaning women and can cause birth defects
  • Some can affect cholesterol and triglyceride levels


  • Nonsteroidal anti-inflammatory drugs ( NSAIDs )
  • potassium supplements or salt substitutes that contain potassium
  • Nonsteroidal anti-inflammatory drugs ( NSAIDs )

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Can you take ACE inhibitors with beta blockers ?

A doctor might prescribe an ACE inhibitor and a beta blocker at the like time to optimize blood press levels for bad hypertensive patients or people with sealed checkup conditions like coronary thrombosis kernel disease or chronic kernel failure.

An estimated 75 % of patients with high blood pressure will normally require combination therapy ( more than one medication ) to reach their blood pressure goals, according to the Journal of the american Society of Hypertension. This combination therapy may include taking ACE inhibitors and beta blockers at the like time or taking one with some other type of blood coerce medication like angiotensin sense organ blockers ( ARBs ) .
ACE inhibitors and beta blockers work differently and target different parts of the body. In this way, they can complement each other .


Both ACE inhibitors and beta blockers can be dangerous for pregnant women. They can cause dizziness from broken blood press and potentially cause give birth defects. If you ’ ra fraught or may become pregnant, talking with a doctor is the best means to determine whether or not beta blockers or ACE inhibitors are right for you .
ACE inhibitors raise lineage potassium levels, so monitor potassium inhalation during treatment is necessity. As a result, taking potassium supplements or using salt substitutes that contain potassium may cause excessive lineage potassium levels ( hyperkalemia ). Hyperkalemia can lead to other, potentially dangerous health problems. Symptoms of hyperkalemia include confusion, irregular heartbeat, and tingling or apathy in the hands or expression .
On the other pass, some beta blockers can increase triglycerides and decrease levels of “ estimable ” cholesterol. This is normally impermanent but may affect patients with metabolic syndrome .

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Drug-drug interactions

ACE inhibitors and beta blockers might not work deoxyadenosine monophosphate efficiently if taken with nonsteroidal anti-inflammatory drugs ( NSAIDs ) like ibuprofen, Advil, and Aleve. lecture with your doctor before taking any NSAIDs while besides taking ACE inhibitors, beta blockers, or both .

Switching from beta blockers to ACE inhibitors

sometimes, a doctor of the church might change your prescription for a beta blocker to an ACE inhibitor or vice-versa .
“ In situations where patients are having low heart rate or cardiac cycle abnormalities, either the venereal disease of beta blockers needs to be reduced, or an alternate blood coerce medication like ACEi can be used, ” says Atif Zafar, MD, aesculapian director of the University of New Mexico Stroke Program. “ In another scenario, where patients have an fundamental nephritic artery disease ( like stenosis of nephritic arteries ), ACEi are not recommended for blood pressure control. other BP medications are well suited for those patients. ”
Some studies suggest that switching from beta blockers to ACE inhibitors can help reduce symptoms of sleepiness and improve cognition. however, this doesn ’ metric ton necessarily mean that beta blockers are better than ACE inhibitors .
Each drug has its function and might be better at treating one particular condition than another. “ [ ACE inhibitors ] are first-line therapy while beta blockers are categorized as second-line therapy for managing BP, ” Dr. Zafar says. “ however, in patients with coronary thrombosis artery disease ( CAD ), or static ischemic heart disease as comorbid of high blood pressure, beta blockers and ACEI are recommended first-line choices. ”
Most importantly, talking with a doctor or medical professional is the best way to determine whether or not switching from beta blockers to ACE inhibitors is the correct choice for you based on your response to treatment and any side effects you experience .

Side effects

As with any medicine, there is constantly the likely for side effects. Taking beta blockers, ACE inhibitors, or both may result in some of the stick to side effects :
ACE inhibitor vs. beta blocker english effects
ACE inhibitor side effects
Beta blocker side effects

  • dizziness
  • Dry cough
  • confusion
  • Headaches
  • tire
  • Itchy peel rash
  • Elevated lineage potassium levels
  • Metallic or salty taste in the mouthpiece
  • weakness
  • Cold hands and feet
  • constipation
  • depression
  • dizziness
  • Dry mouthpiece, skin, and eyes
  • Erectile dysfunction
  • lightheadedness
  • tire
  • headache
  • nausea
  • shortness of breath
  • behind blink of an eye
  • trouble sleeping
  • Weight reach
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This list of side effects is not comprehensive. A medical professional can give you a complete list of side effects associated with ACE inhibitors vs. beta blockers.
Although it ’ mho rare, ACE inhibitors and beta blockers can be associated with more serious side effects. Taking one inhibitors may cause angioedema, a rare condition that causes swelling of the confront early body parts. ACE inhibitors may besides cause kidney failure or a decrease in white blood cells .
Beta blockers have caused hard asthma attacks. For people with diabetes, beta blockers may keep the body from showing signs of abject blood sugar ( such as tremors and palpitations ). Blood imperativeness levels and heart pace must be monitored while taking beta blockers.

What are the best high blood pressure medications ?

Although there is no one individual medicine that ’ s best for treating high blood pressure, ACE inhibitors and beta blockers are among the most popular types of high blood pressure drugs. The medication appointed will depend on the individual ’ second checkup history, symptoms, and reception to treatment. A healthcare professional can help determine the best high blood pressure medication on a individual basis. here ’ s a list of some of the most normally official medications for the treatment of eminent blood press :
Blood blackmail medications are selected based on how well they lower lineage pressure and reduce the risk of heart attacks, strokes, and heart failure, according to the Journal of the american Society of Hypertension. If an ACE inhibitor or beta blocker won ’ thymine work for you, your repair may recommend another type of antihypertensive drug, such as calcium impart blockers, diuretics, alpha blockers, etc.

additionally, life style changes can help manage rake imperativeness along with medications. But above all, a medical professional can help determine the best treatment plan for you based on your symptoms and checkup history .

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