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ACE Inhibitor This leaflet can be made available in large print, audio version and in other languages, please call 0800 0730510 Patient Information _______________________________ ACE Inhibitors What are ACE Inhibitors? ACE Inhibitors are drugs that are used in a variety of heart conditions, most commonly used in the treatment of high blood pressure, heart failure or after a heart attack. There are many different ACE Inhibitors available; the one chosen will depend on the patient and their condition. How do ACE Inhibitors Work? ACE Inhibitors inhibit the change of a chemical called Angiotensin I to Angiotensin II. Angiotensin II has a narrowing effect on the blood vessels causing high blood pressure and strain on the heart. ACE Inhibitors work by: 1. Lowering the blood pressure 2. Helping the heart to pump more efficiently. 3. Preventing weakening of the heart after a heart attack. Side Effects These may include sickness, dizziness, headache, tiredness and a cough. If you experience any of these, you should inform your doctor. They can cause a marked fall in blood pressure, especially when first used by people who are also taking other heart medicines. They may also affect how the kidneys work, especially if your kidneys were working abnormally before you started taking the ACE inhibitors. When your doctor starts the treatment, he or she will take care to start you on a low dose and will regularly check your blood pressure. They will check your kidney function by taking a blood test. You will need to have more blood tests from time to time to make sure that you do not have too much potassium in your blood. Do Not Stop Taking This Medicine Unless Told To Do So By Your Doctor. If, however, you develop severe dizziness, light-headedness, wheezing or any possible allergic reactions such as swelling of the face you ACE Inhibitors Version 1. July 2010 Page 1 of 2 Patient Information _______________________________ should immediately seek the advice of your doctor or go to the nearest Accident and Emergency Department. What should I do if I forget to take my tablets? If you forget to take a dose, take it as soon as you remember, then go on as before. It is important Not to take two doses at the same time. If you are worried ask your doctor or pharmacist for advice. Angiotensin II antagonists These act in a similar way to ACE inhibitors, but do not cause the persistent dry cough that ACE inhibitors can sometimes cause, so they are a useful alternative to ACE inhibitors. Additional Information Many patients who are taking ACE Inhibitors are doing so to treat conditions, which have few or no symptoms such as high blood pressure or after a heart attack. It is important to realise that although you may feel well you still need to take these medicines and your doctor will tell you if you should stop. How do I find out more? This leaflet may not have answered all of your questions. You can ask the nursing staff, your doctor or pharmacist for more information. Originator: Claire Salt Version 1 Date: July 2010 Date for Review: July 2013 ACE Inhibitors Version 1. July 2010 Page 2 of 2