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I'm Presently Taking Lisinopril 40mg 1x Daily But Is Insufficient

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Posted on Wed, 3 Oct 2018
Question: I'm presently taking Lisinopril 40mg 1x daily but is insufficient to control my blood pressure. Which of the following meds would be safest with the least side affects to add...EPLERENONE, AMILORIDE, TRIAMTERENE, BUMETENIDE, or FUROSEMIDE?
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Answered by Dr. Sagar Makode (36 minutes later)
Brief Answer:
Combination of amiloride and frusemide

Detailed Answer:
If you are on lisinopril then subsequent medicines from the order of priority are amlodipine or cilinidipine, hydrochlorothiazide, Metoprolol. These are the preferred medicines.
If you don't wish to have any of these, then amiloride frusemide combination is next ( combination will prevent hypokalemia caused by frusemide or hyperkalemia caused by amiloride), if not then frusemide followed by eplerenone, then amiloride then triamterine.
Hope this helps you and get back if you have any doubts.
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Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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I'm Presently Taking Lisinopril 40mg 1x Daily But Is Insufficient

Brief Answer: Combination of amiloride and frusemide Detailed Answer: If you are on lisinopril then subsequent medicines from the order of priority are amlodipine or cilinidipine, hydrochlorothiazide, Metoprolol. These are the preferred medicines. If you don't wish to have any of these, then amiloride frusemide combination is next ( combination will prevent hypokalemia caused by frusemide or hyperkalemia caused by amiloride), if not then frusemide followed by eplerenone, then amiloride then triamterine. Hope this helps you and get back if you have any doubts.