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TODAY’S TEST QUESTION:
CORRECT ANSWER:
C) Lisinopril ACE inhibitors
(end in -pril)
MORE INFO:
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Ace Inhibitors have been know to cause angioedema.
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It is rare (0.1-0.2%).
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It usually occurs within the first week of use however can also happen after years of taking an ACE inhibitor.
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When this kind of angioedema happens due to an ACE inhibitor..it is not actually considered an allergic reaction.
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It is thought to be related to an increased levels of bradykinins (but possibly other contributions as well).
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African Americans have an increased incidence of developing.
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Epinephrine, Benadryl, steroids is the treatment course for severe cases.
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Less severe is generally just discontinuing the ACE inhibitor.
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REFERENCE: http://www.aafp.org/afp/2002/0915/p956.html
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