Drug | Good candidates | Common side effects |
Thiazide diuretics
Chlorthalidone, hydrochlorothiazide, and others |
Often the first choice, alone or with other drugs, for most otherwise healthy people. | Frequent urination, low potassium levels, and erectile dysfunction. |
ACE inhibitors
Benazepril (Lotensin and generic), enalapril (Vasotec and generic), lisinopril (Prinivil, Zestril, and generic), and others |
Especially for people with diabetes, heart failure, kidney disease, or a history of heart attack or stroke. |
Persistent dry cough, high potassium levels, reduced kidney function, and an uncommon allergic reaction (angioedema) especially in black Americans. Not to be taken together with an angiotensin receptor blocker (ARB). |
Angiotensin receptor blockers (ARBs)
Losartan (Cozaar and generic), candesartan (Atacand), and others |
People who would otherwise be candidates for ACEIs but can't take them because of excessive coughing. |
Similar to ACEIs but less likely to cause coughing. Not to be taken together with an ACEI. |
Calcium-channel blockers
Amlodipine (Norvasc and generic), diltiazem (Cardizem and generic), and others |
Black people and people who also have angina (chest pain), certain heart-rhythm abnormalities, and possibly migraines. | Dizziness, fast or slow heartbeat, flushing, headaches, swollen gums, and, less often, breathing problems. |
Source: www.consumerreports.org
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