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Drug-induced angioedema is a known complication of the use of angiotensin-converting enzyme (ACE) inhibitors, angiotensin II antagonists (ARBs), and Angiotensin-Neprilysin Inhibitor LCZ969. [ 1 ] : 120 The angioedema appears to be dose dependent as it may resolve with decreased dose.
Drug-induced AAE can be triggered by certain medications, including ACE inhibitors or angiotensin receptor blockers. [18] Furthermore, additional laboratory testing can be done to consider other causes of swelling that appear similar to angioedema. [2]
Angiotensin-converting-enzyme inhibitors (ACE inhibitors) are a class of medication used primarily for the treatment of high blood pressure and heart failure. [1] [2] This class of medicine works by causing relaxation of blood vessels as well as a decrease in blood volume, which leads to lower blood pressure and decreased oxygen demand from the heart.
In people with ACE inhibitor angioedema, the drug needs to be discontinued and an alternative treatment needs to be found, such as an angiotensin II receptor blocker (ARB), [17] which has a similar mechanism but does not affect bradykinin. However, this is controversial, as small studies have shown some patients with ACE inhibitor angioedema ...
In severe cases, the elevation of bradykinin may result in angioedema, a medical emergency. [13] People of African descent have up to five times increased risk of ACE inhibitor induced angioedema due to hereditary predisposing risk factors such as hereditary angioedema. [14] This refractory cough is a common cause for stopping ACE inhibitor ...
Angioedema, one of the rare side effects of ACEI and ARB. Some side effects of ACEI include hypotension, renal insufficiency, and hyperkalemia. [7] Dry cough is also a common side effect believed to be associated with decreased bradykinin breakdown. Angioedema is another possible but rare complication due to elevated levels of bradykinin. [6]
While one of the main rationales for the use of this class is the avoidance of a persistent dry cough and/or angioedema associated with ACE inhibitor therapy, rarely they may still occur. In addition, there is also a small risk of cross-reactivity in patients having experienced angioedema with ACE inhibitor therapy. [18]
Angioedema, excruciatingly itchy recurrent wheals, or both can be signs of chronic spontaneous urticaria. [5] Between 40 and 50 percent of CSU patients experience angioedema. [6] However, angioedema is the main symptom reported by about 10% of patients. [7] Usually, urticarial lesions or hives are elevated, erythematous plaques with a defined ...