HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Why Is There Problem In Managing BP With Conversyl?

I have been taking 10 mg ramipril for approx 7 years with success in keeping my BP in line. Recently my doctor switched me to coversyl as the ramipril was not working. He has bumped up fron 4 to 8 mg daily and it's not working . Is there a reason he would not have just increased the ramipril. My BP avg is 145/95
Fri, 19 Dec 2014
Report Abuse
Neurologist,  's  Response
I read your question and I understand your concern.

Ramipril and Perindopril (Coversyl) belong to the same class (ACE inhibitors), same mechanism of action and should have similar efficacy. So technically speaking no reason to expect much of a difference between them. But sometimes clinicians base their decisions also on personal experience, maybe he had very good results with Coversyl in other patients before, or has had good experience and a high regard for the quality of the drugs of the company which manufactures Coversyl.
If your blood pressure is not well controlled anymore with ACE inhibitors alone (10 mg of Ramipril or 8 of Perindopril is not a small dose), an additional drug of a different class could be added like a beta-blocker, diuretic or calcium blocker.

I hope to have been of help.
I find this answer helpful
Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
Why Is There Problem In Managing BP With Conversyl?

I read your question and I understand your concern. Ramipril and Perindopril (Coversyl) belong to the same class (ACE inhibitors), same mechanism of action and should have similar efficacy. So technically speaking no reason to expect much of a difference between them. But sometimes clinicians base their decisions also on personal experience, maybe he had very good results with Coversyl in other patients before, or has had good experience and a high regard for the quality of the drugs of the company which manufactures Coversyl. If your blood pressure is not well controlled anymore with ACE inhibitors alone (10 mg of Ramipril or 8 of Perindopril is not a small dose), an additional drug of a different class could be added like a beta-blocker, diuretic or calcium blocker. I hope to have been of help.