ACE inhibitors (ACEIs) vs. Angiotensin receptor blockers (ARBs) - Pharmacology

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  • Опубліковано 8 лют 2025

КОМЕНТАРІ • 84

  • @MedicosisPerfectionalis
    @MedicosisPerfectionalis  Рік тому +1

    💊 Pharmacology Courses: www.medicosisperfectionalis.com/

  • @MedicosisPerfectionalis
    @MedicosisPerfectionalis  Рік тому +1

    💊 Pharmacology Playlist: ua-cam.com/play/PLYcLrRDaR8_d5RzuEJprW-NWXTK22ByVC.html&si=MGlX4_a2LlLOo6Ed

  • @dougiequick1
    @dougiequick1 4 роки тому +2

    AGGGHHHH! I KNEW there was a really good reason I had no desire to become a doctor or anything requiring similar course study....for me it would be absolutely torture ....there literally could not be a reward great enough in the end to make it worthwhile to me ...SO? All you medical nerds are personal heros to me, SO HAPPY so many people are able to slough through stuff like in this video and worse

  • @daltonarnold
    @daltonarnold Рік тому +2

    You haven’t had near enough credit this video is great

  • @motorockstar8379
    @motorockstar8379 7 місяців тому +1

    Super awesome! Thank you!

  • @quyendisabino6877
    @quyendisabino6877 4 роки тому +1

    Can't imagine there is a better explanation! Very good!

  • @FPGazaosama
    @FPGazaosama 5 місяців тому +1

    I love you man ❤❤

  • @kullunotmanali
    @kullunotmanali 2 роки тому

    BRILLIANT !

  • @thekush629
    @thekush629 5 років тому +3

    Why isn’t there orthostatic hypotension with ACE inhibitors?

  • @BD-np6bv
    @BD-np6bv 5 років тому +4

    Playback 0.75 is perfect

  • @Lommy9999
    @Lommy9999 3 місяці тому

    What about the higher risk of lung cancer?

  • @boudibla4011
    @boudibla4011 4 роки тому +1

    Angioedema with ARBs as been reported in small proportion

  • @leeeng478
    @leeeng478 4 роки тому

    Really easy!! I have been hearing both sides of the argument and the final truth is actually not difficult it's real simple. The high death rates in Hypertension and Diabetes can be separated by those who are taking ACE2 and ARBS and those who are not taking ACE@ and ARBS. Simple if 2000 people died with COVID19 that had high blood pressure similar age and males and the ARBS and ACE2 death rate was 1500 vs 500 who did not take the medication then you would have an actual number to go off of either way. this could be repeated in China, Italy etc etc

  • @ايناسحسونينايفعلي
    @ايناسحسونينايفعلي 5 років тому +1

    Thanks 🌺

  • @haywood3874
    @haywood3874 4 роки тому +12

    You talk way too fast. Had to lower the playback speed

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  4 роки тому +2

      Thank you so much for your feedback!

    • @dennisgarber
      @dennisgarber 4 роки тому

      Yeah, I had to slow way down to 1.9x. I usually watch most stuff at 2.7 speed. Admittedly, I did watch the drbeen RAS hypercoagulability video, circa 5-1-2020 like 9 times. I was mainly looking for a simple, targeted explanation of the difference between the drugs, in relation to covid. Bradykinin hypothesis, in mind.

  • @thomasfraser9072
    @thomasfraser9072 4 роки тому +3

    Now I know why a majority of elderly diabetic are dying from Covid-19 because many of them are placed on Ace inhibitors.
    I am 72; so called pre diabetic; and am on a beta blocker for my status post open heart surgery in 2018. I also take a good multiple vitamin with vitamins D as well as Q-10. In addition I take Lipitor and a baby aspirin daily.
    I am glad I refused the ACE inhibitor the doctor wanted me to take for my diabetes to protect my kidney. Cheers
    I know my best bet to beat this virus from hell is social distancing; but having seen your class; I now think I might stand a better chance should I get the devil inside my body. Cheers and Thank you.

    • @wildmansamurai3663
      @wildmansamurai3663 4 роки тому +1

      There is no evidence that taking an Ace inhibitor is killing more people with this virus.

    • @thomasfraser9072
      @thomasfraser9072 4 роки тому

      Wildman Samurai yes you are 100 percent correct in your statement and there is some evidence that ACE inhibitors may save the kidneys of a diabetic. So anyone on their ACE inhibitors should never stop taking it without the advice of their doctor.

    • @wildmansamurai3663
      @wildmansamurai3663 4 роки тому +1

      @@thomasfraser9072 I'm right that taking an Ace inhibitor or doesn't increase your chances of dying from this virus... There is absolutely no scientific data to back that statement.. This virus attacks old, young, middle aged, Ace inhibitors, no inhibitors, blood pressure problems, no blood pressure problems, healthy people, sick people.. It doesn't discriminate and it doesn't have a specific class of people that it goes after.. As a species we humans have never seen anything like this.

    • @thomasfraser9072
      @thomasfraser9072 4 роки тому +1

      Wildman Samurai no argument otherwise

    • @Idgaf-q2x
      @Idgaf-q2x Місяць тому

      Wtf did i just read. Why does this samurai feel like hes being attacked personally by OP?
      TWICE. Even when the OPs agreeing with the fact that theres no evidence omg
      I wonder if samurai’s response was motivated by some politically aligned view about the disease or the vaccines.
      Nvm. Dead thread. Gg

  • @hardyboy2988
    @hardyboy2988 4 роки тому +1

    Sir if Ace2 resptor will destroy of cell the covid 19cannot enter into cell and can,t make their copies

  • @khankhan-cw2bq
    @khankhan-cw2bq 5 років тому +1

    Sir ...kindly make videos on hards or complex topics these are easy topics everyone can understand it easily...

  • @عابرسبيل-ن3م
    @عابرسبيل-ن3م 4 роки тому

    This is very good except on1.. ARBs can produce dry cough after a while... 2..you did not mention the effect of them about lipido and erection

  • @DefferJohn
    @DefferJohn 3 роки тому +1

    🙏🏼

  • @dennisgarber
    @dennisgarber 4 роки тому

    This is extremely relevant now that the supercomputer has hypothesized that the bradykinin storm is at root cause of the cytokine storm and Covid19 deaths!!! I am not a doctor, but I play one in the movies. Nor do I have any health issues. I do have aging parents over 74. I have a fair grasp of the RAS. However, I am still struggling to get a really good visual diagram that brings home the difference in mechanism of action between Ace inhibitors and ARBs. Especially, in relation to covid. I get ARBs block at1 and Ace inhibitors do something else to block Ace from making angiotensin 2... I am guessing we are hoping for angiotensin 1,7, which cannot be made if ace1 is blocked. So, we would rather just block the at1 with arbs , which is causing the problems. This distinction is still being elusive in my mind, easily forgotten as an amateur who does not use this information daily, or even weekly or monthly.... Yet the distinction seems like it is life or death, right now.... I will re-watch this video a few more times. But I hope you can revive and drive home the point, the distinction, and hopefully steer people for better choices and save a few lives in the next few months.

  • @alikoubrujup_Lim
    @alikoubrujup_Lim 4 роки тому

    Good article Sir.
    Can switch from Coveram (10mg+10mg) to Azoren (20mg+5mg) ?
    Theorectically, ARBs is better than CCB, to" prevent " covid?

  • @aminy529
    @aminy529 3 роки тому

    Is there a difference between inhibitors, blockers and antagonsits?

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  3 роки тому +2

      Antagonist is the technical pharmacological term. A “blocker” usually means antagonist.
      An inhibitor…well, it depends on what you’re inhibiting. Only if you’re inhibiting the receptor of the agonist do we call you an antagonist. Otherwise, you’re an inhibitor, but not an antagonist.
      Example, Zileuton is an inhibitor. It inhibits the 5-LOX enzyme. However, Zileuton is NOT a leukotriene receptor antagonist.
      Hope it helps!

    • @aminy529
      @aminy529 3 роки тому

      @@MedicosisPerfectionalis Thank soo much 🙏 It cleared all the confusion!

  • @latoart4497
    @latoart4497 2 роки тому

    Will you please make this video in hindi.

  • @JudithTheROSE
    @JudithTheROSE 2 роки тому +1

    Talking too fast

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  2 роки тому

      Thank you for your honest feedback!

    • @JudithTheROSE
      @JudithTheROSE 2 роки тому

      @@MedicosisPerfectionalis you’re welcome. I was very interested but had a hard time following you

  • @gregoryreeves3686
    @gregoryreeves3686 4 роки тому

    They say the Corona virus enters the host cell using ace receptors. Would prescribing ace inhibitors be helpful or catastrophic for treatment ?

  • @allanvn6242
    @allanvn6242 5 років тому +1

    Would an ACE work for stage fright?

  • @Chings911
    @Chings911 5 років тому

    Since ACE Inhibitors & ARBs cause renal impairment then why do we use them incase of diabetic nephropathy?

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 років тому +1

      ACE inhibitors are bad for kidneys except in 2 situations:
      1. Diabetic nephropathy.
      2. Scleroderma nephrosis.
      Hope it helps!

    • @Chings911
      @Chings911 5 років тому

      @@MedicosisPerfectionalis Thank you. But I'd like to know is it because ACE inhibitors would cause increase in renal perfusion hence resulting in changes in starling's forces and ultimately leading to less albuminuria..? Is that how its mechanism of action is?

    • @thomasfraser9072
      @thomasfraser9072 4 роки тому +1

      Medicosis Perfectionalis in my opinion Doctors are rushing all their diabetic patients on Ace inhibitors way too early. And now with Covid19 they are quickening their death by doing it. What say you.

    • @wildmansamurai3663
      @wildmansamurai3663 4 роки тому

      @@thomasfraser9072 No.

  • @herauthon
    @herauthon 4 роки тому

    is it wise to implement these during an running infection and howto revert this - is EPO a substance of interest ?

  • @maciaschristene9318
    @maciaschristene9318 5 років тому

    Hi gudafternoon. I just want to ask if wat theory DOES Captopril ACE Inhibitors followed?
    Thankyou

  • @MintChocChip100
    @MintChocChip100 5 років тому +5

    you are literally so hilarious

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 років тому +1

      Thanks a million!
      It’s an honor!
      Can you please help me by sharing my videos with others?

  • @matthewcarr4907
    @matthewcarr4907 Рік тому +1

    Slooooooooow dowwwwwwwn

  • @hanadialshaker8730
    @hanadialshaker8730 5 років тому +1

    I like ur videos, thank you

  • @piotrmarcin8800
    @piotrmarcin8800 5 років тому +1

    cool

  • @WadcaWymiaru
    @WadcaWymiaru 4 роки тому

    Where is info about covid-19?

  • @aamulyana
    @aamulyana 4 роки тому +1

    It should have been a good explanation.. You talk way too fast!

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  4 роки тому +1

      Theses two topics were discussed in details in previous videos...This video was just a quick comparison.
      Also, you can click on the gear ⚙️ icon and decrease the playback speed.

    • @AishVida
      @AishVida 5 місяців тому

      Too fast ..man.

  • @jaersee
    @jaersee 4 роки тому

    Greetings from La Paz, Bolivia (3600 m o s l) city

  • @andrewns9141
    @andrewns9141 4 роки тому +5

    too fast mate, you speak far too quickly to be an effective teacher.

    • @Mylo.Kingara
      @Mylo.Kingara 7 місяців тому

      You can slow down the video yourself in your own settings

  • @waleedlord9265
    @waleedlord9265 5 років тому +1

    Thanks ❤️