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Elderly people
taking an ACE inhibitor for high blood pressure may find that
it is not working too well if they also are taking ibuprofen for
arthritis, according to a new study.
The researchers
suggest that those taking an ACE inhibitor might be better off
substituting another non-steroidal anti-inflammatory drug (NSAID)
for the ibuprofen to help with arthritis.
As reported
in the February issue of the American Journal of Hypertension,
researchers found that ibuprofen significantly increased both
the average systolic and diastolic blood pressure of the 385 study
participants after one month of use with an ACE inhibitor, compared
to a placebo.
However, the
researchers found that the NSAIDs nabumetone and celecoxib had
smaller increases in average systolic and diastolic blood pressure
that were not significanlty different from a placebo.
"The
results of this study confirm the findings of other studies regarding
the disruptive effects of ibuprofen when administered concomitantly
with antihypertensive therapy," concluded the researchers.
The researchers
suggested that patients taking both antihypertensive drugs and
NSAIDs should regularly have their blood pressure monitored for
potential interference with blood-pressure control, particulary
elderly patients and those with mild renal problems.
Other
sources: American Journal of Hypertension, Vol. 16, No. 2, 135-139
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