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.:120 The angioedema appears to be dose dependent as it may resolve with decreased dose.:120
Some common ACE Inhibitors are:
- Benazepril (Lotensin)
- Captopril (Capoten)
- Enalapril (Vasotec)
- Lisinopril (Prinivil, Zestril)
- Ramipril (Altace)
Some common ARBs are:
- Candesartan (Atacand)
- Losartan (Cozaar)
- Olmesartan (Benicar)
- Valsartan (Diovan)
Angioedema presents itself as an abrupt onset of non-pitting, non-itchy swelling that involves the mucosal layers. Some common locations of angioedema are the face, particularly the lips and around the eyes, hands and feet, and genitalia. A rare, yet serious complication is one inside the abdomen, the symptom usually being severe stomach upset, which is much less obvious than the other locations.
The chance of drug-induced angioedema is extremely uncommon, however, as studies show incidence of less than 1%. The reason why this adverse effect may occur is due to the build-up of bradykinin, a vasodilator. This causes blood vessels to dilate and allow for fluid buildup in the mucosal surfaces.
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