Hypertension and cycling

[le-sheq]

Tritace (Ramipril) vs Accupro (Quinapril)

Which of the above would you recommend for 23-years-old male semi-pro
cyclists with hypertension, probably essential? Is there any significant
difference between them? Mayby you have some other suggestions?

Anticipating your questions, I'm under cardiologist control, just seekeing
for any opinions and suggestions.

TIA

Lechu

[JeffWills]

le-sheq wrote:
> Tritace (Ramipril) vs Accupro (Quinapril)
>
> Which of the above would you recommend for 23-years-old male semi-pro
> cyclists with hypertension, probably essential? Is there any significant
> difference between them? Mayby you have some other suggestions?
>
> Anticipating your questions, I'm under cardiologist control, just seekeing
> for any opinions and suggestions.
>
> TIA
>
> Lechu

No direct experience, but here's some technical information:

Quinapril (Accupril®):
http://www.rxlist.com/cgi/generic/quinap.htm
Ramipril (Altace®):
http://www.rxlist.com/cgi/generic/ramipril.htm

Both are ACE inhibitors, with similar cautions and warnings. You may
have to try both of them (at different times) to find out which works
for you.

Jeff

[Javier]

I've been on Altace (Ramipril) for about a year. We started at 5MG and
I'm now down to 2.5MG. The only side effect was mild lightheaddedness.
But that was excpected as I dropped a lot of weight once I got back on
my bike (45 pounds and counting), if I'm luck once I drop another 25 or
so pounds I'll be off Altace.

[Llatikcuf]

le-sheq wrote:
> Tritace (Ramipril) vs Accupro (Quinapril)
>
> Which of the above would you recommend for 23-years-old male semi-pro
> cyclists with hypertension, probably essential? Is there any significant
> difference between them? Mayby you have some other suggestions?
>
> Anticipating your questions, I'm under cardiologist control, just seekeing
> for any opinions and suggestions.
>

If it were up to me, I would try one for 6 months or so and then try
the other. See which one you like more. The drugs effect everyone a
little differently.

-nate

[Llatikcuf]

le-sheq wrote:
> Tritace (Ramipril) vs Accupro (Quinapril)
>
> Which of the above would you recommend for 23-years-old male semi-pro
> cyclists with hypertension, probably essential? Is there any significant
> difference between them? Mayby you have some other suggestions?
>
> Anticipating your questions, I'm under cardiologist control, just seekeing
> for any opinions and suggestions.
>
> TIA
>
> Lechu

One more thing, if cost is an issue, Quinapril (Accupril) now comes in
generic form and will be significantly cheaper.

-nate

[(PeteCresswell)]

Per Llatikcuf:
> The drugs effect everyone a
>little differently.

And I'd add: when you take your first dose, make sure you take it after work -
at home when you don't have to go anywhere.

It's a long shot, but always possible that you'll react in a way that will make
you *really* glad you're not dodging semis on I-95...
--
PeteCresswell

[[email protected]]

le-sheq wrote:
> Tritace (Ramipril) vs Accupro (Quinapril)
>
> Which of the above would you recommend for 23-years-old male semi-pro
> cyclists with hypertension, probably essential? Is there any significant
> difference between them? Mayby you have some other suggestions?
>
> Anticipating your questions, I'm under cardiologist control, just seekeing
> for any opinions and suggestions.
>
> TIA
>
> Lechu

You're asking this bunch of numb-nuts for medical advice???

Maybe your cardiologist can recommend a good psychiatrist.

Fred

[(PeteCresswell)]

Per :
>You're asking this bunch of numb-nuts for medical advice???
>
>Maybe your cardiologist can recommend a good psychiatrist.

Sounded to me like he was looking for first-hand experience from cyclists who
have tried one or both to get a handle on how they affect people who do what
cyclists do - probably something that couldn't be found out from somebody in the
medical profession that doesn't both cycle and take one or the other of the
drugs.
--
PeteCresswell

[le-sheq]

> You're asking this bunch of numb-nuts for medical advice???

These are the medications my cardiologist suggested. He prescribed Rampril.

> Maybe your cardiologist can recommend a good psychiatrist.

I still can do without... ;)

[G.T.]

Shiner wrote:
> le-sheq wrote:
>
>>>You're asking this bunch of numb-nuts for medical advice???
>>
>>These are the medications my cardiologist suggested. He prescribed Rampril.
>>
>>
>>>Maybe your cardiologist can recommend a good psychiatrist.
>>
>>I still can do without... ;)
>
>
> Well if your cardiologist recommends something I suggest you listen to
> him rather than a bunch of unqualified faceless people who you are
> hoping will give you a differenet answer that YOU want to hear.
>

His earlier post said the dr suggested rampril or accupril. If his
doctor is giving him two choices of therapy and each one has it's
benefits and drawbacks, why can't he ask for additional real world
advice? Does his doctor take both of them?

Greg
--
"All my time I spent in heaven
Revelries of dance and wine
Waking to the sound of laughter
Up I'd rise and kiss the sky" - The Mekons

[Neil Brooks]

On Mon, 03 Apr 2006 09:34:46 -0700, "G.T." >
wrote:

>Shiner wrote:
>> le-sheq wrote:
>>
>>>>You're asking this bunch of numb-nuts for medical advice???
>>>
>>>These are the medications my cardiologist suggested. He prescribed Rampril.
>>>
>>>
>>>>Maybe your cardiologist can recommend a good psychiatrist.
>>>
>>>I still can do without... ;)
>>
>>
>> Well if your cardiologist recommends something I suggest you listen to
>> him rather than a bunch of unqualified faceless people who you are
>> hoping will give you a differenet answer that YOU want to hear.
>>
>
>His earlier post said the dr suggested rampril or accupril. If his
>doctor is giving him two choices of therapy and each one has it's
>benefits and drawbacks, why can't he ask for additional real world
>advice? Does his doctor take both of them?

Le-Sheq popped by r.b.t. to ask some similar questions about cycling
vis-a-vis his heart condition a while back. While I *did* think it a
bit odd, I think he understands that the feedback here is only worth
what he's paying for it.

For my money, if I were choosing between these three drugs--and each
were recommended as equal to the other by my cardiologist--I'd likely
pull up (Google) the "Prescribing Information" (usually a .pdf file)
and learn everything I could about each--especially the side effects
(or "adverse effects" or "adverse events") associated with the
clinical trials.

From there, you could likely make a better choice about what kind of
side effects (they allll have 'em) would be more manageable for you,
given your particular lifestyle/choice of activities.

[Javier]

>And I'd add: when you take your first dose, make sure you take it after work -
>at home when you don't have to go anywhere.

>It's a long shot, but always possible that you'll react in a way that will make
>you *really* glad you're not dodging semis on I-95...

pete is right, I noticed that if I took my meds in the morning or
afternoon I would get a bit lightheaded. However, if I take them on or
after 6PM I have no problems or side effects. You'll need to experiment
in order to find out what works for you. What dose are you on? Also,
what were your BP readings and how often were they read?