its not really about the naplex.. its more about patients
I've seen many stop taking their ACE I due to cough and their doctor has put them on it not for BP but for renal protection due to their diabetes.. most of these patients are newly diagnosed with diabetes.. and are usually on 2.5 mg of lisinopril.. but the cough still occurs..
I asked cuz since many stop their ACE I, an ARB has potential to do the same, but which ARB would you as a pharmacist recommend if you had a patient who could not take ACE I and NO BP problem ????
Telmisartan study has been conducted but many of the ARB's have been out alot longer. Being on the market longer has its advantage of becoming a generic faster, and that since Losartan, Valsartan etc have been on the market, they may be on formulary for a brand copay instead of Tier 3 or 4 or a Prior Auth Medication.
I was also asking because this week I had one patient who for the past two months has been coughing, and was given tussinex, albut inhaler and a corticosteriod inhaler .. doctor states he is coughing due to some kinda bronchitis/asthma (with no other symptoms but dry hacking cough).. and now his throat is inflammed, coughing still, has a "viral" infection says his MD, can barely talk, and yet the doctor says he should continue his corticosteriod inhaler, it will help him breath..
