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Angiotensin II receptor blockers
By Mayo Clinic staffOriginal Article: http://www.mayoclinic.com/health/angiotensin-II-receptor-blockers/HI00054
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Angiotensin II receptor blockers
Angiotensin II receptor blockers (ARBs) are used to treat conditions such as high blood pressure and heart failure. Find out more about this class of medication.
By Mayo Clinic staffAngiotensin II receptor blockers help relax your blood vessels, which lowers your blood pressure and makes it easier for your heart to pump blood.
Angiotensin II is a natural substance in your body that affects your cardiovascular system in many ways, such as by narrowing your blood vessels. This narrowing can increase your blood pressure and force your heart to work harder. Angiotensin II also starts the release of a hormone that increases the amount of sodium and water in your body, which can lead to increased blood pressure. Angiotensin II can also thicken and stiffen the walls of your blood vessels and heart.
Angiotensin II receptor blockers block the action of angiotensin II. That allows blood vessels to widen (dilate).
Examples of angiotensin II receptor blockers
Several angiotensin II receptor blockers are available. Which one is best for you depends on your health and the condition being treated.
Examples of angiotensin II receptor blockers include:
- Candesartan (Atacand)
- Eprosartan (Teveten)
- Irbesartan (Avapro)
- Losartan (Cozaar)
- Olmesartan (Benicar)
- Telmisartan (Micardis)
- Valsartan (Diovan)
Uses for angiotensin II receptor blockers
Doctors prescribe these drugs to prevent, treat or improve symptoms in a variety of conditions, such as:
- High blood pressure
- Heart failure
- Kidney failure in diabetes
- Chronic kidney diseases
- Hardening and thickening of the skin (scleroderma)
Side effects and cautions
Few people have side effects when taking angiotensin II receptor blockers, but possible side effects may include:
- Headache
- Dizziness
- Lightheadedness
- Nasal congestion
- Back and leg pain
- Diarrhea
Rare but more-serious side effects include:
- Kidney failure
- Liver failure
- Allergic reaction
- A drop in white blood cells
- Localized swelling of tissues (angioedema)
Because angiotensin II receptor blockers can cause birth defects, don't take them if you are pregnant or plan to become pregnant.
- Flynn JT. Treatment of high blood pressure: Drug therapy. In: Kaplan NM, et al. Kaplan's Clinical Hypertension. 10th ed. Philadelphia, Pa.: Wolters Kluwer Health Lippincott Williams & Wilkins; 2010:192.
- Types of blood pressure medications. American Heart Association. http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/PreventionTreatmentofHighBloodPressure/Types-of-Blood-Pressure-Medications_UCM_303247_Article.jsp. Accessed Sept. 30, 2010.
- High blood pressure: Medicines to help you. U.S. Food and Drug Administration. http://www.fda.gov/forconsumers/byaudience/forwomen/ucm118594.htm. Accessed Sept. 30, 2010.
- Kaplan NM, et al. Indications and contraindications to the use of specific antihypertensive drugs. http://www.uptodate.com/home/index.html. Accessed Sept. 30, 2010.
- Chobanian AV, et al. The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. New England Journal of Medicine. 2003;289:2560.


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