Can I use Capoten if I have a history of heart disease?

Judy Caplan
Nutrition & Dietetics
Capoten and other angiotensin converting enzyme inhibitors are among the most important classes of medications for many different types of heart disease. They work by vasodilatation which reduces blood pressure and reduces the work of the heart. ACE inhibitors can cause allergic reactions, rashes, and abnormal swelling of the lips and face (angioedema) in which case they must be discontinued immediately. They may also cause a chronic non-productive cough, which is more a nuisance than a serious reaction. ACE inhibitors lower blood pressure, so must be initiated gradually in patients who have hypotension to begin with.
If you have a history of heart disease, you may be able to take Capoten (captopril). Capoten can be used to treat congestive heart failure, usually in combination with diuretics (water pills) and digitalis. While taking digitalis is not required for Capoten to work in heart failure, most controlled studies were done in people taking it with digitalis and diuretics.

Capoten has also improved survival after a heart attack in clinically stable people and has been shown to reduce future hospitalizations in people with congestive heart failure. Capoten is in a class of drugs known as angiotensin-converting (ACE) inhibitors.

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