Pot sparing diuretics or Pot supplements. NSAIDs, lithium, antidiabetic agents, antihypertensives, TCADs, Alcohol, antacids, allopurinol, Mylosuppressives, steroids, procainamide, neuroleptics, inhalation anesthetics

Left ventricular dysfunction following MI

 ACE inhibitors include- Benazepril, Captopril, Enalapril, Enalaprilat, Fosinopril, Lisonopril, Moexipril, Perindopril, Quinapril, Ramipril, Trandolapril

Cough, headache, asthenia, dizziness,rash, Symptomatic hypotension, palpitations, arrhythmias, Malaise, fever, nausea, vomiting, Diarrheoa, angioneurotic oedema, bone marrow depression, Agranulocytosis, hyperkalemia, Alopecia, sweating, Bronchitis, increased SGOT (AST)

Angioneurotic odema, heriditary idiopathic or related to previous ACE inhibitor therapy Aortic stenosis or outflow obstruction Pregnancy, lactation

Special precautions-

Hemodialysis, renal or hepatic impirment ZMonitor renal function before and during therapy Congestive heart failure. Salt or volume depletion.

Monitor serum electrolytes Monitor for neutropenia, in collagen vascular and/or renal disease, bilateral renal artery stenosis Surgery, anaethesia Avoid hypotension in CHF, IHD, or cerebrovascular didsease

Indication -Left ventricular dysfunction following MI

Dosage-

Initially 0.5mg once daily starting 3 days post MI. Increase gradually to maintenance 4mg once daily. Discontinue diuretics 2-3 days before starting, resume later if required Children- not recommended

Refer Captopril

Refer Captopril 

Contra-indicated in pregnancy and lactation