Saturday, October 08, 2011

what can be done to fight Diabetes in India

diabetes is a chronic disease which affects millions of people all over the world
india is becoming a country with the maximum number of diabetic patients. one of the main reasons for this is the changing nature of the diet and decreasing physical activity among Indians.
by the end of this  decade the number of obese people in India will double and the number of diabetes cases triple.


what can be done to fight this?
we should make physical education compulsory in all schools.
we should discourage our children from eating junk food which is becoming increasingly popular among young.

Tuesday, October 04, 2011

Lisinopril Conversion to ACE-Is and ARBs

 

Approximate to Lisinopril 5mg

Equivalent to Lisinopril 10mg

Approximate to Lisinopril 20mg

Approximate to Lisinopril 40mg

Approximate to Lisinopril 80mg

Captopril

--

25mg BID

50mg BID

100mg BID

200mg BID

Enalapril

5mg

10mg

20mg

40mg

--

Ramipril

1.25mg

2.5mg

5mg

10mg

20mg

Benazepril

5mg

10mg

20mg

40mg

80mg

Fosinopril**

--

10mg

20mg

40mg

80mg

Moexipril

3.75mg

7.5mg

15mg

30mg

60mg

Perindopril

2mg

4mg

8mg

16mg

--

Trandolapril

0.5mg

1mg

2mg

4mg

4mg BID

Quinapril

5mg

10mg

20mg

40 mg

80mg

Candesartan

4mg

8mg

8-16mg

--

--

Valsartan

40mg

80mg

160mg

--

--

Losartan

25mg

50mg

100mg

--

--

Irbesartan

75mg

150mg

300mg

--

--

Olmesartan

5mg

10mg

20mg

--

--

Telmisartan

--

20mg

40mg

--

--

Lisinopril Conversion to ACE-Is and ARBs


 


 

*Approximate dosing was based off of ratios from known equivalent lisinopril doses

**If cough with lisinopril, Fosinopril (cough 2%-10%) may be used before switching to ARB


 


 


 


 


 


 

Kathryn Ley, our last pharmacy student, put this chart together.  Hopefully, it can serve as a good starting point. 


 

References:

Angiotensin converting enzyme (ACE) inhibitor antihypertensive dose comparison. Pharmacist's Letter/Prescriber's Letter 2009;25(8):250801.

Angiotensin receptor blocker (ARB) antihypertensive dose comparison. Pharmacist's Letter/Prescriber's Letter 2009;25(8):250801.

Diovan [package insert]. East Hanover, NJ: Novartis Pharmaceuticals Corp; 2011.

Lexi-Comp Online, Lexi-Drugs Online, Hudson, Ohio: Lexi-Comp, Inc.; 2011; September 12, 2011.