ACE inhibitors and ARBs: One or the other -- not both -- for high-risk patients
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Avoid prescribing an angiotensin-converting enzyme (ACE) inhibitor and an angiotensin receptor blocker (ARB) for patients at high risk of vascular events or renal dysfunction. The combination does not reduce poor outcomes, and leads to more adverse drug-related events than an ACE inhibitor or ARB alone. Strength of recommendation: B: 1 large, high-quality randomized controlled trial (RCT).
Journal of Family Practice, 58(1) 2009: 24+.