AboutDomenic Sica Expertise All aspects of hypertension as well as any consideration in drug therapy for the management
of hypertension.
Experience Heavily published in the area of drug therapy in hypertension and renal disease. Primary management physician for a large multi-state referral practice for diagnosis and management of complex hypertension
Organizations Multiple including the American Society of Hypertension, International Society of Hypertension, American Society of Nephrology, American Heart Association, American College of Clinical Pharmacology amongst others.
Publications Over 250 publications (see PubMed)
Education/Credentials Board certified in internal medicine, nephrology, clinical pharmacology, and hypertension
Awards and Honors Multiple awards as clinical and/or teacher of the year.
Question I apologize for not knowing how to followup on my recent question to you regarding Vascar. Allow me to remind you of the pertinent facts: reduced to 25MG Toprol XL from 100MG (daily) and placed on 2.5MG (daily) of Vascar. I'm considering asking my physician to switch me to an ACE inhibitor after doing a lot of research on the Internet. I've come up with three possibilities: Quinapril, Lisinopril and Enalapril. I'm wondering what your opinion is regarding this switch and if I've chosen the possibilities (among several options) that are the safest and most efficacious. I very much appreciate the fact that you make yourself available in this manner on the Internet; if you require more information, please let me know.
Answer It is hard to predict ahead of time how well a new blood pressure medication class will affect your blood pressure. Two thoughts come to mind: why did you physician chose the drug class that he did (you would have to ask him) and whether what you are on is controlling your hypertension. At a minimum you can talk to him/her physician about these issues.
