Black people can take angiotensin-converting enzyme (ACE) inhibitors to treat high blood pressure, but doctors often start treatment with another type of blood pressure medicine. This is especially true for people who do not have kidney disease or who only need one blood pressure medicine.
Medicines do not work the same for all people. Studies have found that some high blood pressure medicines work better for black people than other medicines. The first-choice drug for black people is usually a thiazide-type diuretic or a calcium channel blocker.
If you are black and have high blood pressure and chronic kidney disease, your doctor may suggest an ACE inhibitor. They can slow the progress of kidney disease as well as treat high blood pressure.
Sometimes a doctor will use more than one medicine to treat high blood pressure. The doctor may add an ACE inhibitor to the drugs you already take. This may help you reach your blood pressure goal.
Remember that every person is different. Finding the right medicine for you may take time. It is like fitting a key into a lock. Not every key will fit in one lock. Even though ACE inhibitors may not be a first-choice medicine for some black people, you and your doctor need to work together to find the key that works for you.