Angiotensin II receptor blockers (ARBs) are used to treat conditions such as high blood pressure and heart failure. Find out more about this class of medication.
By Mayo Clinic Staff
Angiotensin II receptor blockers help relax your blood vessels, which lowers your blood pressure and makes it easier for your heart to pump blood.
Angiotensin II is a natural substance in your body that affects your cardiovascular system in many ways, such as by narrowing your blood vessels. This narrowing can increase your blood pressure and force your heart to work harder. Angiotensin II also starts the release of a hormone that increases the amount of sodium and water in your body, which can lead to increased blood pressure. Angiotensin II can also thicken and stiffen the walls of your blood vessels and heart.
Angiotensin II receptor blockers block the action of angiotensin II. That allows blood vessels to widen (dilate).
Several angiotensin II receptor blockers are available. Which one is best for you depends on your health and the condition being treated.
Examples of angiotensin II receptor blockers include:
- Azilsartan (Edarbi)
- Candesartan (Atacand)
- Eprosartan (Teveten)
- Irbesartan (Avapro)
- Losartan (Cozaar)
- Olmesartan (Benicar)
- Telmisartan (Micardis)
- Valsartan (Diovan)
Doctors prescribe these drugs to prevent, treat or improve symptoms in a variety of conditions, such as:
- High blood pressure
- Heart failure
- Kidney failure in diabetes
- Chronic kidney diseases
- Hardening and thickening of the skin (scleroderma)
Few people have side effects when taking angiotensin II receptor blockers, but possible side effects may include:
- Nasal congestion
- Back and leg pain
There have been some reports of intestinal problems known as sprue-like enteropathy in those taking olmesartan. Talk to your doctor if you develop severe diarrhea or experience significant weight loss while taking olmesartan.
Rare but more-serious side effects include:
- Kidney failure
- Liver failure
- Allergic reaction
- A drop in white blood cells
- Localized swelling of tissues (angioedema)
Because angiotensin II receptor blockers can cause birth defects, don't take them if you are pregnant or plan to become pregnant.
Feb. 01, 2014
- Kaplan NM, et al. Kaplan's Clinical Hypertension. 10th ed. Philadelphia, Pa.: Wolters Kluwer Health Lippincott Williams & Wilkins; 2010:192.
- Types of blood pressure medications. American Heart Association. http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/PreventionTreatmentofHighBloodPressure/Types-of-Blood-Pressure-Medications_UCM_303247_Article.jsp. Accessed April 17, 2013.
- Taylor AA, et al. Angiotensin receptor blockers: Pharmacology, efficacy, and safety. The Journal of Clinical Hypertension. 2011;13:677.
- Mann JFE. Choice of therapy in primary (essential) hypertension: Recommendations. http://www.uptodate.com/home. Accessed April 17, 2013.
- Chobanian AV, et al. The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. New England Journal of Medicine. 2003;289:2560.
- Olmesartan medoxomil: Drug safety communication. U.S. Food and Drug Administration. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm359528.htm. Accessed July 22, 2013.