There are certain blood pressure medications that black people should avoid due to lack of effectiveness as well as side effects.

One example of such a medication is ACE inhibitors such as Ramipril, Enalapril, Lisinopril, and Captopril. These drugs work by stopping Angiotensin 1 from being converted to Angiotensin 2 thus relaxing the blood vessels, which leads to a decrease in blood pressure. However, studies have shown that African Americans are more likely to experience certain side effects from ACE inhibitors, such as kidney damage and cough. Additionally, there is evidence to suggest that these drugs may be less effective in black people than in other ethnic groups.

If you are a black person with high blood pressure, it is important to talk to your doctor about the best treatment options for you. Your doctor can help you understand the risks and benefits of different medications, and can recommend a treatment that is safe and effective for your individual needs. It is also important to take your medication exactly as prescribed, and to monitor your blood pressure regularly to ensure that your treatment is working effectively.

Bangalore S, Ogedegbe G, Gyamfi J, et al. Outcomes with angiotensin-converting enzyme inhibitors vs other antihypertensive agents in hypertensive blacks. Am J Med. 2015; 128: 1195– 1203.