What are the recommendations for prescribing an ACE inhibitor or an ARB for people with cardiovascular disease?
The recommendations for prescribing an ACE inhibitor or an ARB for people with cardiovascular disease are to follow the recommendations in the NICE guideline on their condition. For example, the NICE guidelines recommend drug therapy for secondary prevention in the NICE guideline on acute coronary syndromes, treatment after stabilisation in the NICE guideline on acute heart failure, treating heart failure with reduced ejection fraction in the NICE guideline on chronic heart failure, drugs for secondary prevention of cardiovascular disease in the NICE guideline on stable angina, and blood pressure management in the NICE guideline on type 1 diabetes in adults. If their blood pressure remains uncontrolled, offer antihypertensive drug treatment in line with the recommendations in this section. The MHRA safety advice on ACE inhibitors and angiotensin II receptor antagonists should also be followed, such as not using the medication in pregnancy, how to use for breastfeeding, and clarification on breastfeeding.