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ACE Inhibitors

The Food and Drug Administration (FDA) has issued an alert to warn women and their doctors about the possible risks of taking ACE (angiotensin-converting enzyme) inhibitors during early pregnancy.

A common class of blood pressure medications known as angiotensin-converting enzyme (ACE) inhibitors may increase the risk of birth defects if taken during the first three months of pregnancy suggests a new study published in the New England Journal of Medicine. The results of the study revealed that infants whose mothers used ACE-Inhibitors during the first-trimester were 2.7 times more likely to have birth defects of the cardiovascular and central nervous systems than those not exposed to ACE Inhibitors.

The FDA already issued strong “black box” warnings regarding the use of ACE Inhibitors during the second and third trimester of pregnancy. However, this study is the first to point out the possible dangers of ACE inhibitors taken during the first trimester. The FDA requires more research before it will consider changing the warning label on ACE Inhibitors to include risks regarding first-trimester exposure. However, the FDA is notifying doctors and patients about the increased risks through its website.

Angiotensin-converting enzyme (ACE) inhibitors are a type of blood pressure medication used to treat high blood pressure, also known as hypertension, and congestive heart failure. ACE Inhibitors are known to block an enzyme in the body that causes blood vessels to tighten. This allows blood vessels to relax thereby lowering blood pressure and increasing the supply of blood and oxygen to the heart.

In the study, the risk of major birth defects in children whose mothers took ACE inhibitors during the first trimester was nearly three times higher than in children whose mothers did not take blood pressure medication. The birth defects ranged from holes in the chambers of the heart to spinal deformations. No increased risk was identified for other blood pressure medications.

There are a number of blood pressure medications that are classified as ACE inhibitors including:

Lotensin® (benazepril)
Capoten® (captopril)
Vasotec® (enalapril)
Monopril® (fosinopril)
Prinivil®, Zestril® (lisinopril)
Univasc® (moexipril)
Aceon® (perindopril)
Accupril® (quinapril)
Altace® (ramipril)
Mavik® (trandolapril)


If you have taken any of these drugs in the last 20 years and have had a child with a birth defect or death or if you believe that a birth injury occurred due to possible effects from an ACE inhibitor during pregnancy, please contact our service so we can help you get in touch with attorneys who are experienced with this type of litigation.

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