The dry cough with ACE inhibitors is because they let bradykinin build up, while ARBs don't. So for our national list, we still list both, but in our training, we advise doctors in smaller towns to start with an ARB if the patient has a history of a chronic cough—it's more practical than switching later. I've seen this matter in our local clinics, where stopping a medicine because of a cough means the patient often just goes without any treatment at all.
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