Numerous common diseases are associated with the ACE D/D genotype and will
respond to an adequate tissue-inhibitory dose of ACE inhibitors such as
quinapril. Detailed genotype studies establish the association and
several of these diseases are successfully treated using higher than
normal dosages of ACE inhibitors, especially hydrophobic ACE inhibitors.
ACE inhibitors have also been found to be useful in inhibiting apoptosis
and aging in general. Formulations containing a second active agent such
as a diuretic, or a compound such as furosemide 20 mg/day (for
creatinine<2.5 mg/dl) or furosemide 40 mg/day (for creatinine>2.5
mg/dl), are used to prevent fluid retention and congestive heart failure
in patients with renal failure. The ACE inhibitors can also be combined
with an angiotensin receptor blocker.