I am on my second round with Altace. As I mentioned in April, It didn't work very well the first time. I fired the cardiologist and begged my GP to work with me and so far so good. I asked to be put back on diltiazem but he just didn't feel comfortable mixing that with atenolol (which I have had a hard time weaning off of) So I agreed to try his ideas first. I dropped the ARB and just took 10mgs of Altace with 25mgs of HCTZ and the tiny dose of atenolol.
My BP settled to a consistant "normal" range. Not perfect, not under 120/80 but still OK. It ranges from the 100s / 60s to 130s / 80s. Believe me that is an improvement.
As for tiredness, yes I do get tired sometimes, but it's usually early am or late afternoon and a small shot of caffeine ( diet coke, tea, or coffee ) gets me up and going again. The tiredness seems to be related to the lowest BP of the day.
I have taken other ACEIs before (vasetec) and have never had "the" cough.
I do, however, get a tickle in my throat from time to time. It's not often enough to be bothersome though and I suspect it may just be an allergy.
Cass