4.  Common heart medications (called ACE inhibitors) affect certain blood cells over time.  This must be taken into account when considering massage.  What is affected, and how should the therapist respond?   (Common ACE inhibitors include Lotensin and Altace)


Long term use of ACE inhibitors (a common heart medication) reduces white blood cell counts.  This challenges their immune system and makes them more susceptible to infection.  Postponing the massage session is recommended if the therapist is unwell.  (Long term use of many drugs affect how we perform massage.  The Essential Massage Companion has the most comprehensive list of these medication effects available.)