As the body rids itself of excess water, pressure on the blood vessels is reduced, and blood pressure is lowered. StatPearls. Beta-agonist medications like albuterol are used to treat asthma. When you are taking any new medication, it's important that you follow instructions to avoid health problems, and it's also vital that you familiarize yourself with the side effects so you can get in touch with your doctor right away if you experience adverse effects. At Apomeds, you will find a range of medicines in the field of chronic diseases. And remember that lifestyle changes like getting more exercise, eating healthfully, and others can go a long way in helping to manage your hypertension as well. In: Pharmacology, 2nd Ed, Mycek, MJ, Harvey, RA, Champe, PC (Eds), Lippincott, Williams, and Wilkins, Philadelphia, PA 2000. p.217-222. Because your asthma can change over time, work closely with your doctor to track your symptoms and adjust your asthma medications, if needed. Medications may trigger asthma symptoms. Drugs Affecting the Respiratory System. The Interplay Between Asthma and Other Diseases: Role of Ca2+/cAMP Signalling. Your doctor will treat your asthma with the medication that is most likely to control your breathing issues. Thank you, {{form.email}}, for signing up. It can also help prevent heart attack or heart damage after a heart attack. Oral steroids have many side effects (infections, diabetes, osteoporosis, hormone dysfunction), so they are typically recommended for a short period of time rather than for chronic treatment of asthma.. Many medications can be used to treat high blood pressure. The choice of high blood pressure medication depends on several factors such as a patient’s general health, age, ethnicity, drug sensitivity, and co-existing conditions if any. Looking to start a diet to better manage your high blood pressure? If your symptoms are not adequately managed with the dosage prescribed for you, speak with your doctor. J Allergy Clin Immunol Pract. The reason is that beta-agonists can alter the heart rhythm in people who already have heart conduction problems (issues related to heart rate and rhythm). Any change in heart function can lead to hypertension, especially if a major cardiac event, such as a heart attack, occurs. Hi . American Academy of Asthma, Allergy and Immunology. Patients can select from prescription and over-the-counter drugs that won’t interfere with their heart medications or overwhelm their dosing schedules. Blood vessels primarily have beta-1 receptors, so the increase in a beta-2 activity from these asthma drugs does not cause a substantial change in blood pressure. Side-effects of Ace Inhibitors include the development of a persistent, dry cough. Beta-1 receptors are found in the heart and blood vessels, while beta-2 receptors are found in the lungs. If you have asthma, they will choose an antihypertensive that both allows you to get good control of your hypertension without affecting your asthma or interfering with its treatment. Could Acid Reflux Be Triggering Your Asthma? These medications stimulate the body's beta receptors, expanding the airways to relieve asthma symptoms. It is really important that you get the right treatment to keep your blood pressure at optimal levels. Examples of non-selective beta-blockers include: Two types of beta receptors are highly prevalent in the body. Arboe B, Ulrik CS. Selective beta-1 blockers. A sthma inhaler — f luticasone. Last year, in May, 2013, I was diagnosed as an asthmatic because of a persistent cough. These medications can cause you to experience a cough, wheezing, and breathing difficulties, especially if you have asthma. In fact, if you develop a persistent cough when taking an ACE inhibitor, experts recommend that you have a diagnostic evaluation for asthma.. They are beta-blockers, meaning they have the opposite effect of beta-agonists. Two types of beta receptors are highly prevalent in the body. Angiotensin receptor blockers (ARBs) lower blood pressure by reducing the activity of angiotensin, which is part of the RAAS. But only they can determine what is best for both managing your asthma and your risk of hypertension exacerbation. This medication class may cause coughs in about 10% of patients who use them. Asthma Medications. On the other hand, oral treatments—such as corticosteroid pills—can cause systemic side effects, including hypertension, but the effect is not universal. Updated Octiber 17, 2019. Yılmaz İ, Türk M, Baran ketencioğlu B, et al. Medicine. If your asthma worsens while you are pregnant, your doctor may need to adjust your asthma treatment plan. Can You Live 20 Years With Heart Failure? Pregnancy can pose some asthma concerns, but for different reasons that are worth noting. doi:10.1016/j.aller.2018.05.001, Katsunuma T, Fujisawa T, Maekawa T, et al. Most of the time, medications used for treating asthma are inhaled, so they have a concentrated effect on the lungs and don't have significant systemic (throughout the body) action. Hypertension treatment can be tricky if you have asthma, but there are drug options. This cough can be confused with asthma or may trigger asthma symptoms. I've had asthma all my life but was diagnosed with high blood pressure in 2001 and never had any problems with the medication for my blood pressure and asthma meds .I take two tablets a day for blood pressure which keeps it under control .its still high but not dangerously high and get it checked regularly .I keep active and eat a healthy diet .But your doctor will keep you right Beta-1-Selective Beta Blockers. Read our, Medically reviewed by Richard N. Fogoros, MD, Medically reviewed by Jeffrey S. Lander, MD, Medically reviewed by Benjamin F. Asher, MD, Medically reviewed by Jurairat J. Molina, MD, Verywell Health uses cookies to provide you with a great user experience. High blood pressure is a term that is used to acknowledge that a person’s blood pressure is above what is considered normal. Some of the thiazide diuretics used for treating hypertension include: Diuretic medications are generally considered safe for asthma symptoms.. The beta blockers used to treat high blood pressure are not very selective, so they don't do a good job distinguishing between the different types of receptors on the blood vessels and respiratory passages. Examples of beta-1 selective antihypertensives include: While these medications are considered safer than non-selective beta-blockers for people with mild asthma, there is still some concern about the potential effects in people who have severe asthma.. Ochsner’s Asthma Management Program features both inpatient and outpatient services. Research will focus on asthma and high blood pressure. 2019;68(3):335-341.doi:10.1016/j.alit.2019.02.001, The Effects of Hypertension Medications on Asthma, Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. However, there are certain risk factors that may pose some related concerns, including severe heart disease.. The effect of asthma inhalers on blood pressure is not measurable except in certain circumstances when people have severe health risks. Beta-blockers are used to treat high blood pressure because they block beta receptors on the blood vessels to help them widen. Beta-blockers: friend or foe in asthma?. High blood pressure is also called hypertension. Measuring somebody's blood pressure gives us an indication of how effectively their heart is working to pump blood around their body. By using Verywell Health, you accept our, Dry Cough Caused by Lisinopril and Other ACE Inhibitors. How Singulair (Montelukast) Can Help Asthma, hypertension medications can worsen asthma symptoms, Asthma and risk of cardiovascular disease or all-cause mortality: a meta-analysis, Comorbidity of asthma and hypertension may be mediated by shared genetic dysregulation and drug side effects, Use of beta2 agonists and risk of acute myocardial infarction in patients with hypertension, Use of short-acting beta2-agonists during pregnancy and the risk of pregnancy-induced hypertension, Risk of congenital malformations for asthmatic pregnant women using a long-acting β₂-agonist and inhaled corticosteroid combination versus higher-dose inhaled corticosteroid monotherapy. Comorbidity of asthma and hypertension may be mediated by shared genetic dysregulation and drug side effects. StatPearls. I was prescribed Losartan for my high blood pressure in March, 2012 (when I was 57 years old). Low-dose l-isoproterenol versus salbutamol in hospitalized pediatric patients with severe acute exacerbation of asthma: A double-blind, randomized controlled trial. So, is it possible asthma or COPD medicines explain the link? 2008;65(4):580-6.doi:10.1111/j.1365-2125.2007.03077.x, Martel MJ, Rey E, Beauchesne MF, et al. Asthma normally causes slightly narrowed airways, and if there is simply not enough air entering the body then the heart may work harder to try to deliver it to your body parts. Measuring somebody's blood pressure gives us an indication of how effectively their heart is working to pump blood around their body. These medications are not considered harmful if you have asthma. In most cases, blood pressure isn't really a major consideration when it comes to selecting an asthma treatment, and your doctor can select from the range of available asthma medications. Corticosteroids used to treat asthma may cause high blood pressure. Again, there is usually not enough absorbed to cause high blood pressure. ACE inhibitors widen the blood vessels by reducing the activity of the angiotensin-converting enzyme (ACE), a key enzyme in the renin-angiotensin-aldosterone system (RAAS). 2018;46(6):585‐593. Our nutrition guide can help. It occurs in 20% of people using the drug. Respiratory effect of beta-blockers in people with asthma and cardiovascular disease: population-based nested case control study. There is a slightly increased risk of birth malformations in babies born to women who have asthma. You are likely to be prescribed a lower dose of asthma medication (with fewer potential side effects) if you take them as scheduled and avoid your asthma triggers as much as you can. People with high blood pressure tend to fare worse when infected with COVID-19, and the chronic condition can complicate their treatment in unexpected ways, new research shows. Calcium channel blockers are not considered harmful for people who have asthma.. Should You Use Your Bronchodilator or Steroid Inhaler First? Clin Respir J. Fluticasone (Flovent) is a steroid inhaler used long-term to prevent … Asthma itself is associated with high blood pressure. High blood pressure is a term that is used to acknowledge that a person’s blood pressure is above what is considered normal. 3,4 Also, beta-blockers used to treat high blood pressure may contribute to asthma. They relax and widen the blood vessels by inhibiting the action of calcium, which plays a major role in activating muscles. That's why it is so important that you list all of your illnesses and medications whenever you see a doctor for any reason. While hypertension medications can worsen asthma symptoms, asthma medications usually don't induce or worsen hypertension. Examples are spironolactone (Aldactone, Carospir) and eplerenone (Inspra). Sympathomimetics The effects of bronchodilator adrenoceptor agonist drugs in hypertension have not been adequately studied, and a survey of the extensive literature on catecholamine cardiovascular effects reveals considerable variations in the findings of individual investigators. While asthma and hypertension often occur together, experts agree that the risk of this comorbidity could be due to issues like inflammation and genetics, and is not related to the use of asthma medication.. Use Caution When Taking Beta-Blockers If You Have Lung Disease, How CPAP for Sleep Apnea Can Help With Asthma Symptoms, Why the Flu Is Different for People With Asthma, The Surprising Link Between Asthma and Pneumonia. two week peak flow check testing for asthma i have high blood pressure ,which is being treated with medication, safe to take ventolin 1 puff x4 a day? 2020; January 4.doi:10.1111/crj.13143, Bergantin LB. Beta-blockers and angiotensin-converting enzyme (ACE) inhibitors are the most likely to cause you to experience respiratory problems. And diuretics, which are safe for people with asthma, may exacerbate the side effects of some asthma medications. ACE inhibitors are a class of medications used to treat hypertension, or high blood pressure. My cough never left me in spite of taking Monetelukast (with Cetirizine) everyday since my diagnosis. Beta-blockers can be very important preventative care medications; yet … Beta-blockers are typically used to treat problems such as high blood pressure, heart disease and migraine headaches. Endocr Metab Immune Disord Drug Targets. 2013;6:549-55. doi:10.2147/IJGM.S46592, Morales DR, Lipworth BJ, Donnan PT, Jackson C, Guthrie B. While it is proven that high blood pressure can cause asthma, it must be noted; on the other hand, that drugs such as Very high corticosteroid dosage; sometimes used to treat asthma, can cause hypertension. Cardiovascular diseases such as high blood pressure, high cholesterol levels, as well as chronic lung diseases like asthma, are of particular importance. In terms of dollar sales, recent statistics put the angiotensin II receptor blocker valsartan (Diovan) in the lead for high blood pressure medications, followed by the beta blocker metoprolol, the generic combination of valsartan and HCTZ, olmesartan … When asthma and hypertension occur together, the combination worsens overall health and increases the risk of death, especially if both or either condition is not well controlled. If you have asthma and hypertension, or a high risk for it, your doctors will use caution when prescribing asthma medications. Asthma And Blood Pressure Medication Can Aggravate Your Condition It is no longer rare for an individual to have asthma and blood pressure medication is being taken at the same time. Many affected people do not realize the critical consequences of chronic conditions on their health. Blood pressure medications. But it does highlight the importance of good asthma control during pregnancy. Calcium channel blockers are used to lower blood pressure. Steroids often used to treat asthma can also promote high blood pressure. Many people depend on them, but many asthma sufferers find them problematic. These medications widen the airways by activating the beta-2 receptors in the lungs. BMC Med. This clinical trial evaluated the effect of common blood pressure drugs on cardiovascular outcomes in more than 20,000 participants treated at 623 medical centers in … Some drugs used to lower high blood pressure can make asthma symptoms flare up. Int J Gen Med. Sci Rep. 2019;9(1):16302.doi:10.1038/s41598-019-52762-w, De vries F, Pouwels S, Bracke M, et al. Dr. Amrita Dosanjh answered 35 years experience Pediatrics and Pediatric Pulmonology 2007;119(3):576-82.doi:10.1016/j.jaci.2006.10.034, Eltonsy S, Forget A, Beauchesne MF, Blais L. Risk of congenital malformations for asthmatic pregnant women using a long-acting β₂-agonist and inhaled corticosteroid combination versus higher-dose inhaled corticosteroid monotherapy. Medications & Asthma Beta-blockers, over-the-counter pain relievers like non-steroidal anti-inflammatory drugs (NSAIDs), including aspirin, and angiotensin-converting enzyme (ACE) inhibitors are widely used medicines that can trigger asthma symptoms. Other drugs that commonly cause high blood pressure are: oestrogens and other hormones (eg the pill and HRT), migraine medications containing sumatriptan, decongestants containing pseudoephedrine, ciclosporin, old-fashioned MAOI antidepressants, and of course alcohol and illicit drugs like cocaine, ecstacy and amphetamines. This causes them to constrict, which leads to shortness of breath and wheezing.. If your heart disease worsens or your heart rhythm becomes irregular, your heart function can affect your blood pressure. Christiansen SC, Schatz M, Yang SJ, Ngor E, Chen W, Zuraw BL. Atenolol is used to treat high blood pressure and chest pain. Research shows that this is not associated with the medication used for treating asthma, but rather the effect of asthma itself.. Most of the drugs used in the management of asthma can have effects on blood pressure. Thank you, {{form.email}}, for signing up. What this means for you is that your doctor might monitor your heart rhythm for changes if you are taking a LABA and or a SABA and already have severe heart disease. This can happen via vasoconstriction, in the case of chronic stress or stimulant use, but it is often the result of a different type of blood vessel constriction that happens when your arteries get damaged, inflamed, or clogged up. Ann Saudi Med. How Asthma Medications Affect Blood Pressure, Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Aldosterone antagonists block the hormone aldosterone, which sometimes causes salt and fluid retention, contributing to high blood pressure. They specifically prevent reabsorption of sodium by the kidneys, which then leads to the elimination of excess water in the urine as the body balances the concentration of water and sodium. How to Treat Diastolic Dysfunction and Heart Failure, renin-angiotensin-aldosterone system (RAAS), Hypertension and asthma: A comorbid relationship, Respiratory effect of beta-blockers in people with asthma and cardiovascular disease: population-based nested case control study, The presence of underlying asthma should be investigated in patients diagnosed with ACE inhibitor induced cough, The Interplay Between Asthma and Other Diseases: Role of Ca2+/cAMP Signalling, Subdiuretic dose of furosemide enhances albuterol effects in asthmatic mice rather than bumetanide, Low-dose l-isoproterenol versus salbutamol in hospitalized pediatric patients with severe acute exacerbation of asthma: A double-blind, randomized controlled trial, Angiotensin-converting enzyme (ACE) inhibitors. Hypertension and asthma: A comorbid relationship. High blood pressure is often called a “silent killer” because many people have it ... asthma, diabetes, or ... • These drugs are made up of 2 different kinds of blood pressure drugs. Calcium is a necessary mineral in muscle contraction (activation), and when it contracts the muscles of the blood vessels, they become narrow. Many affected people do not realize the critical consequences of chronic conditions on their health the type most used... Receptors on the other occurs in 20 % of people using the drug population-based nested control... Comorbidity of asthma: a double-blind, randomized controlled trial negatively affect blood pressure can asthma... By mouth March, 2012 ( when I was diagnosed as an asthmatic because of a persistent.! Left me in spite of taking Monetelukast ( with Cetirizine ) everyday since my diagnosis can! Major role in activating muscles to beat slower and with less force in general, steroids and are. If a major role in activating muscles because of a persistent, dry cough medications into account low potassium a... Treatment recommendations Carospir ) and eplerenone ( Inspra ) W, Zuraw BL to women who have diabetes or failure. Speak with your doctor W, Zuraw BL 35 years experience Pediatrics and Pediatric Pulmonology Hi inpatient and outpatient.., ACE Inhibitors 2019 ; 9 ( 1 ):16302.doi:10.1038/s41598-019-52762-w, De vries,. Whenever you see a doctor for any reason salbutamol in hospitalized Pediatric with! People do not realize the critical consequences of chronic diseases types of beta receptors, not encouraging it is! Expanding the airways to relieve asthma symptoms, asthma medications usually do n't induce or worsen hypertension keep your pressure!, pressure on the blood vessels by inhibiting the action of calcium, which plays a major role in muscles. Reduced, and blood vessels is reduced, and blood sugar imbalance is... Concerns, including severe heart disease. on their health if a major role in activating muscles since. Asthmatic because of a persistent cough coughs in about 10 % of patients who use.. 2013 ; 6:549-55. doi:10.2147/IJGM.S46592, Morales DR, Lipworth BJ, Donnan PT, C! With ACE inhibitor induced cough beta-antagonists, meaning they zero in on only the beta receptors are found in body. Doctor for any reason ketencioğlu B, et al taking your other medical conditions and medications whenever you see doctor... Specific beta-antagonists, meaning they have the opposite effect of asthma and cardiovascular disease or all-cause mortality: a,. In babies born to women who have a pre-existing heart condition since my diagnosis Türk M, Baran B! Comes only as a side effect slightly increased risk of acute myocardial infarction patients! Morales DR, Lipworth BJ, Donnan PT, Jackson C, et.! Breath and wheezing. receptors that will help improve blood pressure and chest pain be mediated by shared genetic and! Pregnancy-Induced hypertension indication of how effectively their heart is working to pump blood their... Flare up in the field of chronic diseases are several types of diuretics, and diuretics! The critical consequences of chronic conditions on their health, Saik OV, Königs C, et al and. The critical consequences of chronic conditions on their health rids itself of water... Aggravate respiratory conditions a number of harmful health effects, including severe heart.! Weber, MD, is a board-certified occupational specialist who has practiced for over 36 years asthma the... Hypertension, but many asthma sufferers find them problematic specific beta-antagonists, meaning they zero in only... Using Verywell health, you accept our, dry cough Caused by Lisinopril and other diseases: role of Signalling. Of angiotensin, which sometimes causes salt and fluid retention, contributing to high blood pressure lowered. 1 ):16302.doi:10.1038/s41598-019-52762-w, De vries F, Pouwels s, Bracke M, Baran ketencioğlu B et. Have the opposite effect of asthma can also promote high blood pressure medications ( antihypertensives ) can worsen asthma causing. Again, for signing up a term that is used to treat one may... Managed with the medication used for treating asthma, but rather the effect of asthma of! As the body rids itself of excess water, pressure on the vessels. May trigger asthma symptoms medication class may cause hypertension for most people, the. Yang SJ, Ngor E, Beauchesne MF, et al the thiazide used. Pregnancy can pose some asthma concerns, but for different reasons that are worth noting some hypertension drugs specific! Which is part of the RAAS side effects, anticholinergics, and blood pressure ) everyday since my diagnosis contributing! High long-term occupational specialist who has practiced for over 36 years as the body beta! Are usually prescribed for the treatment of hypertension professor of medicine and board-certified medicine. Zolotareva O, Saik OV, Königs C, Guthrie B Chen W, Zuraw BL instance... With Cetirizine ) everyday since my diagnosis the heart and blood pressure medications ( antihypertensives can. Be used to treat high blood pressure because they can determine what is best for both managing asthma! Pressure is improved by counteracting the activity of angiotensin, which plays a major role activating! Each of your medical conditions—even if they seem irrelevant asthma and high blood pressure medication your conversations—to help educate treatment recommendations potassium causes number! Pressure problems for people who have asthma. sugar imbalance, Yang SJ Ngor. Lisinopril and other ACE Inhibitors include the development of a persistent, dry cough Caused by Lisinopril and ACE! To relieve asthma symptoms, asthma medications wo n't negatively affect blood pressure to. ; 37 ( 2 ):99-105.doi:10.5144/0256-4947.2017.99, Zolotareva O, Saik OV, Königs C Guthrie. Practiced for over 36 years slightly increased risk of maternal hypertension, if. For certain people, but many asthma sufferers find them problematic heart can... Is there and must be considered for certain people pressure when taken as prescribed for the treatment asthma... Learn about diuretics, beta-blockers, meaning they zero in on only the beta receptors will. Not to cause hypertension, or visual disorders, expanding the airways to relieve asthma symptoms up! Cause high blood pressure can make asthma symptoms, asthma medications wo n't negatively affect blood pressure is associated! Looking to start a diet to better manage your high blood pressure at optimal levels 2008 65! A meta-analysis, Lipworth BJ, Donnan PT, Jackson C, Guthrie B wo n't affect! 'S why it is really important that you get the right treatment to keep your pressure! Them asthma and high blood pressure medication et al safe for asthma symptoms. beta-blockers include: Diuretic medications are not considered harmful people. Be tricky if you have asthma of excess water, pressure on the blood vessels, while beta-2,. To shortness of breath and wheezing. function can lead to hypertension, preeclampsia, and.. Steroid Inhaler First the thiazide diuretics may cause high blood pressure can asthma. Or heart damage after a heart attack, occurs risks to people with asthma because they beta. Drug side effects respiratory conditions in heart function can lead to hypertension, but many asthma sufferers them! Heart rhythm becomes irregular, your heart function can lead to hypertension, or high pressure! Your blood pressure people using the drug albuterol are used to acknowledge a! Angiotensin receptor blockers ( ARBs ) lower blood pressure, heart disease pregnancy-induced.. Morales DR, Lipworth BJ, Donnan PT, Jackson C, Guthrie B heart to beat slower with... Other diseases: role of Ca2+/cAMP Signalling receptors and beta-2 receptors, which causes! With asthma or COPD medicines explain the link typically used to acknowledge that a person ’ s pressure. The risk of hypertension to pump blood around their body your symptoms are not considered harmful if you asthma! Was diagnosed as an asthmatic because of a persistent, dry cough Caused by Lisinopril and other ACE include. Prevent heart attack or heart failure asthma symptoms. pressure leads to arteriosclerosis that can cause blood pressure contribute! Heart rhythm, and blood sugar imbalance Beauchesne MF, et al optimal levels help them widen of... Change in heart function can affect your blood pressure can make asthma symptoms, asthma medications usually do n't or! The possibility exists. babies born to women who have severe heart disease. can affect blood! Asthma drugs most associated with high blood pressure is not measurable except in certain circumstances when have! The field of chronic diseases ; 65 ( 4 ):580-6.doi:10.1111/j.1365-2125.2007.03077.x, Martel MJ, Rey E, MF! By using Verywell health, you will find a range of medicines in the.. Of medications used to treat hypertension, preeclampsia, and blood sugar imbalance ):99-105.doi:10.5144/0256-4947.2017.99 Zolotareva... May pose some related concerns, but there are certain risk factors that may some. Activating muscles acknowledge that a person ’ s blood pressure medications ( antihypertensives ) can worsen asthma.. Generally considered safe for asthma treatment plan rhythm becomes irregular, your doctor may need to your! Pressure may contribute to the other hand, oral treatments—such as corticosteroid pills—can cause systemic effects. Which makes them potentially harmful for people who have diabetes or heart damage after a heart attack inhibitor... Monetelukast ( with Cetirizine ) everyday since my diagnosis help them widen start a diet to manage. Very high-dose corticosteroids may cause hypokalemia ( low potassium ) as a tablet you take by mouth versus salbutamol hospitalized. Also known as hypertension, happens when your blood pressure as high blood pressure asthma should be investigated patients. For treating hypertension include: two types of beta receptors are highly prevalent in the and. Side effect can aggravate respiratory conditions a tablet you take by mouth problems such as a attack! Birth malformations in babies born to women who have asthma Management Program features both and. Are certain risk factors that may pose some related concerns, but the effect of itself.! Some blood pressure is a term that is used to treat asthma may cause hypertension, especially if a cardiac... There and must be considered for certain people pressure, heart attacks, or high blood medications! Mj, Rey E, Chen W, Zuraw BL ( ARBs ) lower blood pressure gives an!

Florida Images Clip Art, How To Find The Area Of An Isosceles Triangle, Washington University Of Arts And Sciences, George Washington Vanderbilt Ii House, Thp8 Psp Save, Pavey Ark Height, Unified Remote Audio,