What is the initial drug therapy for hypertension?

What is the initial drug therapy for hypertension?

(Related Pathway(s): Hypertension: Initial management.) In the absence of a specific clinical reason, there are three main classes of drugs that have been used for initial monotherapy: thiazide diuretics, long-acting calcium channel blockers (most often a dihydropyridine), and ACE inhibitors or ARBs (algorithm 1).

What is the best therapy for hypertension?

Diuretics are often recommended as the first line of therapy for most people who have high blood pressure. However, your doctor may start a medicine other than a diuretic as the first line of therapy if you have certain medical problems. For example, ACE inhibitors are often a choice for people with diabetes.

What is the second line treatment for hypertension?

ACE inhibitors and ARBs are preferred agents in the management of patients with hypertension and diabetes. If target blood pressure is not achieved with an ACE inhibitor or ARB, addition of a thiazide diuretic is the preferred second-line therapy for most patients with diabetes.

What is the first drug of choice for uncomplicated hypertension?

However, for most patients with uncomplicated hypertension low-dose thiazide-type diuretics should be first-line therapy. The choice of add-on therapy, which may be required later in up to two-thirds of patients, is not as clearly defined. Beta blocking drugs and ACE inhibitors are effective when used with a diuretic.

What class of drug is amlodipine?

Amlodipine is in a class of medications called calcium channel blockers. It lowers blood pressure by relaxing the blood vessels so the heart does not have to pump as hard. It controls chest pain by increasing the supply of blood to the heart.

Which are the drug for third line treatment of hypertension?

Diuretics were the most frequently prescribed third-line antihypertensive in patients receiving an ARB in combination with a CCB. In addition, we found that the decision to add other antihypertensive drugs was made within the first 1 or 2 years of initiation of ARB therapy.

Is amlodipine first line treatment for hypertension?

Results: Amlodipine has good efficacy and safety, in addition to strong evidence from large randomised controlled trials for cardiovascular event reduction. Conclusions: Amlodipine should be considered a first-line antihypertensive agent.

When is medication used to treat hypertension?

If you’re 60 or older, the American College of Physicians and the American Academy of Family Physicians recommend you start treatment if your top blood pressure number is 130 or higher.

Is Amlodipine a diuretic?

Amlodipine is a calcium channel blocker that relaxes (widens) blood vessels and improves blood flow. Hydrochlorothiazide is a thiazide diuretic (water pill) that helps prevent your body from absorbing too much salt, which can cause fluid retention.

What is the difference between Norvasc and Amlodipine?

NORVASC is the besylate salt of amlodipine, a long-acting calcium channel blocker. Amlodipine besylate is a white crystalline powder with a molecular weight of 567.1. It is slightly soluble in water and sparingly soluble in ethanol.

Is there a drug treatment for hypertension in older people?

Kieran McGlade Nov 2001 Department of General Practice QUB Drug Treatment of Essential Hypertension in Older People Hypertension is very common, occuring in over 50% of older people, and is a major risk factor for stroke and ischaemic heart disease. Drug treatment of hypertension in older people saves lives and prevents unnecessary morbidity.

Should diuretics be used as a first-line treatment for hypertension in older people?

Drug treatment of hypertension in older people saves lives and prevents unnecessary morbidity. Treating isolated systolic hypertension also saves lives. Kieran McGlade Nov 2001 Department of General Practice QUB Drug Treatment of Essential Hypertension in Older People There is strong evidence to support the use of diuretics as first-line agents.

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What is included in the hypertension management training?

Hypertension Management Training: Session 1 Powerpoint Effective Diagnosis, Treatment, and Monitoring of Hypertension in Primary Care: Training Workshop Session 1 Burden of Cardiovascular Disease and Hypertension around the Globe and in [COUNTRY] Content should be adapted with country-specific information prior to use.