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Antihypertensive

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administration of certain agents, others underline the possible adverse effects on fetal development. In general, a-methyldopa, β-blockers and calcium channel blockers are the first or second treatment line for hypertension during pregnancy. However, ACEIs, ARBs and diuretics are mostly contraindicated, as the potential risk outweighs the benefits of their administration. Additionally, several drugs should be avoided, due to the lack of data regarding their safety. Women are often concerned about the safety of antihypertensives and as a result, many do not take their treatment as prescribed. Shared decision-making aids have been shown to reduce women's uncertainty about taking antihypertensives and increase the number of women taking them as prescribed.
5599: 440: 124: 5620: 293:. Despite thiazides being cheap and effective, they are not prescribed as often as some newer drugs. This is because they have been associated with increased risk of new-onset diabetes and as such are recommended for use in patients over 65, for whom the risk of new-onset diabetes is outweighed by the benefits of controlling systolic blood pressure. Another theory is that they are off-patent and thus rarely promoted by the drug industry. 714: 584: 1342:. Although α-methyldopa is generally regarded as a first-line agent, labetalol and metoprolol are also acceptable. Atenolol has been associated with intrauterine growth retardation, as well as decreased placental growth and weight when prescribed during pregnancy. ACE inhibitors and angiotensin II receptor blockers (ARBs) are contraindicated in women who are or who intend to become pregnant. 552:-type diuretics and calcium channel blockers were both more effective as monotherapy in improving cardiovascular outcomes compared to ACE inhibitors for this subgroup. Furthermore, ACE inhibitors were less effective in reducing blood pressure and had a 51% higher risk of stroke in black hypertensives when used as initial therapy compared to a calcium channel blocker. There are fixed-dose 1175:
repeatedly been found to have a stronger effect on lowering blood pressure than hydrochlorothiazide, and hydrochlorothiazide and chlorthalidone have a similar risk of hypokalemia and other adverse effects at the usual doses prescribed in routine clinical practice. Patients with an exaggerated hypokalemic response to a low dose of a thiazide diuretic should be suspected to have
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observed elevation of blood pressure. Therefore, the use of hypertensive medications may be started in individuals with apparent normal blood pressures but who show evidence of hypertension-related nephropathy, proteinuria, atherosclerotic vascular disease, as well as other evidence of hypertension-related organ damage.
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thiazide-like diuretic) was as effective as lisinopril (an angiotensin converting enzyme inhibitor) or amlodipine (a calcium channel blocker). (ALLHAT showed that doxazosin, an alpha-adrenergic receptor blocker, had a higher incidence of heart failure events, and the doxazosin arm of the study was stopped.)
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is the thiazide drug that is most strongly supported by the evidence as providing a mortality benefit; in the ALLHAT study, a chlorthalidone dose of 12.5 mg was used, with titration up to 25 mg for those subjects who did not achieve blood pressure control at 12.5 mg. Chlorthalidone has
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receptor antagonists, also known as mineralocorticoid receptor antagonist (MRA) can lower blood pressure by blocking the binding of aldosterone to the mineralocorticoid receptor. Spironolactone and eplerenone are MRAs that causes a block in the reabsorption of sodium, resulting in a decrease in blood
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in neurotransmission (in this case, the vasoconstriction effects of adrenaline). Central alpha agonists, such as clonidine, are usually prescribed when all other anti-hypertensive medications have failed. For treating hypertension, these drugs are usually administered in combination with a diuretic.
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Beta-blockers can block beta-1 adrenergic receptors and/or beta-2 adrenergic receptors. Those that block beta-1-adrenergic receptors prevent the binding of endogenous catecholamines (such as epinephrine and norepinephrine), which ultimately reduces blood pressure through decreasing renin and cardiac
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loop. Increased levels of circulating Angiotensin II result in unopposed stimulation of the AT2 receptors, which are, in addition upregulated. Recent data suggest that AT2 receptor stimulation may be less beneficial than previously proposed and may even be harmful under certain circumstances through
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Hypertensive disorders during pregnancy constitute a significant risk factor for maternal and fetal outcomes, necessitating antihypertensive treatment. However, current data concerning the safety of in utero exposure to antihypertensive medication are controversial. While some studies recommend the
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should be started on ACE-inhibitors. Subsequently, if dual therapy is required to use ACE-inhibitor in combination with either a calcium channel blocker or a (thiazide) diuretic. Triple therapy is then of all three groups and should the need arise then to add in a fourth agent, to consider either a
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appear to be less useful in overall treatment of hypertension than several other agents. A systematic review of 63 trials with over 35,000 participants indicated β-blockers increased the risk of mortality, compared to other antihypertensive therapies. They do, however, have an important role in the
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lower blood pressure, they do not have a positive benefit on endpoints as some other antihypertensives do. In particular, beta-blockers are no longer recommended as first-line treatment due to relative adverse risk of stroke and new-onset of type 2 diabetes when compared to other medications, while
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may be worsened with nondihydropyridine calcium channel blockers, the alpha blocker doxazosin, and the alpha-2 agonists moxonidine and clonidine. On the other hand, β-blockers, diuretics, ACE inhibitors, angiotensin receptor blockers, and aldosterone receptor antagonists have been shown to improve
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The choice between the drugs is to a large degree determined by the characteristics of the patient being prescribed for, the drugs' side effects, and cost. Most drugs have other uses; sometimes the presence of other symptoms can warrant the use of one particular antihypertensive. Examples include:
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The first large study to show a mortality benefit from antihypertensive treatment was the VA-NHLBI study, which found that chlorthalidone was effective. The largest study, Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT) in 2002, concluded that chlorthalidone (a
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For mild blood pressure elevation, consensus guidelines call for medically supervised lifestyle changes and observation before recommending initiation of drug therapy. However, according to the American Hypertension Association, evidence of sustained damage to the body may be present even prior to
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A systematic review of 63 trials with over 35,000 participants indicated ACE inhibitors significantly reduced doubling of serum creatinine levels compared to other drugs (ARBs, α blockers, β blockers, etc.), and the authors suggested this as a first line of defense. The AASK trial showed that ACE
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of hypertension, such as heart attack, stroke and heart failure. Patient age, associated clinical conditions and end-organ damage also play a part in determining dosage and type of medication administered. The several classes of antihypertensives differ in side effect profiles, ability to prevent
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Alpha-blockers can block alpha-1 adrenergic receptors and/or alpha-2 adrenergic receptors. Those that block alpha-1-adrenergic receptors on vascular smooth muscle cells prevent vasoconstriction. Blockade of alpha-2-adrenergic receptors prevents the negative feedback mechanism of norepinephrine
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Granger CB, McMurray JJ, Yusuf S, Held P, Michelson EL, Olofsson B, et al. (September 2003). "Effects of candesartan in patients with chronic heart failure and reduced left-ventricular systolic function intolerant to angiotensin-converting-enzyme inhibitors: the CHARM-Alternative trial".
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If lifestyle changes are ineffective, then drug therapy is initiated, often requiring more than one agent to effectively lower hypertension. Which type of many medications should be used initially for hypertension has been the subject of several large studies and various national guidelines.
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The latest evidence does not have evidence of an effect due to discontinuing vs continuing medications used for treating elevated blood pressure or prevention of heart disease in older adults on all-case mortality and incidence of heart attack. The findings are based on low quality evidence
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In 1883, Ringer discovered the involvement of calcium for cellular activity on isolated heart. Later in 1901, Stiles reported the same activity in muscle contraction. In the early 1940s, Kamada (from Japan) and Heilbrunn (from the United States) noted how calcium was involved with muscle
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In the United States, the JNC8 (Eighth Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure) recommends thiazide-type diuretics to be one of the first-line drug treatments for hypertension, either as monotherapy or in combination with
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and its derivatives are also used in the treatment of severe hypertension, although they should be avoided in emergencies. They are no longer indicated as first-line therapy for high blood pressure due to side effects and safety concerns, but hydralazine remains a drug of choice in
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of choice for high blood pressure when drugs are necessary. Although clinical evidence shows calcium channel blockers and thiazide-type diuretics are preferred first-line treatments for most people (from both efficacy and cost points of view), an ACE inhibitor is recommended by
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Race. JNC8 guidelines particularly point out that when used as monotherapy, thiazide diuretics, and calcium channel blockers have been found to be more effective in reducing blood pressure in black hypertensives than β-blockers, ACE inhibitors, or
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Considerations include factors such as age, race, and other medical conditions. In the United States, JNC8 (2014) recommends any drug from one of the four following classes to be a good choice as either initial therapy or as an add-on treatment:
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Whelton PK, Williams B (November 2018). "The 2018 European Society of Cardiology/European Society of Hypertension and 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines: More Similar Than Different".
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Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al. (May 2003). "The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report".
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Julius S, Kjeldsen SE, Weber M, Brunner HR, Ekman S, Hansson L, et al. (June 2004). "Outcomes in hypertensive patients at high cardiovascular risk treated with regimens based on valsartan or amlodipine: the VALUE randomised trial".
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In the VALUE trial, the angiotensin II receptor blocker valsartan produced a statistically significant 19% (p=0.02) relative increase in the prespecified secondary end point of myocardial infarction (fatal and non-fatal) compared with
2116:"Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs diuretic: The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT)" 1400:
contractions. In 1964, calcium channel blockers were discovered in Godfraind’s laboratory through the screening of coronary dilators, which showed how calcium was blocked from entering artery cells, resulting in vasorelaxation.
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Würzner G, Gerster JC, Chiolero A, Maillard M, Fallab-Stubi CL, Brunner HR, et al. (October 2001). "Comparative effects of losartan and irbesartan on serum uric acid in hypertensive patients with hyperuricaemia and gout".
2161:"Clinical events in high-risk hypertensive patients randomly assigned to calcium channel blocker versus angiotensin-converting enzyme inhibitor in the antihypertensive and lipid-lowering treatment to prevent heart attack trial" 427:
effect, non-dihydropyridine to dihydropyridine was 30 to −2. The anti-proteinuria effect of non-dihydropyridine is due to better selectivity during glomerular filtration and/or a lower perfusion rate through the renal system.
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A subsequent smaller study (ANBP2) did not show the slight advantages in thiazide diuretic outcomes observed in the ALLHAT study, and actually showed slightly better outcomes for ACE-inhibitors in older white male patients.
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have significantly poorer endpoint outcomes than other antihypertensives, and are no longer recommended as a first-line choice in the treatment of hypertension. However, they may be useful for some men with symptoms of
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Neurath Jr HM, Goldman AI, Lavin MA, Schnaper HW, Fitz AE, Frohlich ED, et al. (Veterans Administration-National Heart, Lung, and Blood Institute Study Group for Evaluating Treatment in Mild Hypertension) (1978).
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or supplemental potassium. Some authors have challenged thiazides as first line treatment. However, as the Merck Manual of Geriatrics notes, "thiazide-type diuretics are especially safe and effective in the elderly."
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Which type of medication to use initially for hypertension has been the subject of several large studies and resulting national guidelines. The fundamental goal of treatment should be the prevention of the important
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Current UK guidelines suggest starting patients over the age of 55 years and all those of African/Afrocaribbean ethnicity firstly on calcium channel blockers or thiazide diuretics, whilst younger patients of other
7052: 1329:. β-blockers and nondihydropyridine calcium channel blockers should not be used in patients with heart block greater than first degree. JNC8 does not recommend β-blockers as initial therapy for hypertension. 1533:
Nelson MR, McNeil JJ, Peeters A, Reid CM, Krum H (June 2001). "PBS/RPBS cost implications of trends and guideline recommendations in the pharmacological management of hypertension in Australia, 1994-1998".
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Thiazide diuretics are effective, recommended as the best first-line drug for hypertension, and are much more affordable than other therapies, yet they are not prescribed as often as some newer drugs.
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prevention of heart attacks in people who have already had a heart attack. In the United Kingdom, the June 2006 "Hypertension: Management of Hypertension in Adults in Primary Care" guideline of the
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endpoints, and cost. The choice of more expensive agents, where cheaper ones would be equally effective, may have negative impacts on national healthcare budgets. As of 2018, the best available
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ARBs happens to be the favorable alternative to ACE inhibitors if the hypertensive patients with the heart failure type of reduced ejection fraction treated with ACEis was intolerant of cough,
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Furberg CD, Wright Jr JT, Davis BR, Cutler JA, Alderman M, Black H, et al. (The Allhat Officers And Coordinators For The Allhat Collaborative Research Group) (December 2002).
3078:"Diuretic versus alpha-blocker as first-step antihypertensive therapy: final results from the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT)" 6871: 2020:"Comparative effectiveness of renin-angiotensin system blockers and other antihypertensive drugs in patients with diabetes: systematic review and bayesian network meta-analysis" 1426:
suggesting it may be safe to stop anti-hypertensive medications. However, older adults should not stop any of their medications without talking to a healthcare professional.
1675:"2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8)" 1229:
Age can affect the choice of medications. Current UK guidelines suggest starting patients over the age of 55 years first on calcium channel blockers or thiazide diuretics.
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Borghi C, Soldati M, Bragagni A, Cicero AF (December 2020). "Safety implications of combining ACE inhibitors with thiazides for the treatment of hypertensive patients".
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Murphy MB, Lewis PJ, Kohner E, Schumer B, Dollery CT (December 1982). "Glucose intolerance in hypertensive patients treated with diuretics; a fourteen-year follow-up".
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Lindholm LH, Carlberg B, Samuelsson O (29 Oct – 4 Nov 2005). "Should beta blockers remain first choice in the treatment of primary hypertension? A meta-analysis".
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Aldosterone receptor antagonists are not recommended as first-line agents for blood pressure, but spironolactone and eplerenone are both used in the treatment of
7205: 6974: 6145: 6937: 2596:"Can angiotensin II type 2 receptors have deleterious effects in cardiovascular disease? Implications for therapeutic blockade of the renin-angiotensin system" 667:. There is no consensus on whether ARBs have a tendency to increase MI, but there is also no substantive evidence to indicate that ARBs are able to reduce MI. 7290: 7226: 7090: 7086: 7078: 6992: 5551: 4631: 3820: 3051: 3018: 906: 4375:"Implementation of a novel shared decision-making intervention in women with chronic hypertension in pregnancy: multiple-site multiple-method investigation" 73:. There are many classes of antihypertensives, which lower blood pressure by different means. Among the most important and most widely used medications are 729:(NE). Non-selective alpha-blockers generate a balance whereby alpha-2-blockers release NE to reduce the vasodilation effects induced by alpha-1-blockers. 3659:
Lewis PJ, Kohner EM, Petrie A, Dollery CT (March 1976). "Deterioration of glucose tolerance in hypertensive patients on prolonged diuretic treatment".
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The 8th Joint National Committee (JNC-8) recommends calcium channel blockers to be a first-line treatment either as monotherapy or in combination with
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Central alpha agonists lower blood pressure by stimulating alpha-receptors in the brain which open peripheral arteries easing blood flow. These
3047: 4007:"Medication appropriateness tool for co-morbid health conditions in dementia: consensus recommendations from a multidisciplinary expert panel" 2243: 2072:"Effect of blood pressure lowering and antihypertensive drug class on progression of hypertensive kidney disease: results from the AASK trial" 950:, a very potent, short-acting vasodilator, is most commonly used for the quick, temporary reduction of blood pressure in emergencies (such as 7395: 5650: 6725: 5789: 4184: 7385: 4621: 3813: 1633: 304:, are seldom prescribed as monotherapy. ENaC blocker medications need stronger public evidence for their blood pressure reducing effect. 5402: 3014: 540:
However, ACE inhibitors (and angiotensin II receptor antagonists) should not be a first-line treatment for black hypertensives without
5362: 1503: 7247: 1798:"Blood pressure lowering efficacy of potassium-sparing diuretics (that block the epithelial sodium channel) for primary hypertension" 7350: 7298: 5643: 1283:. ACE inhibitors or ARBs should be included in the treatment plan to improve kidney outcomes regardless of race or diabetic status. 1076:
Adverse effects of this class of drugs include sedation, drying of the nasal mucosa and rebound hypertension upon discontinuation.
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output release. Those that block beta-2-adrenergic receptors reduce blood pressure through increased relaxation of smooth muscle.
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block the entry of calcium into muscle cells in artery walls, resulting in the relaxation of muscle cells and vasodilation.
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Medications that are classified as potassium-sparing diuretics which block the epithelial sodium channel (ENaC), such as
282: 7156: 5005: 4868: 3520:"A comparison of outcomes with angiotensin-converting--enzyme inhibitors and diuretics for hypertension in the elderly" 594: 417: 86: 6856: 6548: 4629: 17: 5709: 7496: 7469: 6839: 6646: 6189: 41:(high blood pressure). Antihypertensive therapy seeks to prevent the complications of high blood pressure, such as 1387:
was discovered in 1957, but the first known instance of an effective antihypertensive treatment was in 1947 using
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As a consequence of AT1 blockade, ARBs increase angiotensin II levels several-fold above baseline by uncoupling a
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mediation of growth promotion, fibrosis, and hypertrophy, as well as proatherogenic and proinflammatory effects.
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examined the evidence for and against the suggestion that angiotensin receptor blockers may increase the risk of
3249:"Eplerenone (Inspra), a new aldosterone antagonist for the treatment of systemic hypertension and heart failure" 7251: 7213: 7137: 7014: 6093: 5954: 3421:"Bosentan in the treatment of pulmonary arterial hypertension with the focus on the mildly symptomatic patient" 5635: 2760:"Angiotensin converting enzyme (ACE) inhibitors versus angiotensin receptor blockers for primary hypertension" 7367: 7346: 7302: 7065: 6944: 6070: 454: 3075: 7230: 7120: 6891: 6265: 5756: 4857: 4639: 1270: 979: 922: 6915: 5688: 1673:
James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. (February 2014).
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Carlberg B, Samuelsson O, Lindholm LH (6–12 Nov 2004). "Atenolol in hypertension: is it a wise choice?".
2375:"Angiotensin receptor blockers may increase risk of myocardial infarction: unraveling the ARB-MI paradox" 1362:
The JNC8 guidelines indicate reasons to choose one drug over the others for certain individual patients.
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Brown MJ (October 2009). "Success and failure of vaccines against renin-angiotensin system components".
4292:"In Utero Exposure to Antihypertensive Medication during the First Trimester: Is the Risk Worth Taking?" 1413:
Vaccinations are being trialed and may become a treatment option for high blood pressure in the future.
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The CHARM-alternative trial showed a significant +52% (p=0.025) increase in myocardial infarction with
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Notable side effects of CCBs include edema, flushing in the face, headache, drowsiness, and dizziness.
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Other medications have a role in treating hypertension. Adverse effects of thiazide diuretics include
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of arteries to relax their walls so blood can move more easily through them; they are only used in
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Heran BS, Chen JM, Wang JJ, Wright JM, et al. (Cochrane Hypertension Group) (November 2012).
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Pietropaoli D, Del Pinto R, Ferri C, Wright JT, Giannoni M, Ortu E, et al. (December 2018).
312: 103: 78: 54: 4153: 1627:"Hypertension: Management of hypertension in adults in primary care | Guidance | NICE" 1460:"Lowering blood pressure to prevent myocardial infarction and stroke: a new preventive strategy" 1236:
can affect the choice of medication, the target blood pressure and even whether to treat or not.
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ALLHAT Officers and Coordinators for the ALLHAT Collaborative Research Group (September 2003).
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Wright JT, Bakris G, Greene T, Agodoa LY, Appel LJ, Charleston J, et al. (November 2002).
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Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE, Colvin MM, et al. (September 2016).
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Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al. (May 2003).
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Whybrow R, Sandall J, Girling J, Brown H, Seed PT, Green M, et al. (December 2022).
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Wing LM, Reid CM, Ryan P, Beilin LJ, Brown MA, Jennings GL, et al. (February 2003).
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was only moderately successful in studies, but similar vaccines are being investigated.
6886: 6768: 6447: 6427: 6214: 5843: 5613: 5478: 5337: 4791: 4581: 4556: 4534: 4486: 4459: 4404: 4355: 4321: 4129: 4104: 4080: 4031: 4006: 3987: 3974: 3947: 3923: 3898: 3770: 3727: 3684: 3596: 3500: 3488: 3447: 3420: 3396: 3371: 3273: 3248: 3094: 3077: 2947: 2904: 2784: 2759: 2653: 2636: 2612: 2595: 2535: 2491: 2301: 2276: 2225: 2177: 2160: 2044: 2019: 1876: 1851: 1732: 1716:"Thiazide diuretics, potassium, and the development of diabetes: a quantitative review" 1715: 1603: 1578: 1559: 1303:. The ACE inhibitors and angiotensin receptor blockers have been shown to prevent the 1176: 1087: 4267: 4250: 4226: 4209: 4208:
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Medication Appropriateness Tool for Comorbid Health Conditions in Dementia (MATCH-D)
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Some indirect anti-adrenergics are rarely used in treatment-resistant hypertension:
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help the kidneys eliminate excess salt and water from the body's tissues and blood.
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3914: 3348: 2416:"Angiotensin receptor blockers do not increase risk of myocardial infarction" 2132: 2115: 2088: 2071: 1924: 1691: 1674: 1332: 1290: 1274: 1097: 1038: 1022: 937: 917: 815: 663:(heart attack). The matter was debated in 2006 in the medical journal of the 530: 450: 413: 360: 355: 145: 82: 62: 4308: 4291: 3584: 3198: 2555:"How to explain the differences between renin angiotensin system modulators" 7380: 7106: 6895: 6616: 6585: 6515: 6442: 6241: 6115: 6038: 5924: 5860: 5794: 5774: 5674: 5493: 5412: 5148: 5106: 4940: 4930: 4846: 4841: 4590: 4530: 4495: 4400: 4317: 4276: 4235: 4180: 4138: 4076: 4040: 3983: 3932: 3883: 3766: 3592: 3556: 3456: 3405: 3356: 3309: 3282: 3206: 3130: 3103: 3000: 2943: 2900: 2859: 2820: 2793: 2744: 2662: 2621: 2580: 2531: 2487: 2441: 2400: 2359: 2310: 2221: 2186: 2141: 2097: 2053: 1958: 1911: 1885: 1831: 1782: 1741: 1700: 1612: 1555: 1485: 1414: 1320: 1249: 1204: 1093: 1083: 994:
which has been approved by the U.S. FDA for the treatment of hypertension.
896: 831: 733: 698: 568: 509: 385: 203: 90: 38: 4251:"Poor Oral Health and Blood Pressure Control Among US Hypertensive Adults" 4120: 3964: 3723: 3472: 2703: 1317:
may be worsened by thiazide diuretics, while losartan reduces serum urate.
7390: 7262: 7171: 7025: 6792: 6787: 6781: 6758: 6566: 6485: 6475: 6330: 6153: 6141: 5929: 5865: 5828: 5784: 5764: 5746: 5736: 5377: 5287: 5027: 4980: 4925: 4808: 4774: 3745:
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Tatu AL, Elisei AM, Chioncel V, Miulescu M, Nwabudike LC (August 2019).
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LiverTox: Clinical and Research Information on Drug-Induced Liver Injury
7438: 7414: 7405: 7371: 7257: 7236: 7198: 7193: 7188: 7166: 7130: 7125: 7101: 7003: 6980: 6963: 6930: 6925: 6710: 6705: 6700: 6622: 6601: 6510: 6495: 6490: 6432: 6355: 6345: 6335: 6315: 6305: 6149: 6123: 6083: 6078: 6015: 6000: 5962: 5833: 5823: 5741: 5731: 5555: 5526: 5484: 5453: 5448: 5387: 5382: 5372: 5310: 5296: 5236: 5191: 5139: 5059: 5055: 4996: 4956: 4911: 4907: 4797: 4733: 4683: 4648: 4644: 3437: 1388: 1213: 1123: 1086: – replaces norepinephrine in vesicles, decreasing its 1070: 1065: 1060: 1010: 978:
comes one level higher than angiotensin converting enzyme (ACE) in the
876: 871: 856: 793: 788: 773: 763: 748: 738: 694: 672: 649: 634: 624: 619: 609: 572: 514: 484: 479: 375: 370: 350: 345: 325: 264: 226: 216: 161: 151: 34: 4022: 2669: 2035: 909:, downgraded the role of beta-blockers due to their risk of provoking 457:(ACE), an enzyme responsible for the conversion of angiotensin I into 123: 7356: 7335: 7283: 7146: 7096: 7058: 7020: 6998: 6949: 6920: 6715: 6596: 6556: 6505: 6500: 6480: 6417: 6340: 6310: 6131: 6005: 5995: 5939: 5906: 5799: 5779: 5769: 5726: 5721: 5463: 5443: 5417: 5392: 5327: 5305: 5133: 5046: 4920: 4289: 3547: 1931:
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886: 881: 851: 836: 821: 783: 768: 758: 753: 644: 587: 564: 499: 489: 474: 469: 443: 439: 400: 395: 297: 249: 236: 179: 166: 3015:"Hypertension: management of hypertension in adults in primary care" 1476: 1459: 7219: 7071: 6985: 6777: 6660: 6655: 6561: 6520: 6397: 6387: 6365: 6325: 6237: 6119: 6020: 6010: 5804: 5564: 5428: 5424: 5397: 4836: 4769: 4688: 2965:
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Antihypertensive Medication during the First Trimester of Pregnancy
1286: 1144: 1119: 901: 861: 846: 798: 743: 629: 549: 504: 409: 231: 173: 138: 131: 58: 6206: 1126:
receptors. It is specifically indicated only for the treatment of
6754: 5540: 5458: 5123: 4890: 4712: 4662: 3789:"Section 11. Cardiovascular Disorders – Chapter 85. Hypertension" 1239: 808: 778: 4097:
Worcester EM, Coe FL: Clinical practice. Calcium kidney stones"
1714:
Zillich AJ, Garg J, Basu S, Bakris GL, Carter BL (August 2006).
1130:
hypertension in patients with moderate to severe heart failure.
5222: 4885: 4248: 1355: 1308: 1304: 1245: 42: 4053: 3469: 3155:
Goodman & Gilman's Manual of Pharmacology and Therapeutics
2244:"High blood pressure (hypertension) - Uses for ACE inhibitors" 713: 571:, fatigue, dizziness, headaches, loss of taste and a risk for 5522: 5232: 4727: 3152: 975: 521:
inhibitors are more effective at slowing down the decline of
66: 53:
by 5 mmHg can decrease the risk of stroke by 34% and of
4340:"Decision aid helps pregnant women with high blood pressure" 3897:
Parekh N, Page A, Ali K, Davies K, Rajkumar C (April 2017).
1577:
Wright JM, Musini VM, Gill R (April 2018). Wright JM (ed.).
583: 6665: 5226: 4151: 4004: 3333: 2964: 2676:
Yusuf S, Pitt B, Davis CE, Hood WB, Cohn JN (August 1991).
2199: 2113: 1314: 1107: 112: 4372: 4207: 3948:"Immunologic adverse reactions of β-blockers and the skin" 3945: 2921: 2878: 2454: 2154: 2326:"Angiotensin receptor blockers and myocardial infarction" 1248:
have been reported to have worsening symptoms when using
656: 4554: 4431:
Hyperlension: Pathophysiology, Diagnosis, and Management
3701: 3658: 3369: 2716: 2508: 2069: 1757:"Trends in antihypertensive drug advertising, 1985-1996" 1672: 1323:
may be improved with the use of thiazide-type diuretics
682:(versus placebo) despite a reduction in blood pressure. 4460:"Discovery and Development of Calcium Channel Blockers" 1930: 1532: 1028: 4557:"Withdrawal of antihypertensive drugs in older people" 4424:"Historical Development of Antihypertensive Treatment" 3850:"Treatment of hypertension in the UK: simple as ABCD?" 1980:(Second ed.). New York: Elsevier. pp. 9–11. 1348:
could mitigate the efficacy of antihypertensive drugs.
1122:
belongs to a new class of drugs and works by blocking
578: 4632:
Anatomical Therapeutic Chemical Classification System
3821:
National Institute for Health and Clinical Excellence
3052:
National Institute for Health and Clinical Excellence
3019:
National Institute for Health and Clinical Excellence
1713: 907:
National Institute for Health and Clinical Excellence
720:, the first beta-blocker to be successfully developed 3744: 3295: 3048:"NICE and BHS launch updated hypertension guideline" 1754: 3896: 3222:"Direct Renin Inhibitors as Antihypertensive Drugs" 2274: 1795: 3517: 2675: 997: 708: 4453: 4451: 4449: 4447: 2841: 2839: 2837: 2835: 2710: 7488: 1755:Wang TJ, Ausiello JC, Stafford RS (April 1999). 1576: 1114: 27:Class of drugs used to treat high blood pressure 3569: 3304:. Treasure Island (FL): StatPearls Publishing. 3125:. Treasure Island (FL): StatPearls Publishing. 2854:. Treasure Island (FL): StatPearls Publishing. 2815:, Treasure Island (FL): StatPearls Publishing, 2413: 1845: 1843: 1841: 1133: 986:can therefore effectively reduce hypertension. 563:Notable side effects of ACE inhibitors include 6098: 4444: 3418: 3370:Giovannitti JA, Thoms SM, Crawford JJ (2015). 2845: 2832: 2155:Leenen FH, Nwachuku CE, Black HR, Cushman WC, 2017: 1242:may be improved with the use of beta blockers. 6872: 6222: 5651: 4615: 4550: 4548: 2757: 1457: 1106: – indirect via irreversible 6031:Non-selective α-adrenergic receptor blockers 4630:Major chemical drug groups – based upon the 4145: 4102: 3841: 2872: 2323: 2159:, Simpson LM, et al. (September 2006). 1838: 1179:, a common cause of secondary hypertension. 420:for all patients regardless of age or race. 4561:The Cochrane Database of Systematic Reviews 3814:"CG34 Hypertension – quick reference guide" 3632: 3116: 2764:The Cochrane Database of Systematic Reviews 2634: 2372: 1802:The Cochrane Database of Systematic Reviews 1583:The Cochrane Database of Systematic Reviews 1504:"Drug treatment of elevated blood pressure" 307: 6879: 6865: 6229: 6215: 5658: 5644: 4622: 4608: 4545: 4105:"Clinical practice. Calcium kidney stones" 3808: 3806: 3477:Annals of the New York Academy of Sciences 3184: 3148: 3146: 2758:Li EC, Heran BS, Wright JM (August 2014). 2275:Barreras A, Gurk-Turner C (January 2003). 1849: 1408: 106:favors low-dose thiazide diuretics as the 49:. Evidence suggests that reduction of the 4580: 4485: 4475: 4457: 4390: 4307: 4266: 4225: 4128: 4030: 3973: 3963: 3922: 3873: 3620:University of Maryland School of Pharmacy 3546: 3446: 3436: 3395: 3272: 3093: 2990: 2806: 2783: 2734: 2693: 2652: 2628: 2611: 2570: 2477: 2431: 2390: 2349: 2300: 2176: 2131: 2109: 2107: 2087: 2043: 1948: 1875: 1821: 1772: 1731: 1690: 1602: 1475: 1444:at the U.S. National Library of Medicine 57:by 21%, and can reduce the likelihood of 3854:Journal of the Royal Society of Medicine 3847: 3180: 3178: 2915: 1748: 712: 582: 438: 122: 115:in the UK for those under 55 years old. 7053:+bisoprolol, amlodipine, and indapamide 4103:Worcester EM, Coe FL (September 2010). 3803: 3329: 3327: 3325: 3296:Patibandla S, Heaton J, Kyaw H (2024). 3143: 2502: 2448: 2414:Tsuyuki RT, McDonald MA (August 2006). 2065: 2063: 1971: 1570: 1497: 1495: 1421:Anti-hypertensive drugs in older people 900:certain specific beta-blockers such as 590:, an angiotensin II receptor antagonist 558:ACE inhibitor and thiazide combinations 537:regardless of race or diabetic status. 291:ACE inhibitor and thiazide combinations 14: 7489: 5609:Pharmacological classification systems 4976:Selective estrogen receptor modulators 3613: 3419:Valerio CJ, Coghlan JG (August 2009). 2587: 2104: 1707: 1668: 1666: 1664: 1662: 1660: 1658: 1656: 1654: 6860: 6210: 5639: 5256:Non-steroidal anti-inflammatory drugs 4603: 4508: 4421: 3952:Experimental and Therapeutic Medicine 3511: 3246: 3228:from the original on 21 February 2014 3219: 3175: 3069: 3045: 2407: 2366: 2013: 2011: 1850:Elliott WJ, Ram CV (September 2011). 1526: 1358:may warrant the use of beta blockers. 3639:The Lecturio Medical Concept Library 3322: 2958: 2593: 2552: 2546: 2324:Verma S, Strauss M (November 2004). 2317: 2060: 1492: 1293:antihypertensives, according to the 1255:Beta blockers can trigger or worsen 1029:Alpha-2 adrenergic receptor agonists 45:, heart failure, kidney failure and 6236: 4869:Angiotensin II receptor antagonists 4429:. In Laragh JM, Brenner BM (eds.). 4109:The New England Journal of Medicine 3903:Therapeutic Advances in Drug Safety 3527:The New England Journal of Medicine 3425:Vascular Health and Risk Management 2682:The New England Journal of Medicine 2373:Strauss MH, Hall AS (August 2006). 1651: 1579:"First-line drugs for hypertension" 1548:10.5694/j.1326-5377.2001.tb143436.x 1395:History of Calcium Channel Blockers 1311:complications of diabetes mellitus. 1273:may be improved with the use of an 1157:angiotensin II receptor antagonists 970: 595:Angiotensin II receptor antagonists 579:Angiotensin II receptor antagonists 418:angiotensin II receptor antagonists 283:angiotensin II receptor antagonists 87:angiotensin II receptor antagonists 24: 3633:Oiseth S, Jones L, Maza E (eds.). 3489:10.1111/j.1749-6632.1978.tb25604.x 3095:10.1161/01.HYP.0000086521.95630.5A 2654:10.1161/01.HYP.0000193498.07087.83 2613:10.1161/01.CIR.0000096609.73772.C5 2277:"Angiotensin II receptor blockers" 2178:10.1161/01.HYP.0000231662.77359.de 2008: 1733:10.1161/01.HYP.0000231552.10054.aa 1501: 1219: 1190:with increased risk of developing 25: 7508: 4268:10.1161/HYPERTENSIONAHA.118.11528 4227:10.1161/circulationaha.107.183885 2433:10.1161/CIRCULATIONAHA.105.594978 2392:10.1161/CIRCULATIONAHA.105.594986 916:Despite lowering blood pressure, 434: 5618: 5598: 5597: 4069:10.1097/00004872-200110000-00021 3799:from the original on 2009-01-23. 2635:Reudelhuber TL (December 2005). 2559:American Journal of Hypertension 1950:10.1111/j.1523-1755.2004.00620.x 1868:10.1111/j.1751-7176.2011.00513.x 1856:Journal of Clinical Hypertension 1536:The Medical Journal of Australia 1458:Law M, Wald N, Morris J (2003). 446:, the prototypical ACE inhibitor 6809:Hydrochlorothiazide/triamterene 6676:Vasopressin receptor inhibitors 6094:Endothelin receptor antagonists 5955:Tyrosine hydroxylase inhibitors 5006:Hypothalamic–pituitary hormones 4502: 4415: 4366: 4332: 4283: 4242: 4201: 4190:from the original on 2013-02-16 4091: 4047: 3998: 3939: 3890: 3781: 3738: 3695: 3652: 3626: 3607: 3563: 3463: 3412: 3363: 3289: 3240: 3213: 3110: 3039: 3007: 2800: 2751: 2268: 2256:from the original on 2016-08-01 2236: 2193: 2148: 1965: 1892: 1789: 1639:from the original on 2012-01-07 998:Aldosterone receptor antagonist 928: 709:Adrenergic receptor antagonists 6103:Tooltip Pulmonary hypertension 6071:Serotonin receptor antagonists 4573:10.1002/14651858.cd012572.pub2 3823:. 28 June 2006. Archived from 3265:10.1080/08998280.2004.11927973 2846:Nachawati D, Patel JB (2023). 2776:10.1002/14651858.CD009096.pub2 2572:10.1016/j.amjhyper.2005.05.005 2293:10.1080/08998280.2003.11927893 1986:10.1016/b0-12-369400-0/00006-5 1814:10.1002/14651858.CD008167.pub3 1619: 1595:10.1002/14651858.CD001841.pub3 1451: 1435: 569:high blood levels of potassium 13: 1: 5988:-Adrenergic receptor blockers 5757:Adrenergic release inhibitors 5714:-Adrenergic receptor agonists 4758:Thrombolytics / fibrinolytics 3759:10.1016/S0140-6736(07)61299-9 3716:10.1016/S0140-6736(82)91506-9 3673:10.1016/S0140-6736(76)90359-7 2936:10.1016/S0140-6736(04)17355-8 2893:10.1016/S0140-6736(05)67573-3 2524:10.1016/S0140-6736(03)14284-5 2470:10.1016/S0140-6736(04)16451-9 2214:10.1080/14740338.2020.1836151 2202:Expert Opinion on Drug Safety 1510:(33): 108–112. Archived from 1429: 1115:Endothelium receptor blockers 990:(developed by Novartis) is a 868:Mixed Alpha + Beta blockers: 455:angiotensin-converting enzyme 5899:Monoamine oxidase inhibitors 5469:Wakefulness-promoting agents 4392:10.1016/j.preghy.2022.09.007 3848:Williams B (November 2003). 2736:10.1161/CIR.0000000000000435 1464:Health Technology Assessment 1271:Benign prostatic hyperplasia 1134:Choice of initial medication 1025:and resistant hypertension. 118: 7: 3220:Mehta A (January 1, 2011). 3117:Hariri L, Patel JB (2024). 2695:10.1056/nejm199108013250501 2265:Page updated: June 29, 2016 1972:Spiller HA (January 2005). 1403: 655:In 2004, an article in the 244:Potassium-sparing diuretics 10: 7513: 7049:+bisoprolol and amlodipine 7045:+amlodipine and indapamide 5119:Intravenous immunoglobulin 4511:Nature Reviews. Cardiology 4458:Godfraind T (2017-05-29). 4352:10.3310/nihrevidence_56796 3866:10.1177/014107680309601101 3793:Merck Manual of Geriatrics 2553:Levy BI (September 2005). 1978:Encyclopedia of Toxicology 1900:"Calcium Channel Blockers" 1852:"Calcium channel blockers" 1374: 1196:potassium-sparing diuretic 1188:impaired glucose tolerance 665:American Heart Association 7447: 7431: 7404: 7365: 7324: 7155: 6903: 6817: 6801: 6747: 6674: 6637: 6575: 6547: 6533: 6456: 6364: 6287: 6264: 6249: 6167: 6092: 6069: 6059: 6029: 5982: 5975: 5953: 5915: 5897: 5890: 5883: 5842: 5813: 5755: 5708: 5701: 5682: 5593: 5549: 5521: 5477: 5286: 5221: 5184: 5132: 5045: 4989: 4949: 4906: 4790: 4726: 4638: 4523:10.1038/nrcardio.2009.156 4464:Frontiers in Pharmacology 4011:Internal Medicine Journal 3388:10.2344/0003-3006-62.1.31 2983:10.1136/bmj.318.7200.1730 2342:10.1136/bmj.329.7477.1248 1774:10.1161/01.CIR.99.15.2055 6945:Dicarboxylate-containing 6892:renin–angiotensin system 5174:Topoisomerase inhibitors 4858:renin–angiotensin system 4852:Calcium channel blockers 4477:10.3389/fphar.2017.00286 4173:10.1001/jama.289.19.2560 3915:10.1177/2042098616682721 3614:Watson K (18 May 2016). 3349:10.1001/jama.289.19.2560 2807:Farzam K, Jan A (2023), 2594:Lévy BI (January 2004). 2133:10.1001/jama.288.23.2981 2089:10.1001/jama.288.19.2421 1692:10.1001/jama.2013.284427 1446:Medical Subject Headings 1192:diabetes mellitus type 2 1149:calcium channel blockers 980:renin–angiotensin system 965:gestational hypertension 942:hypertensive emergencies 527:calcium channel blockers 453:inhibit the activity of 423:The ratio of CCBs' anti- 313:Calcium channel blockers 308:Calcium channel blockers 275:calcium channel blockers 79:calcium channel blockers 7497:Antihypertensive agents 6577:Aldosterone antagonists 4309:10.5644/ama2006-124.356 4101:2010;363(10) 954-963. 4057:Journal of Hypertension 3585:10.1001/jama.2018.16755 3199:10.1378/chest.118.1.214 1442:Antihypertensive+Agents 1409:Blood pressure vaccines 1208:further diuretic (e.g. 285:. There are fixed-dose 211:Thiazide-like diuretics 55:ischaemic heart disease 37:that are used to treat 7121:Phosphonate-containing 6888:Antihypertensive drugs 5669:(and closely related) 4966:Hormonal contraception 4896:Bile acid sequestrants 4677:Proton-pump inhibitors 4640:gastrointestinal tract 4379:Pregnancy Hypertension 3247:Craft J (April 2004). 3046:Ladva S (2006-06-28). 1281:Chronic kidney disease 952:malignant hypertension 721: 703:chronic kidney disease 591: 542:chronic kidney disease 535:chronic kidney disease 447: 392:non-dihydropyridines: 135: 71:cardiovascular disease 6916:Sulfhydryl-containing 5848:nicotinic antagonists 4296:Acta Medica Academica 4121:10.1056/NEJMcp1001011 3965:10.3892/etm.2019.7504 2565:(9 Pt 2): 134S–141S. 1976:. In Wexler P (ed.). 1508:Australian Prescriber 716: 661:myocardial infarction 603:angiotensin receptors 586: 442: 126: 47:myocardial infarction 6802:Combination products 6607:Potassium canrenoate 5815:Imidazoline receptor 5575:Radiopharmaceuticals 5363:Antiparkinson agents 4346:. 15 February 2023. 3635:"Hyperaldosteronism" 3539:10.1056/NEJMoa021716 1937:Kidney International 1380:History of Thiazides 1265:rheumatoid arthritis 1184:hypercholesterolemia 1100:and ganglion blocker 948:Sodium nitroprusside 936:act directly on the 108:first-line treatment 7351:+amlodipine and HCT 7299:+amlodipine and HCT 7274:+amlodipine and HCT 7248:+amlodipine and HCT 7210:+amlodipine and HCT 7183:+amlodipine and HCT 7083:+amlodipine and HCT 6769:mercurial diuretics 6423:Hydrochlorothiazide 6393:Bendroflumethiazide 5358:Antimigraine agents 5348:Antidementia agents 5251:Anti-inflammatories 4941:Medicated dressings 4881:Antihyperlipidemics 4708:Diabetes medication 3376:Anesthesia Progress 3161:. pp. 544–60. 1391:, an antimalarial. 1346:Periodontal disease 1287:Late-stage dementia 1261:psoriatic arthritis 1096: – 544:. Results from the 194:bendroflumethiazide 185:hydrochlorothiazide 128:Hydrochlorothiazide 7474:Never to phase III 6844:Never to phase III 6448:Trichlormethiazide 6428:Hydroflumethiazide 6194:Never to phase III 5211:Immunosuppressants 5081:Antimycobacterials 5037:Antithyroid agents 5021:Mineralocorticoids 4825:Cardiac stimulants 4815:Cardiac glycosides 4807:cardiac therapy / 4703:Anti-obesity drugs 3438:10.2147/VHRM.S4713 1177:hyperaldosteronism 722: 601:the activation of 592: 548:trial showed that 448: 136: 75:thiazide diuretics 7484: 7483: 6854: 6853: 6737:Lithium carbonate 6639:Osmotic diuretics 6633: 6632: 6535:Potassium-sparing 6529: 6528: 6204: 6203: 6163: 6162: 6055: 6054: 6051: 6050: 6047: 6046: 5971: 5970: 5879: 5878: 5844:Ganglion-blocking 5671:antihypertensives 5633: 5632: 5536:Ophthalmologicals 5246:Anabolic steroids 5149:Anticancer agents 5112:Ectoparasiticides 4832:Antihypertensives 4780:Antifibrinolytics 4422:Freis ED (1995). 4063:(10): 1855–1860. 4023:10.1111/imj.13215 4017:(10): 1189–1197. 3753:(9587): 591–603. 3579:(17): 1749–1750. 3168:978-0-07-144343-2 2887:(9496): 1545–53. 2464:(9426): 2022–31. 2208:(12): 1577–1583. 2036:10.1136/bmj.f6008 1995:978-0-12-369400-3 1514:on 26 August 2010 1301:Diabetes mellitus 1147:-type diuretics, 1043:negative feedback 1035:alpha 2 receptors 956:aortic dissection 687:negative-feedback 554:combination drugs 412:-type diuretics, 287:combination drugs 31:Antihypertensives 18:Antihypertensives 16:(Redirected from 7504: 7419: 7340: 7326:Renin inhibitors 7288: 7267: 7241: 7224: 7203: 7176: 7144:Other/ungrouped: 7135: 7111: 7076: 7063: 7030: 7008: 6990: 6968: 6935: 6881: 6874: 6867: 6858: 6857: 6545: 6544: 6438:Methyclothiazide 6408:Cyclopenthiazide 6262: 6261: 6231: 6224: 6217: 6208: 6207: 6104: 6100: 6067: 6066: 5980: 5979: 5895: 5894: 5888: 5887: 5706: 5705: 5699: 5698: 5693:vasoconstriction 5660: 5653: 5646: 5637: 5636: 5622: 5601: 5600: 5585:Senotherapeutics 5439:Neuroprotectives 5434:Mood stabilizers 5333:Anti-ADHD agents 5273:Muscle relaxants 5206:Immunostimulants 5201:Immunomodulators 5033:Thyroid hormones 4971:Fertility agents 4874:Renin inhibitors 4765:Antihemorrhagics 4732:forming organs ( 4718:Dietary minerals 4624: 4617: 4610: 4601: 4600: 4595: 4594: 4584: 4552: 4543: 4542: 4506: 4500: 4499: 4489: 4479: 4455: 4442: 4441: 4439: 4428: 4419: 4413: 4412: 4394: 4370: 4364: 4363: 4336: 4330: 4329: 4311: 4287: 4281: 4280: 4270: 4261:(6): 1365–1373. 4246: 4240: 4239: 4229: 4205: 4199: 4198: 4196: 4195: 4189: 4158: 4149: 4143: 4142: 4132: 4095: 4089: 4088: 4051: 4045: 4044: 4034: 4002: 3996: 3995: 3977: 3967: 3943: 3937: 3936: 3926: 3894: 3888: 3887: 3877: 3845: 3839: 3838: 3836: 3835: 3830:on 13 March 2009 3829: 3818: 3810: 3801: 3800: 3785: 3779: 3778: 3742: 3736: 3735: 3710:(8311): 1293–5. 3699: 3693: 3692: 3656: 3650: 3649: 3647: 3645: 3630: 3624: 3623: 3611: 3605: 3604: 3567: 3561: 3560: 3550: 3524: 3515: 3509: 3508: 3467: 3461: 3460: 3450: 3440: 3416: 3410: 3409: 3399: 3367: 3361: 3360: 3331: 3320: 3319: 3317: 3316: 3298:"Spironolactone" 3293: 3287: 3286: 3276: 3244: 3238: 3237: 3235: 3233: 3217: 3211: 3210: 3182: 3173: 3172: 3150: 3141: 3140: 3138: 3137: 3114: 3108: 3107: 3097: 3073: 3067: 3066: 3064: 3063: 3054:. Archived from 3043: 3037: 3036: 3034: 3033: 3027: 3021:. Archived from 3011: 3005: 3004: 2994: 2977:(7200): 1730–7. 2962: 2956: 2955: 2930:(9446): 1684–9. 2919: 2913: 2912: 2876: 2870: 2869: 2867: 2866: 2848:"Alpha-Blockers" 2843: 2830: 2829: 2828: 2827: 2804: 2798: 2797: 2787: 2755: 2749: 2748: 2738: 2714: 2708: 2707: 2697: 2673: 2667: 2666: 2656: 2632: 2626: 2625: 2615: 2591: 2585: 2584: 2574: 2550: 2544: 2543: 2506: 2500: 2499: 2481: 2452: 2446: 2445: 2435: 2411: 2405: 2404: 2394: 2370: 2364: 2363: 2353: 2336:(7477): 1248–9. 2321: 2315: 2314: 2304: 2272: 2266: 2264: 2262: 2261: 2240: 2234: 2233: 2197: 2191: 2190: 2180: 2152: 2146: 2145: 2135: 2111: 2102: 2101: 2091: 2067: 2058: 2057: 2047: 2015: 2006: 2005: 2003: 2002: 1974:"ACE Inhibitors" 1969: 1963: 1962: 1952: 1943:(6): 1991–2002. 1928: 1922: 1921: 1919: 1918: 1896: 1890: 1889: 1879: 1847: 1836: 1835: 1825: 1793: 1787: 1786: 1776: 1752: 1746: 1745: 1735: 1711: 1705: 1704: 1694: 1670: 1649: 1647: 1645: 1644: 1638: 1632:. 28 June 2006. 1631: 1623: 1617: 1616: 1606: 1574: 1568: 1567: 1530: 1524: 1523: 1521: 1519: 1499: 1490: 1489: 1479: 1455: 1449: 1439: 1289:should consider 1128:pulmonary artery 984:Renin inhibitors 971:Renin inhibitors 923:prostate disease 842:phenoxybenzamine 320:dihydropyridines 199:methyclothiazide 21: 7512: 7511: 7507: 7506: 7505: 7503: 7502: 7501: 7487: 7486: 7485: 7480: 7479: 7464:Clinical trials 7443: 7427: 7417: 7400: 7361: 7338: 7328: 7320: 7286: 7265: 7239: 7222: 7201: 7174: 7159: 7151: 7133: 7109: 7074: 7061: 7028: 7006: 6988: 6966: 6933: 6907: 6899: 6885: 6855: 6850: 6849: 6834:Clinical trials 6813: 6797: 6743: 6678: 6670: 6629: 6571: 6525: 6452: 6379:Calcium-sparing 6377: 6360: 6283: 6253: 6245: 6235: 6205: 6200: 6199: 6184:Clinical trials 6159: 6102: 6088: 6043: 6025: 5987: 5967: 5949: 5917:VMAT inhibitors 5911: 5875: 5838: 5809: 5751: 5713: 5691: 5686: 5678: 5664: 5634: 5629: 5625:Medicine portal 5589: 5545: 5517: 5512: 5504:Cough medicines 5499:Bronchodilators 5480: 5473: 5353:Antidepressants 5343:Anticonvulsants 5291: 5282: 5278:Bisphosphonates 5268:Corticosteroids 5230: 5217: 5189: 5180: 5164:Spindle poisons 5154:Antimetabolites 5137: 5128: 5050: 5041: 5016:Glucocorticoids 5011:Corticosteroids 4992: 4985: 4952: 4945: 4902: 4820:Antiarrhythmics 4793: 4786: 4743:Antithrombotics 4731: 4722: 4698:Antipropulsives 4694:Antidiarrhoeals 4671: 4642: 4634: 4628: 4598: 4567:(6): CD012572. 4553: 4546: 4507: 4503: 4456: 4445: 4437: 4426: 4420: 4416: 4371: 4367: 4338: 4337: 4333: 4288: 4284: 4247: 4243: 4220:(21): 2761–88. 4206: 4202: 4193: 4191: 4187: 4167:(19): 2560–72. 4156: 4150: 4146: 4096: 4092: 4052: 4048: 4003: 3999: 3944: 3940: 3895: 3891: 3846: 3842: 3833: 3831: 3827: 3816: 3812: 3811: 3804: 3787: 3786: 3782: 3743: 3739: 3700: 3696: 3667:(7959): 564–6. 3657: 3653: 3643: 3641: 3631: 3627: 3612: 3608: 3568: 3564: 3522: 3516: 3512: 3468: 3464: 3417: 3413: 3368: 3364: 3343:(19): 2560–72. 3332: 3323: 3314: 3312: 3294: 3290: 3245: 3241: 3231: 3229: 3218: 3214: 3183: 3176: 3169: 3151: 3144: 3135: 3133: 3115: 3111: 3074: 3070: 3061: 3059: 3044: 3040: 3031: 3029: 3025: 3013: 3012: 3008: 2963: 2959: 2920: 2916: 2877: 2873: 2864: 2862: 2844: 2833: 2825: 2823: 2809:"Beta Blockers" 2805: 2801: 2770:(8): CD009096. 2756: 2752: 2729:(13): e282-93. 2715: 2711: 2674: 2670: 2633: 2629: 2592: 2588: 2551: 2547: 2518:(9386): 772–6. 2507: 2503: 2453: 2449: 2412: 2408: 2371: 2367: 2322: 2318: 2273: 2269: 2259: 2257: 2242: 2241: 2237: 2198: 2194: 2153: 2149: 2126:(23): 2981–97. 2112: 2105: 2082:(19): 2421–31. 2068: 2061: 2016: 2009: 2000: 1998: 1996: 1970: 1966: 1929: 1925: 1916: 1914: 1898: 1897: 1893: 1848: 1839: 1794: 1790: 1753: 1749: 1712: 1708: 1671: 1652: 1642: 1640: 1636: 1629: 1625: 1624: 1620: 1589:(4): CD001841. 1575: 1571: 1531: 1527: 1517: 1515: 1500: 1493: 1477:10.3310/hta7310 1456: 1452: 1440: 1436: 1432: 1411: 1406: 1377: 1368: 1234:multi-morbidity 1222: 1220:Patient factors 1136: 1117: 1031: 1000: 992:renin inhibitor 973: 931: 911:type 2 diabetes 711: 581: 523:kidney function 463:vasoconstrictor 437: 310: 157:ethacrynic acid 121: 33:are a class of 28: 23: 22: 15: 12: 11: 5: 7510: 7500: 7499: 7482: 7481: 7478: 7477: 7476: 7475: 7472: 7461: 7455: 7449: 7448: 7445: 7444: 7442: 7441: 7435: 7433: 7429: 7428: 7426: 7425: 7411: 7409: 7402: 7401: 7399: 7398: 7393: 7388: 7383: 7377: 7375: 7363: 7362: 7360: 7359: 7354: 7332: 7330: 7322: 7321: 7319: 7318: 7307:+lercanidipine 7281: 7260: 7255: 7234: 7217: 7196: 7191: 7186: 7169: 7163: 7161: 7153: 7152: 7150: 7149: 7141: 7128: 7117: 7104: 7099: 7094: 7069: 7056: 7023: 7018: 7001: 6996: 6983: 6978: 6961: 6954:+lercanidipine 6941: 6928: 6923: 6911: 6909: 6905:ACE inhibitors 6901: 6900: 6890:acting on the 6884: 6883: 6876: 6869: 6861: 6852: 6851: 6848: 6847: 6846: 6845: 6842: 6831: 6825: 6819: 6818: 6815: 6814: 6812: 6811: 6805: 6803: 6799: 6798: 6796: 6795: 6790: 6785: 6765: 6751: 6749: 6745: 6744: 6742: 6741: 6740: 6739: 6734: 6732:Demeclocycline 6721: 6720: 6719: 6718: 6713: 6708: 6703: 6690: 6688: 6672: 6671: 6669: 6668: 6663: 6658: 6652: 6650: 6635: 6634: 6631: 6630: 6628: 6627: 6626: 6625: 6612: 6611: 6610: 6609: 6604: 6599: 6594: 6592:Spironolactone 6581: 6579: 6573: 6572: 6570: 6569: 6564: 6559: 6553: 6551: 6542: 6531: 6530: 6527: 6526: 6524: 6523: 6518: 6513: 6508: 6503: 6498: 6493: 6488: 6483: 6478: 6473: 6467: 6465: 6458:Thiazide-likes 6454: 6453: 6451: 6450: 6445: 6440: 6435: 6430: 6425: 6420: 6415: 6410: 6405: 6403:Chlorothiazide 6400: 6395: 6390: 6384: 6382: 6362: 6361: 6359: 6358: 6353: 6348: 6343: 6338: 6333: 6328: 6323: 6321:Etacrynic acid 6318: 6313: 6308: 6302: 6300: 6285: 6284: 6282: 6281: 6275: 6273: 6259: 6256:etacrynic acid 6247: 6246: 6234: 6233: 6226: 6219: 6211: 6202: 6201: 6198: 6197: 6196: 6195: 6192: 6181: 6175: 6169: 6168: 6165: 6164: 6161: 6160: 6158: 6157: 6135: 6108: 6106: 6090: 6089: 6087: 6086: 6081: 6075: 6073: 6064: 6057: 6056: 6053: 6052: 6049: 6048: 6045: 6044: 6042: 6041: 6035: 6033: 6027: 6026: 6024: 6023: 6018: 6013: 6008: 6003: 5998: 5992: 5990: 5985: 5977: 5973: 5972: 5969: 5968: 5966: 5965: 5959: 5957: 5951: 5950: 5948: 5947: 5942: 5937: 5935:Methoserpidine 5932: 5927: 5921: 5919: 5913: 5912: 5910: 5909: 5903: 5901: 5892: 5885: 5881: 5880: 5877: 5876: 5874: 5873: 5868: 5863: 5858: 5852: 5850: 5840: 5839: 5837: 5836: 5831: 5826: 5820: 5818: 5811: 5810: 5808: 5807: 5802: 5797: 5792: 5787: 5782: 5777: 5772: 5767: 5761: 5759: 5753: 5752: 5750: 5749: 5744: 5739: 5734: 5729: 5724: 5718: 5716: 5711: 5703: 5696: 5684:Sympatholytics 5680: 5679: 5663: 5662: 5655: 5648: 5640: 5631: 5630: 5628: 5627: 5616: 5611: 5606: 5594: 5591: 5590: 5588: 5587: 5582: 5577: 5572: 5570:Contrast media 5567: 5561: 5559: 5547: 5546: 5544: 5543: 5538: 5532: 5530: 5523:sensory organs 5519: 5518: 5516: 5515: 5510: 5506: 5501: 5496: 5490: 5488: 5475: 5474: 5472: 5471: 5466: 5461: 5456: 5451: 5446: 5441: 5436: 5431: 5422: 5421: 5420: 5415: 5410: 5400: 5395: 5390: 5385: 5380: 5375: 5370: 5368:Antipsychotics 5365: 5360: 5355: 5350: 5345: 5340: 5338:Antiaddictives 5335: 5330: 5325: 5324: 5323: 5318: 5308: 5302: 5300: 5293:nervous system 5284: 5283: 5281: 5280: 5275: 5270: 5265: 5263:Antirheumatics 5260: 5259: 5258: 5248: 5242: 5240: 5219: 5218: 5216: 5215: 5214: 5213: 5208: 5197: 5195: 5182: 5181: 5179: 5178: 5177: 5176: 5171: 5169:Antineoplastic 5166: 5161: 5156: 5145: 5143: 5130: 5129: 5127: 5126: 5121: 5116: 5115: 5114: 5109: 5104: 5102:Antiprotozoals 5097:Antiparasitics 5094: 5089: 5084: 5077:Antibacterials 5073:Antimicrobials 5069: 5067: 5043: 5042: 5040: 5039: 5030: 5025: 5024: 5023: 5018: 5008: 5002: 5000: 4987: 4986: 4984: 4983: 4978: 4973: 4968: 4962: 4960: 4947: 4946: 4944: 4943: 4938: 4936:Antipsoriatics 4933: 4928: 4923: 4917: 4915: 4904: 4903: 4901: 4900: 4899: 4898: 4893: 4888: 4878: 4877: 4876: 4871: 4866: 4864:ACE inhibitors 4854: 4849: 4844: 4839: 4834: 4829: 4828: 4827: 4822: 4817: 4803: 4801: 4792:cardiovascular 4788: 4787: 4785: 4784: 4783: 4782: 4777: 4772: 4762: 4761: 4760: 4755: 4753:Anticoagulants 4750: 4739: 4737: 4724: 4723: 4721: 4720: 4715: 4710: 4705: 4700: 4691: 4686: 4681: 4680: 4679: 4674: 4669: 4665: 4654: 4652: 4636: 4635: 4627: 4626: 4619: 4612: 4604: 4597: 4596: 4544: 4517:(10): 639–47. 4501: 4443: 4440:on 2017-02-22. 4414: 4365: 4331: 4302:(3): 372–381. 4282: 4241: 4200: 4144: 4115:(10): 954–63. 4090: 4046: 3997: 3958:(2): 955–959. 3938: 3909:(4): 117–132. 3889: 3840: 3802: 3780: 3737: 3694: 3651: 3625: 3606: 3562: 3510: 3462: 3411: 3362: 3321: 3288: 3259:(2): 217–220. 3239: 3212: 3174: 3167: 3142: 3119:"Vasodilators" 3109: 3068: 3038: 3006: 2957: 2914: 2871: 2831: 2799: 2750: 2709: 2688:(5): 293–302. 2668: 2627: 2586: 2545: 2501: 2447: 2406: 2365: 2316: 2287:(1): 123–126. 2267: 2235: 2192: 2147: 2103: 2059: 2007: 1994: 1964: 1923: 1891: 1862:(9): 687–689. 1837: 1788: 1767:(15): 2055–7. 1747: 1706: 1650: 1618: 1569: 1525: 1491: 1450: 1433: 1431: 1428: 1410: 1407: 1405: 1402: 1385:Chlorothiazide 1376: 1373: 1367: 1364: 1360: 1359: 1353: 1349: 1343: 1337: 1330: 1324: 1318: 1312: 1298: 1284: 1278: 1268: 1253: 1243: 1237: 1230: 1221: 1218: 1210:spironolactone 1172:Chlorthalidone 1153:ACE inhibitors 1135: 1132: 1116: 1113: 1112: 1111: 1101: 1091: 1074: 1073: 1068: 1063: 1058: 1053: 1041:which provide 1030: 1027: 1019: 1018: 1016:spironolactone 1013: 999: 996: 972: 969: 930: 927: 918:alpha blockers 893: 892: 891: 890: 884: 879: 874: 866: 865: 864: 859: 854: 849: 844: 839: 834: 829: 827:chlorpromazine 824: 816:Alpha blockers 813: 812: 811: 806: 801: 796: 791: 786: 781: 776: 771: 766: 761: 756: 751: 746: 741: 710: 707: 653: 652: 647: 642: 637: 632: 627: 622: 617: 612: 580: 577: 518: 517: 512: 507: 502: 497: 492: 487: 482: 477: 472: 451:ACE inhibitors 436: 435:ACE inhibitors 433: 414:ACE inhibitors 406: 405: 404: 403: 398: 390: 389: 388: 383: 378: 373: 368: 363: 358: 353: 348: 343: 338: 333: 328: 309: 306: 279:ACE inhibitors 270: 269: 268: 267: 262: 260:spironolactone 257: 252: 241: 240: 239: 234: 229: 224: 222:chlorthalidone 219: 208: 207: 206: 201: 196: 191: 189:chlorothiazide 182: 171: 170: 169: 164: 159: 154: 146:Loop diuretics 120: 117: 83:ACE inhibitors 51:blood pressure 26: 9: 6: 4: 3: 2: 7509: 7498: 7495: 7494: 7492: 7473: 7471: 7468: 7467: 7465: 7462: 7459: 7456: 7454: 7451: 7450: 7446: 7440: 7437: 7436: 7434: 7430: 7423: 7416: 7413: 7412: 7410: 7407: 7403: 7397: 7394: 7392: 7389: 7387: 7384: 7382: 7379: 7378: 7376: 7373: 7369: 7364: 7358: 7355: 7352: 7348: 7344: 7337: 7334: 7333: 7331: 7327: 7323: 7316: 7312: 7308: 7304: 7300: 7296: 7292: 7285: 7282: 7279: 7275: 7271: 7264: 7261: 7259: 7256: 7253: 7249: 7245: 7238: 7235: 7232: 7228: 7221: 7218: 7215: 7211: 7207: 7200: 7197: 7195: 7192: 7190: 7187: 7184: 7180: 7173: 7170: 7168: 7165: 7164: 7162: 7158: 7154: 7148: 7145: 7142: 7139: 7132: 7129: 7127: 7123: 7122: 7118: 7115: 7108: 7105: 7103: 7100: 7098: 7095: 7092: 7088: 7084: 7080: 7073: 7070: 7067: 7060: 7057: 7054: 7050: 7046: 7042: 7038: 7034: 7027: 7024: 7022: 7019: 7016: 7012: 7005: 7002: 7000: 6997: 6994: 6987: 6984: 6982: 6979: 6976: 6972: 6965: 6962: 6959: 6958:+nitrendipine 6955: 6951: 6948: 6946: 6942: 6939: 6932: 6929: 6927: 6924: 6922: 6919: 6917: 6913: 6912: 6910: 6906: 6902: 6897: 6893: 6889: 6882: 6877: 6875: 6870: 6868: 6863: 6862: 6859: 6843: 6841: 6838: 6837: 6835: 6832: 6829: 6826: 6824: 6821: 6820: 6816: 6810: 6807: 6806: 6804: 6800: 6794: 6791: 6789: 6786: 6783: 6779: 6775: 6774:Chlormerodrin 6771: 6770: 6766: 6764: 6760: 6756: 6753: 6752: 6750: 6746: 6738: 6735: 6733: 6730: 6729: 6728: 6727: 6723: 6722: 6717: 6714: 6712: 6709: 6707: 6704: 6702: 6699: 6698: 6697: 6696: 6692: 6691: 6689: 6686: 6682: 6677: 6673: 6667: 6664: 6662: 6659: 6657: 6654: 6653: 6651: 6648: 6644: 6640: 6636: 6624: 6621: 6620: 6619: 6618: 6614: 6613: 6608: 6605: 6603: 6600: 6598: 6595: 6593: 6590: 6589: 6588: 6587: 6586:Spirolactones 6583: 6582: 6580: 6578: 6574: 6568: 6565: 6563: 6560: 6558: 6555: 6554: 6552: 6550: 6546: 6543: 6540: 6536: 6532: 6522: 6519: 6517: 6514: 6512: 6509: 6507: 6504: 6502: 6499: 6497: 6494: 6492: 6489: 6487: 6484: 6482: 6479: 6477: 6474: 6472: 6471:Chlortalidone 6469: 6468: 6466: 6463: 6459: 6455: 6449: 6446: 6444: 6441: 6439: 6436: 6434: 6431: 6429: 6426: 6424: 6421: 6419: 6416: 6414: 6413:Cyclothiazide 6411: 6409: 6406: 6404: 6401: 6399: 6396: 6394: 6391: 6389: 6386: 6385: 6383: 6380: 6375: 6371: 6367: 6363: 6357: 6354: 6352: 6351:Tienilic acid 6349: 6347: 6344: 6342: 6339: 6337: 6334: 6332: 6329: 6327: 6324: 6322: 6319: 6317: 6314: 6312: 6309: 6307: 6304: 6303: 6301: 6298: 6294: 6290: 6286: 6280: 6279:Acetazolamide 6277: 6276: 6274: 6271: 6267: 6266:CA inhibitors 6263: 6260: 6257: 6252: 6248: 6243: 6239: 6232: 6227: 6225: 6220: 6218: 6213: 6212: 6209: 6193: 6191: 6188: 6187: 6185: 6182: 6179: 6176: 6174: 6171: 6170: 6166: 6155: 6151: 6147: 6143: 6139: 6136: 6133: 6129: 6125: 6121: 6117: 6113: 6110: 6109: 6107: 6101: 6095: 6091: 6085: 6082: 6080: 6077: 6076: 6074: 6072: 6068: 6065: 6063: 6058: 6040: 6037: 6036: 6034: 6032: 6028: 6022: 6019: 6017: 6014: 6012: 6009: 6007: 6004: 6002: 5999: 5997: 5994: 5993: 5991: 5989: 5981: 5978: 5974: 5964: 5961: 5960: 5958: 5956: 5952: 5946: 5945:Syrosingopine 5943: 5941: 5938: 5936: 5933: 5931: 5928: 5926: 5923: 5922: 5920: 5918: 5914: 5908: 5905: 5904: 5902: 5900: 5896: 5893: 5889: 5886: 5882: 5872: 5869: 5867: 5864: 5862: 5859: 5857: 5856:Hexamethonium 5854: 5853: 5851: 5849: 5845: 5841: 5835: 5832: 5830: 5827: 5825: 5822: 5821: 5819: 5816: 5812: 5806: 5803: 5801: 5798: 5796: 5793: 5791: 5788: 5786: 5783: 5781: 5778: 5776: 5773: 5771: 5768: 5766: 5763: 5762: 5760: 5758: 5754: 5748: 5745: 5743: 5740: 5738: 5735: 5733: 5730: 5728: 5725: 5723: 5720: 5719: 5717: 5715: 5707: 5704: 5700: 5697: 5694: 5690: 5685: 5681: 5676: 5672: 5668: 5667:Sympatholytic 5661: 5656: 5654: 5649: 5647: 5642: 5641: 5638: 5626: 5621: 5617: 5615: 5612: 5610: 5607: 5605: 5596: 5595: 5592: 5586: 5583: 5581: 5578: 5576: 5573: 5571: 5568: 5566: 5563: 5562: 5560: 5557: 5553: 5548: 5542: 5539: 5537: 5534: 5533: 5531: 5528: 5524: 5520: 5514: 5507: 5505: 5502: 5500: 5497: 5495: 5494:Decongestants 5492: 5491: 5489: 5486: 5482: 5476: 5470: 5467: 5465: 5462: 5460: 5457: 5455: 5452: 5450: 5447: 5445: 5442: 5440: 5437: 5435: 5432: 5430: 5426: 5423: 5419: 5416: 5414: 5413:Dissociatives 5411: 5409: 5406: 5405: 5404: 5403:Hallucinogens 5401: 5399: 5396: 5394: 5391: 5389: 5386: 5384: 5381: 5379: 5376: 5374: 5371: 5369: 5366: 5364: 5361: 5359: 5356: 5354: 5351: 5349: 5346: 5344: 5341: 5339: 5336: 5334: 5331: 5329: 5326: 5322: 5319: 5317: 5314: 5313: 5312: 5309: 5307: 5304: 5303: 5301: 5298: 5294: 5289: 5285: 5279: 5276: 5274: 5271: 5269: 5266: 5264: 5261: 5257: 5254: 5253: 5252: 5249: 5247: 5244: 5243: 5241: 5238: 5234: 5228: 5224: 5220: 5212: 5209: 5207: 5204: 5203: 5202: 5199: 5198: 5196: 5193: 5187: 5183: 5175: 5172: 5170: 5167: 5165: 5162: 5160: 5157: 5155: 5152: 5151: 5150: 5147: 5146: 5144: 5141: 5135: 5131: 5125: 5122: 5120: 5117: 5113: 5110: 5108: 5107:Anthelmintics 5105: 5103: 5100: 5099: 5098: 5095: 5093: 5090: 5088: 5085: 5082: 5078: 5074: 5071: 5070: 5068: 5065: 5061: 5057: 5053: 5048: 5044: 5038: 5034: 5031: 5029: 5026: 5022: 5019: 5017: 5014: 5013: 5012: 5009: 5007: 5004: 5003: 5001: 4998: 4994: 4988: 4982: 4979: 4977: 4974: 4972: 4969: 4967: 4964: 4963: 4961: 4958: 4954: 4951:genitourinary 4948: 4942: 4939: 4937: 4934: 4932: 4931:Antipruritics 4929: 4927: 4924: 4922: 4919: 4918: 4916: 4913: 4909: 4905: 4897: 4894: 4892: 4889: 4887: 4884: 4883: 4882: 4879: 4875: 4872: 4870: 4867: 4865: 4862: 4861: 4860: 4859: 4855: 4853: 4850: 4848: 4847:Beta blockers 4845: 4843: 4840: 4838: 4835: 4833: 4830: 4826: 4823: 4821: 4818: 4816: 4813: 4812: 4811: 4810: 4805: 4804: 4802: 4799: 4795: 4789: 4781: 4778: 4776: 4773: 4771: 4768: 4767: 4766: 4763: 4759: 4756: 4754: 4751: 4749: 4748:Antiplatelets 4746: 4745: 4744: 4741: 4740: 4738: 4735: 4729: 4725: 4719: 4716: 4714: 4711: 4709: 4706: 4704: 4701: 4699: 4695: 4692: 4690: 4687: 4685: 4682: 4678: 4675: 4673: 4666: 4664: 4661: 4660: 4659: 4656: 4655: 4653: 4650: 4646: 4641: 4637: 4633: 4625: 4620: 4618: 4613: 4611: 4606: 4605: 4602: 4592: 4588: 4583: 4578: 4574: 4570: 4566: 4562: 4558: 4551: 4549: 4540: 4536: 4532: 4528: 4524: 4520: 4516: 4512: 4505: 4497: 4493: 4488: 4483: 4478: 4473: 4469: 4465: 4461: 4454: 4452: 4450: 4448: 4436: 4432: 4425: 4418: 4410: 4406: 4402: 4398: 4393: 4388: 4384: 4380: 4376: 4369: 4361: 4357: 4353: 4349: 4345: 4344:NIHR Evidence 4341: 4335: 4327: 4323: 4319: 4315: 4310: 4305: 4301: 4297: 4293: 4286: 4278: 4274: 4269: 4264: 4260: 4256: 4252: 4245: 4237: 4233: 4228: 4223: 4219: 4215: 4211: 4204: 4186: 4182: 4178: 4174: 4170: 4166: 4162: 4155: 4148: 4140: 4136: 4131: 4126: 4122: 4118: 4114: 4110: 4106: 4100: 4094: 4086: 4082: 4078: 4074: 4070: 4066: 4062: 4058: 4050: 4042: 4038: 4033: 4028: 4024: 4020: 4016: 4012: 4008: 4001: 3993: 3989: 3985: 3981: 3976: 3971: 3966: 3961: 3957: 3953: 3949: 3942: 3934: 3930: 3925: 3920: 3916: 3912: 3908: 3904: 3900: 3893: 3885: 3881: 3876: 3871: 3867: 3863: 3860:(11): 521–2. 3859: 3855: 3851: 3844: 3826: 3822: 3815: 3809: 3807: 3798: 3795:. July 2005. 3794: 3790: 3784: 3776: 3772: 3768: 3764: 3760: 3756: 3752: 3748: 3741: 3733: 3729: 3725: 3721: 3717: 3713: 3709: 3705: 3698: 3690: 3686: 3682: 3678: 3674: 3670: 3666: 3662: 3655: 3640: 3636: 3629: 3621: 3617: 3610: 3602: 3598: 3594: 3590: 3586: 3582: 3578: 3574: 3566: 3558: 3554: 3549: 3544: 3540: 3536: 3533:(7): 583–92. 3532: 3528: 3521: 3514: 3506: 3502: 3498: 3494: 3490: 3486: 3482: 3478: 3474: 3466: 3458: 3454: 3449: 3444: 3439: 3434: 3430: 3426: 3422: 3415: 3407: 3403: 3398: 3393: 3389: 3385: 3381: 3377: 3373: 3366: 3358: 3354: 3350: 3346: 3342: 3338: 3330: 3328: 3326: 3311: 3307: 3303: 3299: 3292: 3284: 3280: 3275: 3270: 3266: 3262: 3258: 3254: 3250: 3243: 3227: 3223: 3216: 3208: 3204: 3200: 3196: 3193:(1): 214–27. 3192: 3188: 3181: 3179: 3170: 3164: 3160: 3156: 3149: 3147: 3132: 3128: 3124: 3120: 3113: 3105: 3101: 3096: 3091: 3088:(3): 239–46. 3087: 3083: 3079: 3072: 3058:on 2007-09-29 3057: 3053: 3049: 3042: 3028:on 2007-02-16 3024: 3020: 3016: 3010: 3002: 2998: 2993: 2988: 2984: 2980: 2976: 2972: 2968: 2961: 2953: 2949: 2945: 2941: 2937: 2933: 2929: 2925: 2918: 2910: 2906: 2902: 2898: 2894: 2890: 2886: 2882: 2875: 2861: 2857: 2853: 2849: 2842: 2840: 2838: 2836: 2822: 2818: 2814: 2810: 2803: 2795: 2791: 2786: 2781: 2777: 2773: 2769: 2765: 2761: 2754: 2746: 2742: 2737: 2732: 2728: 2724: 2720: 2713: 2705: 2701: 2696: 2691: 2687: 2683: 2679: 2672: 2664: 2660: 2655: 2650: 2647:(6): 1261–2. 2646: 2642: 2638: 2631: 2623: 2619: 2614: 2609: 2605: 2601: 2597: 2590: 2582: 2578: 2573: 2568: 2564: 2560: 2556: 2549: 2541: 2537: 2533: 2529: 2525: 2521: 2517: 2513: 2505: 2497: 2493: 2489: 2485: 2480: 2475: 2471: 2467: 2463: 2459: 2451: 2443: 2439: 2434: 2429: 2426:(8): 855–60. 2425: 2421: 2417: 2410: 2402: 2398: 2393: 2388: 2385:(8): 838–54. 2384: 2380: 2376: 2369: 2361: 2357: 2352: 2347: 2343: 2339: 2335: 2331: 2327: 2320: 2312: 2308: 2303: 2298: 2294: 2290: 2286: 2282: 2278: 2271: 2255: 2251: 2250: 2245: 2239: 2231: 2227: 2223: 2219: 2215: 2211: 2207: 2203: 2196: 2188: 2184: 2179: 2174: 2171:(3): 374–84. 2170: 2166: 2162: 2158: 2151: 2143: 2139: 2134: 2129: 2125: 2121: 2117: 2110: 2108: 2099: 2095: 2090: 2085: 2081: 2077: 2073: 2066: 2064: 2055: 2051: 2046: 2041: 2037: 2033: 2029: 2025: 2021: 2014: 2012: 1997: 1991: 1987: 1983: 1979: 1975: 1968: 1960: 1956: 1951: 1946: 1942: 1938: 1934: 1927: 1913: 1909: 1905: 1901: 1895: 1887: 1883: 1878: 1873: 1869: 1865: 1861: 1857: 1853: 1846: 1844: 1842: 1833: 1829: 1824: 1819: 1815: 1811: 1807: 1803: 1799: 1792: 1784: 1780: 1775: 1770: 1766: 1762: 1758: 1751: 1743: 1739: 1734: 1729: 1726:(2): 219–24. 1725: 1721: 1717: 1710: 1702: 1698: 1693: 1688: 1685:(5): 507–20. 1684: 1680: 1676: 1669: 1667: 1665: 1663: 1661: 1659: 1657: 1655: 1635: 1628: 1622: 1614: 1610: 1605: 1600: 1596: 1592: 1588: 1584: 1580: 1573: 1565: 1561: 1557: 1553: 1549: 1545: 1542:(11): 565–8. 1541: 1537: 1529: 1513: 1509: 1505: 1498: 1496: 1487: 1483: 1478: 1473: 1469: 1465: 1461: 1454: 1447: 1443: 1438: 1434: 1427: 1423: 1422: 1418: 1416: 1401: 1397: 1396: 1392: 1390: 1386: 1382: 1381: 1372: 1363: 1357: 1354: 1350: 1347: 1344: 1341: 1338: 1334: 1333:Heart failure 1331: 1328: 1325: 1322: 1321:Kidney stones 1319: 1316: 1313: 1310: 1306: 1302: 1299: 1296: 1292: 1291:deprescribing 1288: 1285: 1282: 1279: 1276: 1275:alpha blocker 1272: 1269: 1266: 1262: 1258: 1254: 1251: 1250:beta blockers 1247: 1244: 1241: 1238: 1235: 1231: 1228: 1227: 1226: 1217: 1215: 1211: 1206: 1205:ethnic groups 1200: 1197: 1193: 1189: 1185: 1180: 1178: 1173: 1168: 1164: 1160: 1158: 1154: 1150: 1146: 1140: 1131: 1129: 1125: 1121: 1109: 1105: 1102: 1099: 1098:antinicotinic 1095: 1092: 1089: 1085: 1082: 1081: 1080: 1077: 1072: 1069: 1067: 1064: 1062: 1059: 1057: 1054: 1052: 1049: 1048: 1047: 1044: 1040: 1039:autoreceptors 1037:are known as 1036: 1026: 1024: 1023:heart failure 1017: 1014: 1012: 1009: 1008: 1007: 1004: 995: 993: 989: 985: 981: 977: 968: 966: 961: 957: 953: 949: 945: 943: 939: 938:smooth muscle 935: 926: 924: 919: 914: 912: 908: 903: 898: 897:beta blockers 888: 885: 883: 880: 878: 875: 873: 870: 869: 867: 863: 860: 858: 855: 853: 850: 848: 845: 843: 840: 838: 835: 833: 830: 828: 825: 823: 820: 819: 817: 814: 810: 807: 805: 802: 800: 797: 795: 792: 790: 787: 785: 782: 780: 777: 775: 772: 770: 767: 765: 762: 760: 757: 755: 752: 750: 747: 745: 742: 740: 737: 736: 735: 734:Beta blockers 732: 731: 730: 726: 719: 715: 706: 704: 700: 696: 691: 688: 683: 681: 676: 674: 668: 666: 662: 658: 651: 648: 646: 643: 641: 638: 636: 633: 631: 628: 626: 623: 621: 618: 616: 613: 611: 608: 607: 606: 604: 600: 596: 589: 585: 576: 574: 570: 566: 561: 559: 555: 551: 547: 543: 538: 536: 532: 531:beta blockers 528: 524: 516: 513: 511: 508: 506: 503: 501: 498: 496: 493: 491: 488: 486: 483: 481: 478: 476: 473: 471: 468: 467: 466: 464: 461:II, a potent 460: 456: 452: 445: 441: 432: 429: 426: 421: 419: 415: 411: 402: 399: 397: 394: 393: 391: 387: 384: 382: 379: 377: 374: 372: 369: 367: 364: 362: 361:levamlodipine 359: 357: 356:lercanidipine 354: 352: 349: 347: 344: 342: 339: 337: 334: 332: 329: 327: 324: 323: 321: 318: 317: 316: 314: 305: 303: 299: 294: 292: 288: 284: 280: 276: 266: 263: 261: 258: 256: 253: 251: 248: 247: 245: 242: 238: 235: 233: 230: 228: 225: 223: 220: 218: 215: 214: 212: 209: 205: 202: 200: 197: 195: 192: 190: 186: 183: 181: 178: 177: 175: 172: 168: 165: 163: 160: 158: 155: 153: 150: 149: 147: 144: 143: 142: 140: 133: 129: 125: 116: 114: 109: 105: 100: 94: 92: 91:beta blockers 88: 84: 80: 76: 72: 68: 64: 63:heart failure 60: 56: 52: 48: 44: 40: 36: 32: 19: 7381:Gemopatrilat 7143: 7119: 7107:Trandolapril 6943: 6914: 6767: 6724: 6693: 6617:Nonsteroidal 6615: 6584: 6549:ESC blockers 6516:Quinethazone 6443:Polythiazide 6251:Sulfonamides 6137: 6116:Aprocitentan 6111: 6039:Phentolamine 5925:Bietaserpine 5871:Trimethaphan 5861:Mecamylamine 5795:Guanethidine 5775:Debrisoquine 5689:α-adrenergic 5687:(antagonize 5670: 5408:Psychedelics 5378:Aphrodisiacs 5052:infestations 5028:Sex hormones 4981:Sex hormones 4926:Cicatrizants 4856: 4842:Vasodilators 4809:antianginals 4806: 4658:stomach acid 4657: 4564: 4560: 4514: 4510: 4504: 4467: 4463: 4435:the original 4430: 4417: 4382: 4378: 4368: 4343: 4334: 4299: 4295: 4285: 4258: 4255:Hypertension 4254: 4244: 4217: 4213: 4203: 4192:. Retrieved 4164: 4160: 4147: 4112: 4108: 4099:N Engl J Med 4098: 4093: 4060: 4056: 4049: 4014: 4010: 4000: 3955: 3951: 3941: 3906: 3902: 3892: 3857: 3853: 3843: 3832:. Retrieved 3825:the original 3792: 3783: 3750: 3746: 3740: 3707: 3703: 3697: 3664: 3660: 3654: 3642:. Retrieved 3638: 3628: 3619: 3609: 3576: 3572: 3565: 3530: 3526: 3513: 3480: 3476: 3465: 3428: 3424: 3414: 3382:(1): 31–39. 3379: 3375: 3365: 3340: 3336: 3313:. Retrieved 3301: 3291: 3256: 3252: 3242: 3230:. Retrieved 3215: 3190: 3186: 3157:. New York: 3154: 3134:. Retrieved 3122: 3112: 3085: 3082:Hypertension 3081: 3071: 3060:. Retrieved 3056:the original 3041: 3030:. Retrieved 3023:the original 3009: 2974: 2970: 2960: 2927: 2923: 2917: 2884: 2880: 2874: 2863:. Retrieved 2851: 2824:, retrieved 2812: 2802: 2767: 2763: 2753: 2726: 2722: 2712: 2685: 2681: 2671: 2644: 2641:Hypertension 2640: 2630: 2603: 2599: 2589: 2562: 2558: 2548: 2515: 2511: 2504: 2479:11392/462725 2461: 2457: 2450: 2423: 2419: 2409: 2382: 2378: 2368: 2333: 2329: 2319: 2284: 2280: 2270: 2258:. Retrieved 2247: 2238: 2205: 2201: 2195: 2168: 2165:Hypertension 2164: 2150: 2123: 2119: 2079: 2075: 2027: 2023: 1999:. Retrieved 1977: 1967: 1940: 1936: 1926: 1915:. Retrieved 1903: 1894: 1859: 1855: 1808:: CD008167. 1805: 1801: 1791: 1764: 1760: 1750: 1723: 1720:Hypertension 1719: 1709: 1682: 1678: 1641:. Retrieved 1621: 1586: 1582: 1572: 1539: 1535: 1528: 1516:. Retrieved 1512:the original 1507: 1470:(31): 1–94. 1467: 1463: 1453: 1437: 1424: 1420: 1419: 1415:CYT006-AngQb 1412: 1398: 1394: 1393: 1383: 1379: 1378: 1369: 1361: 1223: 1201: 1181: 1169: 1165: 1161: 1141: 1137: 1118: 1094:mecamylamine 1084:guanethidine 1078: 1075: 1032: 1020: 1001: 974: 946: 934:Vasodilators 932: 929:Vasodilators 915: 894: 889:(indirectly) 832:phentolamine 727: 723: 699:hyperkalemia 692: 684: 677: 669: 654: 599:antagonizing 593: 562: 539: 525:compared to 519: 510:trandolapril 449: 430: 422: 407: 386:nitrendipine 311: 295: 271: 204:polythiazide 137: 130:, a popular 95: 89:(ARBs), and 39:hypertension 30: 29: 7460:from market 7396:Sampatrilat 7391:Omapatrilat 7343:+amlodipine 7315:+sacubitril 7295:+amlodipine 7270:+amlodipine 7263:Telmisartan 7244:+amlodipine 7227:+amlodipine 7206:+amlodipine 7179:+amlodipine 7172:Candesartan 7160:("-sartan") 7091:+felodipine 7087:+bisoprolol 7079:+amlodipine 7041:+indapamide 7037:+bisoprolol 7033:+amlodipine 7026:Perindopril 7011:+amlodipine 6993:+manidipine 6975:+pimobendan 6971:+amlodipine 6830:from market 6793:Cicletanine 6788:Theobromine 6782:Meralluride 6759:Isopropanol 6567:Triamterene 6486:Clorexolone 6476:Clofenamide 6460:(primarily 6331:Indacrinone 6180:from market 6154:Sotatercept 6142:Ambrisentan 6062:antagonists 5930:Deserpidine 5866:Pentolinium 5829:Rilmenidine 5785:Guanazodine 5765:Bethanidine 5747:Tiamenidine 5737:Guanoxabenz 5541:Otologicals 5513:antagonists 5479:respiratory 5454:Orexigenics 5449:Neurotoxins 5398:Euphoriants 5388:Entactogens 5383:Depressants 5373:Anxiolytics 5311:Anesthetics 5087:Antifungals 4684:Antiemetics 4672:antagonists 4385:: 137–144. 4214:Circulation 3483:: 267–292. 3431:: 607–619. 3253:Proceedings 3159:McGraw-Hill 2723:Circulation 2606:(1): 8–13. 2600:Circulation 2420:Circulation 2379:Circulation 2281:Proceedings 2249:Mayo Clinic 1761:Circulation 1327:Heart block 1003:Aldosterone 960:Hydralazine 804:propranolol 718:Propranolol 697:other than 680:candesartan 640:telmisartan 615:candesartan 495:perindopril 459:angiotensin 425:proteinuria 381:nisoldipine 366:nicardipine 341:clevidipine 336:cilnidipine 331:barnidipine 302:triamterene 255:triamterene 176:diuretics: 7439:Sparsentan 7422:+valsartan 7415:Sacubitril 7408:inhibitors 7406:Neprilysin 7374:inhibitors 7329:("-kiren") 7311:+nebivolol 7291:+aliskiren 7258:Tasosartan 7237:Olmesartan 7199:Irbesartan 7194:Fimasartan 7189:Eprosartan 7167:Azilsartan 7131:Fosinopril 7126:Ceronapril 7114:+verapamil 7102:Temocapril 7004:Lisinopril 6981:Cilazapril 6964:Benazepril 6938:+nebivolol 6931:Zofenopril 6926:Rentiapril 6711:Satavaptan 6706:Mozavaptan 6701:Conivaptan 6623:Finerenone 6602:Eplerenone 6511:Metolazone 6496:Indapamide 6491:Fenquizone 6433:Mebutizide 6356:Torasemide 6346:Piretanide 6336:Muzolimine 6316:Bumetanide 6306:Furosemide 6150:Sitaxentan 6146:+tadalafil 6128:+tadalafil 6124:Macitentan 6084:Lidanserin 6079:Ketanserin 6016:Trimazosin 6001:Ketanserin 5963:Metirosine 5884:Peripheral 5834:Tolonidine 5824:Moxonidine 5790:Guancydine 5742:Methyldopa 5732:Guanfacine 5464:Stimulants 5444:Nootropics 5418:Deliriants 5393:Entheogens 5328:Anorectics 5306:Analgesics 5159:Alkylating 5092:Antivirals 5047:infections 4921:Emollients 4775:Coagulants 4645:metabolism 4194:2013-02-17 3834:2009-03-04 3315:2024-03-16 3302:StatPearls 3232:6 February 3136:2024-03-16 3123:StatPearls 3062:2006-09-30 3032:2006-09-30 2865:2024-01-21 2852:StatPearls 2826:2024-01-21 2813:StatPearls 2260:2016-07-27 2001:2024-03-13 1917:2023-12-22 1643:2012-01-09 1518:August 11, 1502:Nelson M. 1430:References 1389:primaquine 1246:Asthmatics 1214:furosemide 1124:endothelin 1110:inhibition 1071:moxonidine 1066:methyldopa 1061:guanfacine 1011:eplerenone 1006:pressure. 877:carvedilol 872:bucindolol 857:tolazoline 794:penbutolol 789:oxprenolol 774:metoprolol 764:carvedilol 749:bisoprolol 739:acebutolol 695:angioedema 673:amlodipine 650:fimasartan 635:olmesartan 625:irbesartan 620:eprosartan 610:azilsartan 573:angioedema 556:, such as 515:benazepril 485:lisinopril 480:fosinopril 376:nimodipine 371:nifedipine 351:isradipine 346:felodipine 326:amlodipine 289:, such as 265:eplerenone 227:metolazone 217:indapamide 162:furosemide 152:bumetanide 7470:Phase III 7458:Withdrawn 7386:Ilepatril 7357:Remikiren 7336:Aliskiren 7284:Valsartan 7147:Alacepril 7097:Spirapril 7059:Quinapril 7021:Moexipril 6999:Imidapril 6950:Enalapril 6921:Captopril 6908:("-pril") 6840:Phase III 6828:Withdrawn 6716:Tolvaptan 6597:Canrenone 6557:Amiloride 6506:Meticrane 6501:Mefruside 6481:Clopamide 6418:Epitizide 6366:Thiazides 6341:Ozolinone 6311:Azosemide 6238:Diuretics 6190:Phase III 6178:Withdrawn 6138:selective 6132:Riociguat 6006:Indoramin 5996:Doxazosin 5940:Reserpine 5907:Pargyline 5800:Guanoclor 5780:Guanadrel 5770:Bretylium 5727:Guanabenz 5722:Clonidine 5614:ATC codes 5580:Dressings 5565:Antidotes 5429:Sedatives 5425:Hypnotics 5134:malignant 4991:endocrine 4837:Diuretics 4770:Platelets 4730:and blood 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Index

Antihypertensives
drugs
hypertension
stroke
myocardial infarction
blood pressure
ischaemic heart disease
dementia
heart failure
mortality
cardiovascular disease
thiazide diuretics
calcium channel blockers
ACE inhibitors
angiotensin II receptor antagonists
beta blockers
endpoints
evidence
first-line treatment
NICE

Hydrochlorothiazide
thiazide
Diuretics
Loop diuretics
bumetanide
ethacrynic acid
furosemide
torsemide
Thiazide

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