high blood pressure 18

The lowering of even moderately elevated blood pressure can significantly reduce cardiovascularmortality and morbidity.

Monitor hypertension when beginning an antihypertensive drug and throughout titration, andperiodically after desired blood pressure levels is achieved.

NON-PHARMACOLOGIC INTERVENTIONS:

Adviseallpatientstoquit smoking, shed extra pounds, restrict dietary saturated fat and salt intake, limit alcohol, and fitnessappropriately. Avoid estrogen-containing oral contraceptives; a progestin-only pill can be preferable.If blood pressure level remains elevated and drug treatment methods are initiated, such change inlifestyle needs to be continued even.

PHARMACOLOGIC INTERVENTIONS:

See charts in this particular section. Doses of drugs should be individualized.

Visit www.eMPR.com for a whole high blood pressure symptoms set of antihypertensivemedications.

ACCUPRIL Pfizer Rx

ACE inhibitor. Quinapril (as HCl) 5mg , 20mg and 10mg 40mg; tabs; scored.

Indications: Hypertension.

Adults: Monotherapy: initially 10-20mg once daily. Usual maintenance: 20-80mg daily in 1-2 divideddoses. Elderly: Once daily initially 10mg. Patients on diuretic: Before starting; resume diuretic if BPnot controlled by quinapril alone, suspend diuretic for a couple of-72 hours. If diuretic cannot bediscontinued, or if creatinine clearance (CrCl) 30-60mL/min: initially 5mg daily. CrCl 10-30mL/min:initially 2.5mg daily.

Children: Not recommended.

Contraindications: History of ACEI-associated or other angioedema. Pregnancy (Cat.D in 2nd and3rd trimesters).

Warnings/Precautions: Salt/volume depletion. Renal or hepatic impairment. CHF. Dialysis (esp. high-flux membrane). Monitor renal function in severe CHF, hypertension, or renal high blood pressuresymptoms in men artery stenosis. Monitor WBCs in renal or collagen vascular disease. Monitor forhyperkalemia in diabetics. Surgery. Discontinue if angioedema, laryngeal edema, jaundice ormarked elevation in liver enzymes occurs. Pregnancy (Cat.C in 1st trimester). Nursing mothers.

Interactions: [K.sup. ] supplements, [K.sup. ] sparing diuretics, [K.sup. ] containing salt substitutescould cause hyperkalemia. May increase lithium levels. Antagonizes tetracycline. Potentiated bydiuretics. Nitritoid reactions with concomitant injectable gold (eg, sodium aurothiomalate); rare.

Complications: fatigue,Headache, cough anddizziness GI upset,hyperkalemia, backpain, tachycardia, drymouth, somnolence,sweating, sinusitis.

How supplied: Tabs--90

ACEON Solvay Rx

ACE inhibitor. Perindopril erbumine2mg and4mg, 8mg; scored tabs.

Indications: Hypertension.

Adults: Or else on diuretic: Once daily ormaybe in 2 divided doses initially 4mg.Titrate; max 16mg/day. Once daily Usualmaintenance 4-8mg. If on diuretic: suspenddiuretic, if at all possible, 2-threehttp://www.prevention.com/health/health-con

cerns/how-lower-blood-pressure-naturally days before beginning therapy. If diuretic should not bediscontinued (monitor closely): initially 2-4mg once daily or maybe in 2 divided doses; max16mg/day. Renal impairment: CrCl <30mL/min: not recommended; CrCl>30mL/min: initially2mg/day: max 8mg/day.

Children: Not recommended.

Elderly: >65 yrs: usual max 8mg/day.

Contraindications: Background of ACEI-associated or another angioedema. Pregnancy (Cat.D in 3rdand 2nd trimesters).

Warnings/Precautions: Renal or hepatic impairment. Salt/volume depletion. Severe CHF. Renalartery or aortic stenosis. Monitor for neutropenia in renal or collagen vascular disease. Monitor forhyperkalemia in diabetics. Dialysis. Surgery. Discontinue if laryngeal edema, angioedema, markedelevations of liver enzymes or jaundice occurs. Black patients might have greater risk of angioedemathan non-black patients. Elderly. Pregnancy (Cat.C in 1st trimester). Nursing mothers.

Interactions:Excessivehypotension with diuretics. Hyperkalemia with [K.sup. ] supplements, [K.sup. ] sparing diuretics, [K.sup. ]containing salt substitutes, others (eg, cyclosporine, indomethacin, heparin). May increase lithiumlevels. Caution with gentamicin, digoxin.

Complications: Headache, sinusitis, dizziness and cough viral infection, hypertonia, upper extremitypain, proteinuria, fever and dyspepsia palpitations.