Drug-Induced Hypertension: Focus on Mechanisms and Management.

Abstract:

PURPOSE OF REVIEW:This review is intended to briefly describe the primary mechanistic pathways by which several common drugs can increase blood pressure. We also propose potential management strategies based on the underlying mechanisms responsible for the blood pressure elevation. RECENT FINDINGS:As hypertension is a significant risk factor for cardiovascular events, healthcare providers must evaluate patients' concomitant medications that may contribute to elevations in blood pressure. The presence of these medications, if not properly addressed, can lead to consequences such as an inadvertent diagnosis of hypertension, as well as the potential need for unnecessary intensification of antihypertensive regimens in those already treated. Blood pressure elevation is an unfortunate by-product of multiple medications. The substances discussed in this review can elicit significant and persistent elevations in blood pressure, and health care providers must first evaluate whether the drug is necessary. If one exists, it is best to select a similar agent with lower risk of increasing blood pressure; if unavoidable, then clinicians should select an appropriate management strategy to compensate for the rise in blood pressure.

journal_name

Curr Hypertens Rep

authors

Lovell AR,Ernst ME

doi

10.1007/s11906-017-0736-z

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

39

issue

5

eissn

1522-6417

issn

1534-3111

pii

10.1007/s11906-017-0736-z

journal_volume

19

pub_type

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