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Antihypertensives are a class of drugs that are used to treat hypertension (high blood pressure). [1] Antihypertensive therapy seeks to prevent the complications of high blood pressure, such as stroke , heart failure, kidney failure and myocardial infarction .
More research is needed on these oral antihypertensive drugs to determine which one is the best for most pregnant women. [29] Additionally, a study done in 2023 demonstrated that treatment of patients with oral diuretic furosemide, a loop diuretic, may decrease the length of hypertension postpartum.
Hydralazine is often used to treat hypertension in pregnancy, though, with either labetalol and/or methyldopa. [11] Hydralazine is commonly used in combination with isosorbide dinitrate for the treatment of congestive heart failure in black populations. This preparation, isosorbide dinitrate/hydralazine, was the first race-based prescription ...
Use in pregnancy may harm the baby and use when breastfeeding is not recommended. [10] It is an angiotensin II receptor antagonist and works by blocking the effects of angiotensin II. [5] Irbesartan was patented in 1990, and approved for medical use in 1997. [11] It is available as a generic medication. [9]
When methyldopa was first introduced, it was the mainstay of antihypertensive treatment, but its use has declined on account of relatively severe adverse side effects, with increased use of other safer and more tolerable agents such as alpha blockers, beta blockers, and calcium channel blockers.
Labetalol, hydralazine and nifedipine are commonly used antihypertensive agents for hypertension in pregnancy. [6] ACE inhibitors and angiotensin receptor blockers are contraindicated as they affect fetal development. [53] The goal of treatment of severe hypertension in pregnancy is to prevent cardiovascular, kidney, and cerebrovascular ...
The antihypertensive characteristics of prazosin make it a second-line choice for the treatment of high blood pressure. [11] Prazosin is also useful in treating urinary hesitancy associated with benign prostatic hyperplasia, blocking α 1-adrenergic receptors, which control constriction of both the prostate and urethra. Although not a first ...
Duration of effect is dose-related; at recommended doses, antihypertensive and haemodynamic effects have been shown to be maintained for at least 24 hours. [21] [22] Enalapril has a slower onset of action than Captopril but a greater duration of action. However, unlike Captopril, Enalapril does not have a thiol moiety.