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Pharmacologic Treatments: Oral antihypertensive drugs

Oral antihypertensive drugs*


Class
Thiazide diuretics

Drug (Trade Name)


Chlorothiazide (Diuril) chlorthalidone (generic) hydrochlorothiazide (Microzide, HydroDIURIL) polythiazide (Renese) indapamide (Lozol) metolazone (Mykrox) metolazone (Zaroxolyn)

Usual dose range in mg/day


125-500 12.5-25 12.5-50 2-4 1.25-2.5 0.5-1.0 2.5-5 0.5-2 20-80 2.5-10 5-10 50-100 50-100 25-50 25-100 5-20 2.5-10 50-100 50-100 40-120 40-160 60-180 20-40 200-800 10-40 10-40 12.5-50 200-800

Usual Daily Frequency


1-2 1 1 1 1 1 1 2 2 1 1-2 1-2 1 1 1 1 1 1-2 1 1 2 1 2 2 1 2 2 2
1

Loop diuretics

bumetanide (Bumex) furosemide (Lasix) torsemide (Demadex)

Potassium-sparing diuretics Aldosterone receptor blockers BBs

amiloride (Midamor) triamterene (Dyrenium) eplerenone (Inspra) spironolactone (Aldactone) atenolol (Tenormin) betaxolol (Kerlone) bisoprolol (Zebeta) metoprolol (Lopressor) metoprolol extended release (Toprol XL) nadolol (Corgard) propranolol (Inderal) propranolol long-acting (Inderal LA) timolol (Blocadren)

BBs with intrinsic sympathomimetic activity

acebutolol (Sectral) penbutolol (Levatol) pindolol (generic) carvedilol (Coreg) labetalol (Normodyne, Trandate)

Combined alpha- and BBs

Pharmacologic Treatments: Oral antihypertensive drugs

Oral antihypertensive drugs* (continued)


Class
ACEIs

Drug (Trade Name)


benazepril (Lotensin) captopril (Capoten) enalapril (Vasotec) fosinopril (Monopril) lisinopril (Prinivil, Zestril) moexipril (Univasc) perindopril (Aceon) quinapril (Accupril) ramipril (Altace) trandolapril (Mavik)

Usual dose range in mg/day


10-40 25-100 5-40 10-40 10-40 7.5-30 4-8 10-80 2.5-20 1-4 8-32 400-800 150-300 25-100 20-40 20-80 80-320 180-420 120-540 80-320 120-480 120-360 2.5-10 2.5-20 2.5-10 60-120 30-60 10-40

Usual Daily Frequency


1 2 1-2 1 1 1 1 1 1 1 1 1-2 1 1-2 1 1 1-2 1 1 2 1-2 1 1 1 2 2 1 1
2

Angiotensin II antagonists

candesartan (Atacand) eprosartan (Teveten) irbesartan (Avapro) losartan (Cozaar) olmesartan (Benicar) telmisartan (Micardis) valsartan (Diovan)

CCBsnonDihydropyridines

Diltiazem extended release (Cardizem CD, Dilacor XR, Tiazac) diltiazem extended release (Cardizem LA) verapamil immediate release (Calan, Isoptin) verapamil long acting (Calan SR, Isoptin SR) verapamilCoer, Covera HS, Verelan PM)

CCBsDihydropyridines

amlodipine (Norvasc) felodipine (Plendil) isradipine (Dynacirc CR) nicardipine sustained release (Cardene SR)
nifedipine long-acting (Adalat CC, Procardia XL)

nisoldipine (Sular)

Pharmacologic Treatments: Oral antihypertensive drugs

Oral antihypertensive drugs* (continued)


Class
Alpha-1 blockers

Drug (Trade Name)


doxazosin (Cardura) prazosin (Minipress) terazosin (Hytrin)

Usual dose range in mg/day


1-16 2-20 1-20 0.1-0.8 0.1-0.3 250-1,000 0.1-0.25 0.5-2 25-100 2.5-80

Usual Daily Frequency


1 2-3 1-2 2 1 wkly 2 1 1 2 1-2

Central alpha-2 agonists and other centrally acting drugs

clonidine (Catapres) clonidine patch (Catapres-TTS) methyldopa (Aldomet) reserpine (generic) guanfacine (Tenex)

Direct vasodilators

hydralazine (Apresoline) minoxidil (Loniten)

* In some patients treated once daily, the antihypertensive effect may diminish toward the end of the dosing interval (trough effect). BP should be measured just prior to dosing to determine if satisfactory BP control is obtained. Accordingly, an increase in dosage or frequency may need to be considered. These dosages may vary from those listed in the Physicians Desk Reference, 57th ed. Available now or soon to become available in generic preparations. Source: Physicians' Desk Reference. 57 ed. Montvale, NJ: Thomson PDR, 2003 Source: JNC 7

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