Penbutolol or hydrochlorothiazide once a day in hypertension. A controlled study with home measurements.

Author: De PlaenJ F, Van Ypersele de StrihouC, Vander ElstE

Paper Details 
Original Abstract of the Article :
1 The hypotensive effect of single daily dosing with 80 mg penbutolol was compared to 100 mg hydrochlorothiazide and placebo in a double-blind cross-over controlled trial with daily home measurements in ten hypertensive patients. 2 Penbutolol, 80 mg once a day, reduced significantly the supine and s...See full text at original site
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引用元:
https://doi.org/10.1111/j.1365-2125.1981.tb01203.x

データ提供:米国国立医学図書館(NLM)

Penbutolol vs. Hydrochlorothiazide: A Battle of Blood Pressure Control

The world of hypertension research is a vast and intricate desert, with countless studies seeking to tame this silent killer. This particular study delves into the effectiveness of two common medications, penbutolol and hydrochlorothiazide, in controlling blood pressure. The researchers employed a double-blind, crossover design, which is like having a blindfolded camel race, where neither the camels nor the judges know which camel is which. They aimed to assess the impact of these medications on blood pressure in a group of hypertensive individuals.

Penbutolol Proves its Might: A Powerful Player in Blood Pressure Control

The study revealed that penbutolol effectively lowered blood pressure, both when the patients were lying down and standing up. It was particularly effective at reducing blood pressure in the evening, making it a potential ally in combating the ‘evening surge’ of hypertension. This study highlights the importance of individualized treatment strategies, as the effectiveness of medications can vary depending on the time of day.

A Balancing Act: The Effects of Hydrochlorothiazide

While hydrochlorothiazide also demonstrated blood pressure-lowering effects, it was less potent than penbutolol, especially in the evening. It's important to note that hydrochlorothiazide caused electrolyte imbalances, a common side effect of this class of medications. Think of electrolytes as the camels' fuel, essential for their health and performance. When these electrolytes are out of balance, the camels might not be able to run their race effectively. This highlights the importance of carefully monitoring electrolytes during treatment.

Dr.Camel's Conclusion

The researchers concluded that penbutolol is a promising treatment option for hypertension, particularly in individuals who experience an evening surge in blood pressure. Hydrochlorothiazide, while effective, may lead to electrolyte imbalances, emphasizing the need for careful monitoring. This research underscores the importance of personalized medicine, where the choice of medication and dosage must be tailored to the individual's needs and preferences.

Date :
  1. Date Completed 1982-02-12
  2. Date Revised 2019-05-11
Further Info :

Pubmed ID

7030372

DOI: Digital Object Identifier

10.1111/j.1365-2125.1981.tb01203.x

SNS
PICO Info
in preparation
Languages

English

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