[Efficacy and tolerability of captopril-hydrochlorothiazide vs amiloride-hydrochlorothiazide combination in mild to moderate arterial hypertension].

Author: BarlattaniM, FilippelloC P, LeoneG, MammarellaA, MarianiA R, PaolettiV

Paper Details 
Original Abstract of the Article :
Forty patients, mean age 56.87 yrs. with light or moderate essential arterial hypertension were randomized double-blind into two subgroups of 20 subjects each, and submitted to daily combined drug treatment with either captopril 50 mg + hydrochlorothiazide 25 mg (group A) or amiloride 5 mg + hydroch...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/2525998

データ提供:米国国立医学図書館(NLM)

Comparing Two Antihypertensive Combinations: Captopril-Hydrochlorothiazide vs. Amiloride-Hydrochlorothiazide

In the realm of [hypertension research], finding effective and tolerable treatments is crucial. This study delves into the efficacy and tolerability of two commonly used antihypertensive combinations: captopril-hydrochlorothiazide (group A) and amiloride-hydrochlorothiazide (group B). Using a randomized double-blind design, 40 patients with mild to moderate essential hypertension were assigned to either group for an 8-week treatment period. The researchers meticulously monitored blood pressure, heart rate, body weight, and potential side effects, along with standard laboratory tests. The study revealed that both combinations effectively reduced blood pressure, however, the captopril-hydrochlorothiazide combination demonstrated a more rapid reduction in blood pressure, particularly in diastolic values. Notably, the captopril-hydrochlorothiazide combination showed a statistically significant increase in blood glucose levels, while neither combination induced significant changes in other parameters, such as potassium levels.

The Significance of Efficient Blood Pressure Reduction

The findings suggest that the captopril-hydrochlorothiazide combination might be a more efficient option for reducing blood pressure, particularly in patients seeking rapid blood pressure control. This is particularly important for individuals with [hypertension-related complications], as prompt blood pressure management can significantly reduce the risk of adverse health outcomes. However, the observed increase in blood glucose levels in patients taking captopril-hydrochlorothiazide warrants careful monitoring, especially for individuals with [pre-existing diabetes or risk factors for diabetes].

Implications for Patient Care and Lifestyle

This study highlights the importance of tailoring antihypertensive therapy to individual patient needs and risk profiles. For those with mild to moderate hypertension seeking rapid blood pressure control, captopril-hydrochlorothiazide might be an effective choice, but requires close monitoring of blood glucose levels. It's also crucial to acknowledge that [lifestyle modifications], such as dietary changes, regular exercise, and stress management, play a vital role in managing hypertension, alongside medication.

Dr. Camel's Conclusion

This study is a valuable contribution to the field of [hypertension research], as it provides evidence-based insights into the relative efficacy and tolerability of two commonly used antihypertensive combinations. It reminds us that the quest for effective and safe treatment options is an ongoing journey, and individualized patient care is paramount in managing hypertension. Just like camels navigate the vast expanse of the desert, physicians must carefully consider the unique needs of each patient to ensure the best possible outcomes.

Date :
  1. Date Completed 1989-08-18
  2. Date Revised 2013-11-21
Further Info :

Pubmed ID

2525998

DOI: Digital Object Identifier

2525998

SNS
PICO Info
in preparation
Languages

Italian

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