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Dose response to hydrochlorothiazide in hypertensives receiving a calcium channel blocker.
Author: LernhardtE, Solt-BuzsakiV, ZieglerM G
Original Abstract of the Article :
Seven hypertensive patients receiving the dihydropyridine calcium channel blocking agent nicardipine were given placebo, 6.25, 12.5, 25 and 50 mg hydrochlorothiazide (HCTZ) in a randomized crossover design. Blood pressure (BP) decreased by about 7/3 mmHg irregardless of dose. In contrast, potassium,...See full text at original site
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引用元:
https://doi.org/10.1080/07300077.1988.11878785
データ提供:米国国立医学図書館(NLM)
Hydrochlorothiazide and Calcium Channel Blockers: A Complex Interaction in the Desert of Hypertension
In the vast and complex landscape of hypertension, where the delicate balance of blood pressure is paramount, the combination of hydrochlorothiazide and calcium channel blockers poses a unique challenge. This study, like a research expedition venturing into the desert of hypertension, investigates the dose-response relationship of hydrochlorothiazide in hypertensive patients already receiving the calcium channel blocker nicardipine. The authors meticulously analyze the effects of various doses of hydrochlorothiazide on blood pressure and metabolic parameters, seeking to understand the potential benefits and risks of this combination therapy.A Complex Landscape: Navigating the Interactions of Medications
The study's findings, like a map revealing a complex desert landscape, highlight the complex interplay between hydrochlorothiazide and calcium channel blockers. The researchers discover that, while hydrochlorothiazide provides a modest antihypertensive effect, higher doses lead to significant metabolic side effects, including hypokalemia, hyperglycemia, and hyperuricemia. These findings, like a warning sign in the desert, emphasize the importance of careful monitoring and dose optimization when combining these two medications.Navigating the Desert of Hypertension: A Guide to Personalized Treatment
The implications of this study are significant for managing hypertension, particularly in patients receiving calcium channel blockers. It highlights the importance of a personalized approach to treatment, taking into account individual patient factors and the potential for drug interactions. The study emphasizes the need for careful monitoring of metabolic parameters, particularly when using higher doses of hydrochlorothiazide, to ensure patient safety and optimize treatment outcomes. It's a reminder that, like a skilled guide leading travelers through a challenging terrain, careful consideration and tailored approaches are essential in managing complex medical conditions like hypertension.Dr. Camel's Conclusion
This study, like a detailed journey through the desert of hypertension, offers valuable insights into the complex interactions between hydrochlorothiazide and calcium channel blockers. The authors' meticulous analysis emphasizes the importance of personalized treatment and careful monitoring of metabolic parameters to ensure patient safety and optimize treatment outcomes.Date :
- Date Completed 1988-12-20
- Date Revised 2019-09-19
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