Hypertension
Not yet clinically reviewed
This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.
Management
Stage1: 140-160/90-100
Stage2: 160/100 above
Hypertensive emergency: 180/100 above
Non-Pharmacological therapy
- Low salt diet
- Exercise
- Avoid smoking
- Avoid alcohol
- Avoid stress
Pharmacological
Stage1:
A: If age less than 50 years
Tab Captopril (Capoten) 25 mg, half tab BD. OR
Tab Ramipril (Ramipace) 5mg 1xOD OR Tab Renitec 5mg 1xOD
B: If age more than 50 years, Then CCBs
Tab Amlodipine (Lodopin) 5mg 1xBD
C: Combination therapy:
Tab Valsartan +Amlodipine (Valtec AM) 5/60, 10/60, 10/100, 1xOD. OR Tab Avsar 5/60, 1xOD
D: HTN With pregnancy:
Tab Methyldopa (Aldomet) 250mg, 1xBD, if emergency during pregnancy, then
Tab Labetalol 100mg, 1xBD, OR Tab Prazocin
Inj Labetalol 50mg IV stat, repeat every 10 minutes