Template:Initial Outpatient Hypertension Medications: Difference between revisions
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===Initial | ===Initial outpatient [[hypertension medications]]=== | ||
*First line for people without comorbidities | *First line for people without comorbidities | ||
**[[Hydrochlorothiazide]] 12.5mg, max 25mg | **[[Hydrochlorothiazide]] 12.5mg, max 25mg | ||
| Line 7: | Line 7: | ||
***Need Chem 10 before and after starting to check for [[hyperkalemia]] and creatinine | ***Need Chem 10 before and after starting to check for [[hyperkalemia]] and creatinine | ||
***Start 10mg lisinopril QD | ***Start 10mg lisinopril QD | ||
*Anyone with | *Anyone with CAD, [[CHF]] | ||
**[[Beta-Blocker]] (do not need labs) | **[[Beta-Blocker]] (do not need labs) | ||
*[[Amlodipine]] for anyone, except for people with LE edema (do not need labs) | *[[Amlodipine]] for anyone, except for people with LE edema (do not need labs) | ||
| Line 14: | Line 14: | ||
*[[Lasix]] for [[CHF]] and/or lower extremity edema secondary to [[proteinuria]] | *[[Lasix]] for [[CHF]] and/or lower extremity edema secondary to [[proteinuria]] | ||
'''JNC 8 Recommendations<ref name=JNC8 />''' | '''JNC 8 Recommendations<ref name=JNC8>James PA, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). [http://jama.jamanetwork.com/article.aspx?articleid=1791497 JAMA. 2014; 311(5):507-520.]</ref>''' | ||
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Latest revision as of 14:56, 22 August 2017
Initial outpatient hypertension medications
- First line for people without comorbidities
- Hydrochlorothiazide 12.5mg, max 25mg
- Need labs before starting, does not work in people with CKD
- Hydrochlorothiazide 12.5mg, max 25mg
- First line for people with DM and/or proteinuria
- ACEi/ARB: Lisinopril either Qday or BID
- Need Chem 10 before and after starting to check for hyperkalemia and creatinine
- Start 10mg lisinopril QD
- ACEi/ARB: Lisinopril either Qday or BID
- Anyone with CAD, CHF
- Beta-Blocker (do not need labs)
- Amlodipine for anyone, except for people with LE edema (do not need labs)
- Start amlodipine 5mg QD
- Diltiazem for proteinuria in people unable to tolerate ACEi (do not need labs)
- Lasix for CHF and/or lower extremity edema secondary to proteinuria
JNC 8 Recommendations[1]
| Population | Non-black Patients | Black Patients |
|---|---|---|
| General population | thiazide, CCB, ACEI, or ARB | thiazide or CCB |
| CKD | ACEI or ARB | ACEI or ARB |
| DM | thiazide, CCB, ACEI, or ARB | thiazide or CCB |
- ↑ James PA, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014; 311(5):507-520.