Handles the pressure whatever the level
For Hypertensive patients, SBP 160mm Hg
Resistant hypertension (RH) is defined as above-goal elevated blood pressure (BP) in a patient despite the concurrent use of 3 antihypertensive drug classes, commonly including a long-acting calcium channel blocker, a blocker of the renin-angiotensin system (angiotensin-converting enzyme inhibitor or angiotensin receptor blocker), and a diuretic.
Resistant hypertension was associated with an adjusted hazard ratio2 of
Older Age
Obesity
Diabetes
Chronic Kidney Diseases
High baseline Blood Pressure
Blunted peak concentration
Twice/Thrice daily dosing
Allows 24hr slow and sustained release of drug
Once daily dosing
1) Bharatia, R., Chitale, M., et. al Management Practices in Indian Patients with Uncontrolled Hypertension. The Journal of the Association of Physicians of India, 64(7), 14–21.
2) Pathan MK, Cohen DL. Resistant Hypertension: Where are We Now and Where Do We Go from Here?. Integr Blood Press Control. 2020;13:83-93. Published 2020 Aug 5. doi:10.2147/IBPC.S223334
3) AHA scientific statement on September 13, 2018
4) J Hypertens Suppl. 1994 Nov; 12(8) S97-10
5) Br J Clin Pharmacol. 1985 Aug; 20(2): 155–158
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