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January 1, 1986Clinical Pharmacology & Therapeutics

Effects of combination therapy with captopril and nifedipine in severe or resistant hypertension

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Why the study?

Does combination therapy with captopril and nifedipine reduce blood pressure in patients with severe or resistant hypertension?

Population

10 patients with severe or resistant hypertension

Comparison

Captopril monotherapy for 4 weeks followed by… vs Baseline (pre-treatment) and captopril monotherapy

Design

Case_series

Follow-up

12 weeks

Authors

William B. WhiteWilliam B. WhiteGeneral / Preventive / LipidsJVJoseph J ViaderoUniversity of ConnecticutTLThomas J. LaneUniversität Hamburg

Discussion

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Implication

May support additive BP reduction with captopril plus nifedipine in resistant hypertension; hypothesis-generating case report requiring controlled trials.

Structured PICO

Does combination therapy with captopril and nifedipine reduce blood pressure in patients with severe or resistant hypertension?

P
Population
10 patients with severe or resistant hypertension
I
Intervention
Captopril monotherapy for 4 weeks followed by combination therapy with captopril and nifedipine for 8 weeks
C
Comparator
Baseline (pre-treatment) and captopril monotherapy
O
Outcome
Blood pressuresurrogate

Combination therapy with captopril and nifedipine effectively reduces blood pressure in patients with severe or resistant hypertension, though frequent dosing intervals may be necessary for 24-hour control.

Cite This Study

White et al. (1986) studied this question.

synapsesocial.com/papers/6a70462a87f9210571279233https://doi.org/10.1038/clpt.1986.8

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Captopril and Nifedipine Interactions in the Treatment of Essential Hypertensives: A Crossover Study1987 · 46 citations
  2. 2Calcium-channel blockade with nifedipine and angiotensin converting-enzyme inhibition with captopril in the therapy of patients with severe primary hypertension.1984 · 120 citations
  3. 3Hemodynamic and humoral interactions between captopril and nifedipine.1983 · 36 citations
  4. 4Comparison of Nifedipine and captopril as Third‐Line Agents in Hypertensive Patients Uncontrolled With Beta‐Blocker and Diuretic Therapy1987 · 5 citations
  5. 5Comparison of the acute effects of captopril and of nifedipine on left ventricular diastolic function in elderly hypertensive patients.1990