Key result
Resistant hypertension is a common clinical problem that can be exacerbated by substances such as NSAIDs, herbs, and licorice juice ingestion.
Highlights the importance of excluding substances like NSAIDs, herbs, and licorice juice when evaluating patients for resistant hypertension.
Supports screening for NSAIDs, herbs, and licorice in resistant hypertension; leaves open need for interventional confirmation.
Resistant hypertension is defined as failure to achieve goal blood pressure (BP) when a patient adheres to the maximum tolerated doses of three antihypertensive drugs including a diuretic. Although the exact prevalence of resistant hypertension is currently unknown, indirect evidence from population studies and clinical trials suggests that it is a relatively common clinical problem. Exclusion of preparations that contribute to true BP treatment resistance, such as NSAIDs and certain herbs, is also important. In Syria and other middle-eastern countries, licorice juice ingestion is considered as a distinct reason for resistant hypertension.
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Bassam Al-Baba (2011) conducted a review in Resistant hypertension. Resistant hypertension is a common clinical problem that can be exacerbated by substances such as NSAIDs, herbs, and licorice juice ingestion.
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