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July 8, 1983Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy

Guanadrel Sulfate: A Postganglionic Sympathetic Inhibitor for the Treatment of Mild to Moderate Hypertension

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Key result

Guanadrel sulfate matches guanethidine or methyldopa for BP reduction with fewer CNS side effects.

Why the study?

Guanadrel sulfate is a postganglionic sympathetic inhibitor with pharmacokinetic differences from guanethidine, and its efficacy and side effect profile in mild to moderate hypertension require evaluation.

Does guanadrel sulfate reduce blood pressure in persons with mild to moderately severe hypertension?

Population

Persons with mild to moderately severe hypertension

Comparison

Guanadrel sulfate vs guanethidine or methyldopa

Design

Review of clinical and animal studies

Authors

JPJohn D. PalmerSt.Tikhon's Orthodox UniversityCNCharles A. NugentUniversity of Hawaiʻi at Mānoa

Discussion

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Implication

May offer alternative to guanethidine or methyldopa with fewer CNS effects; leaves open confirmation in contemporary trials.

Structured PICO

Does guanadrel sulfate reduce blood pressure in persons with mild to moderately severe hypertension?

P
Population
Persons with mild to moderately severe hypertension
I
Intervention
Guanadrel sulfate (mean doses 56-162 mg/day, up to 400 mg/day)
C
Comparator
Guanethidine or methyldopa
O
Outcome
Reduction in blood pressuresurrogate

Guanadrel sulfate is an effective step 2 antihypertensive agent that serves as a reasonable alternative to guanethidine or methyldopa with potentially fewer central nervous system side effects.

Cite This Study

Palmer et al. (1983) conducted a review in Mild to moderate hypertension. Guanadrel sulfate vs. Guanethidine or methyldopa was evaluated on Blood pressure reduction. Guanadrel sulfate is as effective as guanethidine or methyldopa in reducing blood pressure for mild to moderate hypertension, with fewer central nervous system side effects such as drowsiness.

synapsesocial.com/papers/6aa845993edb63eecd82b4eehttps://doi.org/10.1002/j.1875-9114.1983.tb03257.x

Topics

Hypertension management
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Comparison of guanadrel and guanethidine1973 · 20 citations
  2. 2Hemodynamic Effects of Pargyline in Hypertensive Patients1964 · 23 citations
  3. 3Guanethidine1976 · 51 citations