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August 1, 1986Clinical Pharmacology & Therapeutics

The effect of phenylpropanolamine on ambulatory blood pressure

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Key result

Phenylpropanolamine shows no effect on 24-hour mean blood pressure versus placebo in normotensive men.

  • n=18

Why the study?

The pressor effects of therapeutic doses of phenylpropanolamine are not well established.

Does phenylpropanolamine increase ambulatory blood pressure in normotensive male subjects?

Comparison

75 mg phenylpropanolamine vs placebo

Design

Double-blind crossover randomized trial

Follow-up

6 days per period

Authors

RGRobert P. GoodmanNational Institutes of HealthJWJackson T. WrightSprint (United States)CBCornelius BarlasciniMadigan Army Medical Center

Discussion

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Implication

Supports safe use of sustained-release PPA without BP concerns in normotensive men; confirms absence of pressor effect in this RCT.

Study Design

Type

RCT (n=18)

Blinding

Double-blind

Randomization

Randomly assigned

Structured PICO

Does phenylpropanolamine increase ambulatory blood pressure in normotensive male subjects?

P
Population
18 normotensive male subjects evaluated in a 6-day crossover design to monitor blood pressure variability.
I
Intervention
Phenylpropanolamine (PPA) 75 mg (sustained-release preparation) monitored on days 1 and 6
C
Comparator
Placebo
O
Outcome
24-hour ambulatory blood pressure (2-hour intervals and 24-hour global means)surrogate

Therapeutic doses of sustained-release phenylpropanolamine do not cause a significant pressor effect in normotensive men.

Cite This Study

Goodman et al. (1986) conducted an RCT in Normotensive (n=18). Phenylpropanolamine (PPA) vs. Placebo was evaluated on 24-hour global mean blood pressure. Phenylpropanolamine 75 mg did not significantly affect 24-hour global mean blood pressure compared to placebo in normotensive men (119/69 vs 117/68 mmHg on day 6).

synapsesocial.com/papers/6aac87470546a53dbff0fba1https://doi.org/10.1038/clpt.1986.153
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Also Consider

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

  1. 1Propranolol antagonism of phenylpropanolamine-induced hypertension1985 · 38 citations
  2. 2The Potent Pressor Effect of Phenylpropanolamine in Patients With Autonomic Impairment1987 · 69 citations
  3. 3Elevated pulse pressure in treated hypertensive patients during 24-hour ambulatory blood pressure monitoring2011
  4. 4Cough and Cold Remedies: a Potential Danger to Patients on Monoamine Oxidase Inhibitors1969 · 65 citations
  5. 5Monitoring 24-hour blood pressure in a drug trial. Evaluation of a noninvasive device.1985 · 30 citations