Key result
Tiaprofenic acid increases SBP versus placebo in treated hypertensives with osteoarthritis.
Why the study?
The effect of tiaprofenic acid on blood pressure control in treated hypertensive patients was not well established.
Does tiaprofenic acid increase systolic blood pressure in treated hypertensive patients with osteoarthritis?
RCT (n=11)
Double-blind
Does tiaprofenic acid increase systolic blood pressure in treated hypertensive patients with osteoarthritis?
Tiaprofenic acid, similar to other NSAIDs, may interfere with blood pressure control in treated hypertensive patients.
Raises systolic BP in osteoarthritic patients with mild hypertension; extends evidence on NSAID effects and supports BP monitoring.
Eleven patients with osteoarthritis and mild hypertension completed an 8-week, double-blind crossover study in which 200 mg tiaprofenic acid 3-times daily or placebo were substituted for their normal non-steroidal anti-inflammatory therapy. Systolic blood pressure was significantly higher on tiaprofenic acid therapy than on placebo and plasma renin activity was significantly lower on active treatment. No significant changes were seen in biochemical parameters, though the weight of the patient was also higher on tiaprofenic acid than on placebo. Duration of morning stiffness was also lower on tiaprofenic acid than on placebo. Blood pressure on tiaprofenic acid was not different from baseline readings on other non-steroidal anti-inflammatory drug therapy. This study suggests that tiaprofenic acid, like other non-steroidal anti-inflammatory agents, may interfere with blood pressure control in treated hypertensive patients.
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Smith et al. (1985) conducted an RCT in Osteoarthritis and mild hypertension (n=11). Tiaprofenic acid vs. Placebo was evaluated on Systolic blood pressure. Tiaprofenic acid significantly increased systolic blood pressure compared to placebo in treated hypertensive patients with osteoarthritis.
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