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June 14, 1958JAMA

Precautions in Use of Antihypertensive Drugs, Including Chlorothiazide

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Key result

Low-dose combination antihypertensives minimize side effects while establishing a safe regimen.

Why the study?

Antihypertensive therapy requires careful use of various drugs to lower blood pressure gradually while minimizing side effects and toxicity.

Population

Patients requiring antihypertensive therapy

Comparison

Use of Rauwolfia, Veratrum, hydralazine, chlorothiazide, and ganglionic blocking agents

Design

Review

Authors

RWRobert W. WilkinsThe University of Western Australia

Discussion

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Implication

May support gradual BP lowering with Rauwolfia first in select patients; leaves open comparative efficacy versus modern agents in randomized trials.

Structured PICO

P
Population
Patients requiring antihypertensive therapy
I
Intervention
Antihypertensive drugs including Rauwolfia, Veratrum, hydralazine, chlorothiazide, and ganglionic blocking agents

This historical review outlines a stepwise approach to antihypertensive therapy emphasizing gradual dose titration and combination therapy to minimize side effects.

Cite This Study

Robert W. Wilkins (1958) conducted a review in Hypertension. Antihypertensive drugs (Rauwolfia, Veratrum, hydralazine, chlorothiazide, ganglionic blocking agents) was evaluated. Antihypertensive therapy using minimal effective doses of drugs in combination can generally develop a safe regimen while minimizing side effects.

synapsesocial.com/papers/6ab3785798a2afdf07f385dehttps://doi.org/10.1001/jama.1958.02990240001001

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. 1The ALLHAT study: results and clinical implications2003 · 21 citations
  2. 2A CLINICAL TRIAL OF RAUWOLFIA SERPENTINA IN ESSENTIAL HYPERTENSION1949 · 168 citations
  3. 3Thiazide Diuretics in the Treatment of Hypertension2006 · 81 citations
  4. 4Chlorthalidone – a renaissance in use?2009 · 22 citations
  5. 5Pharmacological Rationale for Antihypertensive Drug Treatment1987 · 4 citations