which antihypertensive medication to give?

  1. if a patient was newly diagnosed with hypertension, which medication would be the best one to give as a starter?

  2. Visit 2bnurse_it profile page

    About 2bnurse_it

    Joined: Sep '05; Posts: 155; Likes: 5


  3. by   vashtee
    I believe they usually start with a diuretic.
  4. by   2bnurse_it
    hmm.. well if a diuretic wasn't an option and i was going to give an antihypertensive medication, what is usually prescribed?
  5. by   Dr. Tammy, FNP/GNP-C
    First line treatment for hypertension is always lifestyle modification. Weight reduction, DASH diet, sodium reduction <2.4/Gm/D, physical activity and alcohol moderation could reduce SBP by 21-55 mmHg.

    If lifestyle modification fails, diuretics are usually the starting meds. Keep in mind that 2/3 of hypertension pts. need more than one medication to control thier hypertension.
  6. by   ghillbert
    Hydrochlorothiazide diuretic -> add beta blocker or ACEI.
  7. by   Christen, ANP
    as above, start with lifestyle modifications, then add a diuretic (HCTZ 25mg QD), then add an ACEI or a beta blocker.