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Posted On : 21 May 2017
WAT IS IDEAL MANAGMENT FOR BLOOD PRESSURE CONTROL IN HYPERTENSION WITH AUTOSOMAL RECESSIVE KIDNEY DISEASE_?

WE STARTED WITH HYDRLAZINE THAN LABETALOL INFUSIN..AND ADDITION OF OTHER ANTIHYPERTSESINVE LIKE LASIX,HYDROCHLORTHIAZIDE,PROPRANOLOL,CAPTOPRIL,AMLODIPIN .STILL BP S BORDERLINE HIGH _?..HOW TO GO AHEAD FROM HERE,HOW TO WEAN WHICH ON FIRST AND LAST_?
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Expert Answer :
When available, angiotensin AT1 receptors antagonists {losartan, valsartan} and amlodipine are the best.
Sartans must sometimes be used at very high doses which are well tolerated. ACE inhibitors have the same effects
but can induce disturbing cough.
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