Neuropsychiatric Considerations in the Treatment of Hypertension

Algorithms have been developed to guide the treatment of simple hypertension. The basic algorithms are modified in the face of concurrent medical conditions, taking into account the various pharmacological effects of antihypertensive agents. This article reviews the neuropsychiatric effects of the m...

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Bibliographic Details
Published in:International journal of psychiatry in medicine 1991-09, Vol.21 (3), p.291-308
Main Authors: Rauch, Scott L., Stern, Theodore A., Zusman, Randall M.
Format: Article
Language:English
Subjects:
Algorithms
Antihypertensive Agents - administration & dosage
Antihypertensive Agents - adverse effects
Biological and medical sciences
Diuretics
Drug Therapy, Combination
Drug toxicity and drugs side effects treatment
Health risk assessment
Humans
Hypertension
Hypertension - drug therapy
Hypertension - psychology
Medical sciences
Mental depression
Pharmacology. Drug treatments
Psychotropic Drugs - administration & dosage
Psychotropic Drugs - adverse effects
Risk Factors
Substance-Related Disorders - diagnosis
Substance-Related Disorders - psychology
Toxicity: nervous system and muscle
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Summary:Algorithms have been developed to guide the treatment of simple hypertension. The basic algorithms are modified in the face of concurrent medical conditions, taking into account the various pharmacological effects of antihypertensive agents. This article reviews the neuropsychiatric effects of the major classes of antihypertensive agents (ganglionic blockers, centrally acting agents, diuretics, vasodilators, beta-blockers, calcium channel blockers and angiotensin converting enzyme inhibitors). The purported efficacy of some antihypertensive agents in the treatment of psychiatric conditions is also discussed. Beneficial as well as adverse neuropsychiatric effects are reviewed. In this way, guidelines for the treatment of hypertension are suggested which take into account a broad spectrum of neuropsychiatric considerations.
ISSN:0091-2174
1541-3527
DOI:10.2190/1NVX-5BHE-D1MX-AVVM