Low-dose captopril titration in patients with moderate-to-severe hypertension treated with diuretics

G S Thind, R K Mahapatra, A Johnson, R D Coleman
1983 Circulation  
To study the value of low-dose captopril (6.25 and 12.5 mg) and a diuretic combination, the blood pressure and heart rate of 17 patients with moderate-to-severe hypertension were monitored for 6 hours (hospital) or 3 hours (office) after the single low-dose or larger (25, 50, 100 and 150 mg) captopril dosage. All patients had preserved renal functiotn and were taking an oral diuretic (hydrochlorothiazide or furosemide) for at least 4 weeks. The supine and upright acute blood pressure lowetring
more » ... ith 6.25 mg was not different from the larger captopril doses; none produced persistent or profound hypotension. There was no deterioration of renal function, new or persistent increase in proteinuria, neutropenia or agranulocytosis acutely or during 17 2 weeks of follow-up. Low-dose captopril (6.25 or 12.5 mg three times daily)
doi:10.1161/01.cir.67.6.1340 pmid:6342835 fatcat:5ztfz5vkn5abvcg3xfqnt42jem