What medications should not be used in hypertensive emergencies?

Feb 27, 2023 Source: Cainiu Health

Dr. Wang Xin

Introduction

Medications that should not be used in hypertensive emergencies include prednisone acetate tablets, duloxetine hydrochloride enteric-coated tablets, dopamine injection, aspirin tablets, and hydrocortisone acetate tablets. Medications must be strictly taken as prescribed by a physician; do not use or adjust drug dosages arbitrarily. Blood pressure should be closely monitored. If any discomfort occurs, seek immediate medical attention.

Medications that should not be used in hypertensive emergencies include prednisone acetate tablets, duloxetine hydrochloride enteric-coated tablets, dopamine injection, aspirin tablets, and hydrocortisone acetate tablets.

1. Prednisone Acetate Tablets

Hypertensive patients should not take prednisone acetate tablets, as this medication can accelerate blood circulation, leading to elevated blood pressure. This effect typically resolves gradually after discontinuation of the drug.

2. Duloxetine Hydrochloride Enteric-Coated Tablets

Duloxetine hydrochloride enteric-coated tablets are selective serotonin and norepinephrine reuptake inhibitors with antidepressant effects. After administration, they may increase blood pressure due to elevated norepinephrine levels, which cause vasoconstriction.

3. Dopamine Injection

Dopamine injection is commonly used to treat shock syndromes and heart failure. Its use leads to vasoconstriction and consequently increases blood pressure.

4. Aspirin Tablets

Aspirin is generally used to prevent heart attacks and strokes by inhibiting platelet aggregation and reducing cardiovascular events. However, in hypertensive emergencies, aspirin does not rapidly lower blood pressure nor alleviate symptoms associated with the condition.

5. Hydrocortisone Acetate Tablets

Hydrocortisone acetate tablets are a type of glucocorticoid commonly used to reduce inflammation and allergic reactions. They are not antihypertensive agents. In hypertensive emergencies, fast-acting antihypertensive drugs are required to rapidly reduce blood pressure to safe levels, rather than glucocorticoids.

All medications should be strictly taken as prescribed by a physician. Do not use or adjust dosages arbitrarily, and monitor blood pressure closely. If any discomfort occurs, seek immediate medical attention.

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