2023 ESH HPTN Guidelines: SPCs are favoured as it improves treatment adherence and increases rate of BP control
aUse of Diuretics:–Consider transition to Loop Diuretic if eGFR is between 30 to 45 ml/min/1.73 m2–If eGFR <30 ml/min/1.73 m2 use Loop Diuretic,
bBB should be used as guideline directed medical therapy in respective indications or considered in several other conditions,
cControlled below 140/90 mmHg,
dWhen SBP is ≥140 mmHg or DBP is ≥90 mmHg provided that:–maximum recommended and tolerated doses of a three-drug combination comprising
a RAS blocker (either an ACEi or an ARB), a CCB and a Thiazide/Thiazide-like diuretic were used–adequate BP control has been confirmed by ABPM or by HBPM if ABPM is not feasible–various causes of pseudo-resistant hypertension (especially poor medication adherence) and secondary hypertension have been excluded
Footnotes
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1. SPC: single pill combination; HPTN: hypertension.
2. Giuseppe M., et al. Journal of Hypertension 41(12):1874-2071, December 2023.