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Re: Gestational Hypertension follow upFrom: Andrew Folley (agfolley@hotmail.com)Mon Sep 29 05:10:20 2008
El my question is when would you start someone on antihypertensives whether it be aldomet, nifedipine or labetalol? At what sustained BP reading do you use?? 140/90? 150/100? 160/110 etc?? My arguement is that we "overtreat" too many women with antihypertensives that do not need them. That the durgs will not prevent a patient developing preeclampsia from gestational HTN nor prevent someone getting severe preeclampsia when they have mild preeclampsia. Nor improve the outcome of the baby in terms of IUGR abruption etc. I am looking to be proved wrong on this. > Date: Mon, 29 Sep 2008 02:52:25 -0500> From: el@lisse.NA> To: ob-gyn-l@mail.obgyn.net> Subject: Re: Gestational Hypertension follow up> > I have never used Labetolol.> > The standard here for oral antihypertension in pregnancy> used to be methyldopa, but I have started using Nifedipine> more and more since ther first evidence came out that it> supresses labor (1995 or so). Works very well...> > I don't use much iv since it seems that one doesn't have to be> too aggressive in lowering the BP, but if I do I use dihydralazine,> mainlye because it's the only thing we have, really :-)-O> > el> > on 9/29/08 1:30 AM Raymond Stephen said the following:> > Although the literature is full of articles about Labetalol and Methyl> > Dopa and it was always Methyl Dopa that I used to use, I have, since> > about 1998, used Nifedipine much more, partly because it can be given in> > a slow release form, which allows once daily dosing, and partly because> > it seems to be freer of side effects. I still give Labetalol but> > generally use it in the acute phase in IV form for severe pre-eclampsia> > with BP above 110 diastolic.> > > > > > > > Steve Raymond
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