Re: Gestational Hypertension follow up

From: Dr Eberhard Lisse (el@lisse.NA)
Mon Sep 29 02:51:20 2008


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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