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Spironolactone and altizide in systemic hypertension: ambulatory multicenter study.

Abstract
A multicenter study was performed in 919 hypertensive patients, 780 of whom could be evaluated. Patients in group I (n = 482) were treated with Aldactazine alone (altizide + spironolactone, 2 tablets per day). The other 298 patients (group II) were treated with 1 or 2 tablets per day of Aldactazine plus a conventional antihypertensive agent, e.g., a beta blocker, alpha-methyldopa or clonidine. After 45 days of treatment with Aldactazine alone, mean systolic and diastolic blood pressure (BP) decreased by 15 and 14%, respectively, vs baseline values. The addition of the other antihypertensive agent decreased BP further; however, the best results were obtained with the combination of Aldactazine and clonidine. With this combination, systolic and diastolic BP decreased by 16.6 and 18%, respectively, vs baseline. In terms of adverse effects, a few cases of gastrointestinal disturbances and orthostatic hypotension were reported.
AuthorsJ Sternon
JournalThe American journal of cardiology (Am J Cardiol) Vol. 65 Issue 23 Pg. 24K-27K (Jun 19 1990) ISSN: 0002-9149 [Print] United States
PMID1972313 (Publication Type: Clinical Trial, Controlled Clinical Trial, Journal Article, Multicenter Study)
Chemical References
  • Adrenergic beta-Antagonists
  • Benzothiadiazines
  • Diuretics
  • Drug Combinations
  • Sodium Chloride Symporter Inhibitors
  • Sulfonamides
  • Spironolactone
  • Methyldopa
  • spironolactone, althiazide drug combination
  • Clonidine
Topics
  • Adrenergic beta-Antagonists (administration & dosage, therapeutic use)
  • Adult
  • Aged
  • Aged, 80 and over
  • Benzothiadiazines
  • Clonidine (administration & dosage, therapeutic use)
  • Diuretics
  • Drug Combinations (administration & dosage, adverse effects, therapeutic use)
  • Drug Therapy, Combination
  • Female
  • Humans
  • Hypertension (drug therapy, physiopathology)
  • Male
  • Methyldopa (administration & dosage, therapeutic use)
  • Middle Aged
  • Multicenter Studies as Topic
  • Sodium Chloride Symporter Inhibitors (administration & dosage, adverse effects, therapeutic use)
  • Spironolactone (administration & dosage, adverse effects, therapeutic use)
  • Sulfonamides (administration & dosage, adverse effects, therapeutic use)

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