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Research ArticleSpecial Communications

Fluid Matters in Choosing Antihypertensive Therapy: A Hypothesis That the Data Speak Volumes

Robert P. Blankfield
The Journal of the American Board of Family Practice March 2005, 18 (2) 113-124; DOI: https://doi.org/10.3122/jabfm.18.2.113
Robert P. Blankfield
MD, MS
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    Table 1.

    Frequency of Edema in Controlled and Uncontrolled Trials of Different Antihypertensive Medications

    Medication ReferenceTotal Daily Dose (mg)Sample SizeEdema (%)
    Dihydropyridine Calcium Channel Blockers
    Amlodipine
    Koenig, 1993305–10591.7
    Frishman et al, 1995312.5823.8
    Kuschnir et a., 19963257716.9
    Corea et al, 1996335843.6
    Corea et al, 199633102814.3
    Messerli et al, 200029514415
    Messerli et al, 2000291014432
    Kloner et al, 2001345–1012722.1
    Felodipine
    Freeling et al, 1987352.5–103228.1
    Dahlof and Hosie,199036105318.9
    Hammond and Cutler, 1993375–107129.6
    Koenig, 1993305–10590.0
    Fagan et al, 1994265–1013712.4
    Goldberg et al, 199524Unspecified4314.0
    Gradman et al, 1997382.5–1017610.8
    Schloze et al, 1999395–10847.1
    Isradipine
    Hammond and Cutler, 1993375–107213.9
    Eisner et al, 1991402.5–10787.7
    Lacdipine
    UK Lacdipine, 19914342686.0
    Nicardipine
    Gradman et al, 19924145738.2
    Gradman et al, 199241607315.1
    Nifedipine
    Daniels and Opie, 198623403511.4
    Heagerty et al, 19882520–4021012.4
    Fagan et al, 19942630–9014020.0
    Steiner and Pauly, 199427405512.7
    Brown et al, 20002830–603,15728.4
    Messerli et al, 200129301305.4
    Messerli et al, 2001296012922.3
    Nisoldipine
    Ruddy and Fodor, 19974210–4013818.8
    Nitrendipine
    Gennari et al, 198944101216.7
    Morgan et al, 19904520–40385.3
    Nondihydropyridine Calcium Channel Blockers
    Diltiazem
    Pool et al, 198658120–360458.9
    Weir et al, 198760240–360392.6
    Hedner et al, 199059120–360634.8
    Ruddy et al, 199561180–360545.6
    Ruddy et al, 199561180–360578.8
    Nilsson et al, 199662240–4201382–7
    Cushman et al, 1998571201502.7
    Cushman et al, 1998571801523.3
    Verapamil
    Speders, 198951240–4804,2470.7
    Gradman et al, 199242240724.2
    Karlberg et al, 2000522409613.5
    White et al, 200150180–5405802.8
    α-Blockers
    Doxazosin
    Ott et al, 1987721–166312.7
    Prazosin
    Melkid, 1984802–47910.1
    Goldberg et al, 1988242–2019322.3
    Angiotensin-Converting Enzyme Inhibitors
    Benazapril
    Frishman et al, 19953110851.2
    Kushnir et al, 19963220771.3
    Captopril
    Gennari et al, 19894450120.0
    MacLean, 19948850290.0
    Enalapril
    Eisner et al, 1991405–40820.0
    Gradman et al, 1997385–201333.8
    Cushman et al, 19985751443.5
    Lisinopril
    Ruddy and Fodor, 1997425–201402.9
    Ramipril
    Schloze et al, 1999392.5–101250.0
    Trandolapril
    Steiner and Pauly, 1994272547.4
    Karlberg et al, 2000522964.2
    Captopril, Enalapril, or Lisinopril
    Goldberg et al, 199524Unspecified2391.7
    Enalapril or Lisinopril
    Hansson et al, 199911102,2058.7
    Angiotensin Receptor Blockers
    Candesartan
    Kloner et al, 20013416–321238.9
    Irbesartan
    Oparil et al, 20011031501450.7
    Losartan
    Goldberg et al, 199524Unspecified2,0851.7
    Oparil et al, 2001103501460.0
    Dahlof et al, 200210550–1004,60511.7
    Olmesartan
    Neutel, 20011022.5–802,5400.8
    Oparil et al, 2001103201450.7
    Valsartan
    Corea et al, 19963380842.4
    Oparil et al, 2001103801422.1
    Biswas et al, 2002104Unspecified12,8811.4
    β-Blockers
    Atenolol
    Daniels and Opie, 198623100355.7
    Ott et al, 19877250–100636.3
    Weir et al, 19876050–100392.6
    Heagerty et al, 19882550–1002001.0
    UK Lacdipine, 199143502653.8
    Goldberg et al, 199524Unspecified681.5
    Dahlof et al, 200210550–1004,58813.9
    Carvedilol
    Morgan et al, 19904512.5–501030.0
    Dilavelol
    Materson et al, 1989112200–16003101.0
    Metoprolol
    Freeling et al, 198735100320.0
    Materson et al, 1989112100–4001372.9
    Hedner et al, 19905950–200634.8
    Feliciano et al, 1990113100–4001263.2
    Dahlof and Hosie, 199036100520.0
    Pindolol
    Morgan et al, 199045Unspecified390.0
    Diuretics
    HCTZ
    Goldberg et al, 199524Unspecified271.8
    HCTZ plus amiloride
    Brown et al, 20002825–50/2.5–53,1644.3
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The Journal of the American Board of Family Practice: 18 (2)
The Journal of the American Board of Family Practice
Vol. 18, Issue 2
1 Mar 2005
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Fluid Matters in Choosing Antihypertensive Therapy: A Hypothesis That the Data Speak Volumes
Robert P. Blankfield
The Journal of the American Board of Family Practice Mar 2005, 18 (2) 113-124; DOI: 10.3122/jabfm.18.2.113

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Fluid Matters in Choosing Antihypertensive Therapy: A Hypothesis That the Data Speak Volumes
Robert P. Blankfield
The Journal of the American Board of Family Practice Mar 2005, 18 (2) 113-124; DOI: 10.3122/jabfm.18.2.113
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