Hipertensión arterial refractaria y uso de drogas anticonvulsivantes: caso clínico / Resistant hypertension and anticonvulsant drugs: report of 1 case
Rev. méd. Chile
; 129(11): 1325-1327, nov. 2001. graf
Article
in Es
| LILACS
| ID: lil-302641
Responsible library:
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RESUMO
Resistant arterial hypertension is uncommon when there is good compliance to antihypertensive therapy and secondary causes have been ruled out. We report a 41 years old male that suffered hypertensive encephalopathy and received prophylactic anticonvulsant therapy showing progressive raise of arterial pressure levels. Renovascular hypertension, aldosteronism and pheochromocytoma were discarded and, in spite of combined use of antihypertensive drugs, he did not achieve normal blood pressure. When phenytoin was discontinued, blood pressure temporarily normalized. Carbamazepine was started and blood pressure raised again. lt fell when this medication was discontinued. Antiepileptic agents could induce drug metabolizing system and thus reduce the effects of antihypertensive medications
Full text:
1
Index:
LILACS
Main subject:
Phenytoin
/
Carbamazepine
/
Hypertension
Limits:
Adult
/
Humans
/
Male
Language:
Es
Journal:
Rev. méd. Chile
Journal subject:
MEDICINA
Year:
2001
Type:
Article