[HINTS: Contd-To be continued, M- Month, ±M- Before or After Meal, AM- After Meal, ½HBM- ½ Hour Before Meal,W- Week, D-Day.2HAM- 2 Hour After Meal,bid-Twice daily, tid-Three times daily,qid-Four times daily.]

< 55 yrs :

Step 1:
(A)Tab. Captopril (25/50 mg)
1 tab-Once or Twice daily(1HBM) —————————–contd.
Or,
Tab. Perindopril (2/4/8 mg)
1 tab-once daily (½HBM) —————————contd.
Or,
Tab.Losartan Potassium (25 /50 mg)
1 tab -once daily (±M) —————————–contd.

OR

(B)Tab. Atenolol  (50 /100 mg)
1 tab -once daily (±M) —————————–contd.
Or,
Tab. Metoprolol Tartarate (50 /100 mg)
1 tab -once daily (±M) —————————–contd.

Step 2:

Step 1+
[(C)Tab. Amlodipine (5 /10 mg)
1 tab-once daily ( +M) ———————–contd
OR
(D)Tab. Indapamide (1.5 mg)
1 tab-once daily (AM) ————————-contd.
Or,Tab.Hydrochlorothiazide (25/50 mg)
1 tab-once daily(AM) —————————contd.]

Step 3:

Step 1+(C)+(D)

Step 4:

Step 3 + Tab.Prazosin (1 / 2 mg)
½ tab-bid (±M) ———————–7 D
then, 1 tab- bid (±M) ——————–Contd.

55 yrs Or More :

Step1 :
(C) OR  (D).
Step 2 :
(A)  OR  (B) +  (C)  OR  (D).
Step 3 :
(A) OR (B) + (C) + (D)
Step 4 :
Step 3 +Tab.Prazosin (1 / 2 mg)
½ tab-bid (±M) ———————–7 D
then, 1 tab- bid (±M) ——————–Contd.

* HTN  ( with IHD) : (B) + (C) ± Tab.Captopril(25/50mg)
* HTN ( with DM) : (A) + (C)
* Isolated Syst. HTN : (C) + (D)
* Isolated Diast. HTN : (B) ± (A)
* Treatment of high blood pressure(with pregnancy):
Tab.Methyldopa (250 mg)-2-3 times daily.

To know and give advice to your patient about Lifestyle and Dietary modification in Hypertension click here.

To know the Generic and Trade names of the above mentioned drugs and their available formulations in Bangladesh click here.