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SECONDARY HYPERTENSION DUE TO DRUGS

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Several drugs – both those available on prescription and those bought over the counter – can put your blood pressure up while they are being taken. These include:

nasal decongestants (e.g. ephedrine), taken to relieve a blocked nose

non-steroidal anti-inflammatory drugs (e.g. ibuprofen), taken to relieve aches and pains in the muscles and joints which – can raise BP by 5–10 mm Hg

oral corticosteroids, taken for severe inflammatory conditions such as asthma or rheumatoid arthritis

the combined oral contraceptive pill (containing both oestrogen and progestogen hormones), which can raise BP after several years’ use – recent research suggests that the average increase in BP is around 2.8/1.9 mmHg. In some women, however, rapid and more severe rises in BP can occur

monoamine-oxidase inhibitors – drugs sometimes used to treat severe depression – can cause sudden rises in BP if you eat cheese or other foods containing tyramine while on medication

carbenoxolone – a synthetic version of liquorice, sometimes used to treat stomach ulcers – can put BP up as it can trigger retention of sodium and water; a similar effect can also occur if you eat too much liquorice which has not been deglycerrizhinated.

High Blood Pressure: Natural Self-help for Hypertension, including 60 recipes

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