Long-Term Treatment of Refractory Hypertensive Patients With Minoxidil

    May 1978 in “ JAMA
    Helen J. Mitchell, William A. Pettinger
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    TLDR Minoxidil controls blood pressure but may cause kidney damage and needs diuretics to prevent swelling.
    This 45-year-old study reports on the use of minoxidil to treat refractory hypertension in patients who have not responded to other treatments. The study found that minoxidil was effective in controlling blood pressure, but some patients experienced progression of end-organ damage, particularly renal failure. The study also suggests that minoxidil may have vasodilatory activity in pulmonary arteries and does not cause pulmonary hypertension. Large doses of diuretic agents were required to prevent edema, and some patients eventually required hemodialysis.
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