17
Oral contraceptives • Use low-dose (e.g., 20–30 mcg ethinyl estradiol)
agents or a progestin-only form of contraception,
or consider alternative forms of birth control where
appropriate (e.g., barrier, abstinence, intra-uterine
device [IUD])
• Avoid use in women with uncontrolled hypertension
NSAIDs • Avoid systemic nonsteroidal anti-inflammatory drugs
(NSAIDs) when possible
• Consider alternative analgesics (e.g., acetaminophen,
tramadol, topical NSAIDs), depending on indication
and risk
Recreational drugs
(e.g., "bath salts"
methylenedioxypyrovalerone
[MDPV], cocaine,
methamphetamine, etc.)
• Discontinue or avoid use
Systemic corticosteroids
(e.g., dexamethasone,
fludrocortisone,
methylprednisolone,
prednisone, prednisolone)
• Avoid or limit use when possible
• Consider alternative modes of administration
(e.g., inhaled, topical) when feasible
Angiogenesis inhibitor
(e.g., bevacizumab) and
tyrosine kinase inhibitors
(e.g., sunitinib, sorafenib)
• Initiate or intensify antihypertensive therapy
Table 10. Frequently Used Medications and Other
Substances That May Cause Elevated BP
(List is not all inclusive) (cont'd)
Agent Possible Management Strategy
