Summary
At the Dunedin Hypertension Clinic β-blockers are the drugs of choice for most hypertensive patients, usually in combination with diuretics (especially in older subjects) and often with other drugs in the more severe cases. All β-blockers have an antihypertensive effect, regardless of other characteristics (e.g. cardio-selectivity, instrinsic sympathomimetic effect, or membrane activity). d-Propranolol has no significant effect on blood pressure. β-Blockers do not prevent stress-induced (mental arithmetic) rises in blood pressure in hypertensive subjects though the level of blood pressure reached during stress tends to be lower because the base line is lower. Twice-daily dosage of β-blockers is usually satisfactory.
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Waal-Manning, H.J. Experience with β-Adrenoreceptor Blockers in Hypertension. Drugs 11 (Suppl 1), 164–171 (1976). https://doi.org/10.2165/00003495-197600111-00034
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DOI: https://doi.org/10.2165/00003495-197600111-00034