A member asked:

Resistant bp stays at 160/80 despite micardis 20, bystolic (nebivolol) 10. norvasc 5-10 mg works but get leg edema. imdur raises bp to 180. diuretics? ckd patient

A doctor has provided 1 answer
Dr. Alan Heldman answered

Specializes in Cardiology

Diuretics for HTN: Hypertension which is not uncontrolled on 2 drugs often needs a diuretic. There is sometimes fear that diuretics will worsen kidney function, but in fact BP control is especially important for patients with kidney disease. A very low salt diet will help. See "Loop Diuretics are Most Appropriate for Hypertension Treatment in Chronic Kidney Disease" J Am Soc Hypertension 2016.

Answered 3/17/2016

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