[Efficacy and acceptability of rilmenidine in mild to moderate arterial hypertension. A multicenter, randomized, double-blind trial, in comparison with methyldopa in 157 patients].
A dissociation between the hypotensive activity and the central side effects has been demonstrated with rilmenidine (RIL) in previous studies. The object of this trial was to compare RIL with methyldopa (MD) during a 12 weeks' treatment (Day 0 to Day 84) and after stopping therapy (Day 84-Day 91). In particular, the trial was designed to evaluate the acceptability of the two agents. After 4 weeks of placebo, 76 men and 81 women (average age 55 years) were allocated according to a randomised double-blind protocol to RIL (N = 78) or MD (N = 79). The two groups were comparable with systolic/diastolic BP of 165/102 mmHg and 165/101 mmHg respectively. Monotherapy was administered to all the patients from Day 0 to Day 56 in order to compare RIL (1 mg every morning or 1 mg twice daily if necessary) and MD (250 mg morning and evening or 500 mg twice daily if necessary). Hydrochlorothiazide (25 mg daily) was associated from Day 56 to Day 84 if the supine diastolic BP was greater than or equal to 90 mmHg. A placebo was substituted from Day 84 to Day 91 to study the effect of withdrawing therapy.


RESULTS
at Day 56 under monotherapy, the average supine systolic/diastolic BP had decreased significantly with RIL and MD to 140/110 mmHg and 140/100 mmHg respectively. An equivalent number of patients had normalised their blood pressures in both groups (systolic/diastolic BP less than or equal to 160/90 mmHg): 50% with RIL and 42% with MD (NS).(ABSTRACT TRUNCATED AT 250 WORDS)
Wilkinson
R
R
Dept of Renal Medicine, Freeman Hospital, Newcastle upon Tyne, UK.
Mansy
S
S
Corcoran
C
C
D000328:Adult; D000959:Antihypertensive Agents / Q000009:adverse effects / Q000627:therapeutic use*; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D006973:Hypertension / Q000097:blood / Q000188:drug therapy*; D008297:Male; D008750:Methyldopa / Q000627:therapeutic use*; D015337:Multicenter Studies as Topic; D010080:Oxazoles / Q000009:adverse effects / Q000627:therapeutic use*; D016032:Randomized Controlled Trials as Topic; D000077769:Rilmenidine
D000959:Antihypertensive Agents; D010080:Oxazoles; D008750:Methyldopa; D000077769:Rilmenidine
Efficacité et acceptabilité de la rilmenidine dans l'hypertension artérielle légère à modérée. Essai multicentrique randomisé, en double insu, en comparaison avec la méthyldopa chez 157 patients. Groupe de travail britannique sur la rilmenidine.