title: Ketanserin combined with a beta-blocker or diuretic in essential hypertension. A multicentre study.
abstract: The antihypertensive effect of ketanserin 40 mg b.d. in combination with a beta-adrenergic blocking agent or a diuretic was assessed in an open study in 35 patients with essential hypertension, who had not responded to treatment with beta-blockers, diuretics or their combination. The ketanserin/beta-blocker combination decreased mean sitting systolic/diastolic blood pressure (SBP/DBP) from 169/107 mmHg to 156/91 mmHg at the end of the 12-week active treatment period. The decrease in systolic blood pressure was significant only at Week 8, while the decrease in diastolic blood pressure was highly significant at all times. A significant reduction in heart rate by 10 beats.min-1 was observed with the ketanserin + beta-blocker combination. The ketanserin/diuretic combination led to a significant reduction in mean SBP/DBP from 164/106 mmHg to 146/92 mmHg after 12 weeks, with no significant change in heart rate. Body weight slightly increased in both groups. There were significantly fewer adverse reactions with the ketanserin/diuretic combination than with the ketanserin/beta-blocker combination. The results indicate a potentially useful therapeutic role for ketanserin in combination with beta-blockers or diuretics.
authors.affiliation: Istituto di Clinica Medica Generale e Terapia Medica, Universita Cattolica S. Cuore, Rome, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Bartoloni
authors.forename: P
authors.initials: P
authors.lastname: Dupont
authors.forename: H
authors.initials: H
authors.lastname: Feltkamp
authors.forename: C I
authors.initials: CI
authors.lastname: Johnston
authors.forename: K
authors.initials: K
authors.lastname: Steinbach
authors.forename: H
authors.initials: H
authors.lastname: Zilcher
authors.forename: F
authors.initials: F
authors.lastname: Kaindl
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000008:administration & dosage* / Q000009:adverse effects / Q000627:therapeutic use; D000328:Adult; D000368:Aged; D001794:Blood Pressure / Q000187:drug effects; D004232:Diuretics / Q000008:administration & dosage* / Q000009:adverse effects / Q000627:therapeutic use; D004357:Drug Synergism; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000503:physiopathology; D007650:Ketanserin / Q000008:administration & dosage* / Q000009:adverse effects / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D015337:Multicenter Studies as Topic
chemical_list: D000319:Adrenergic beta-Antagonists; D004232:Diuretics; D007650:Ketanserin