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Medication Induced Hypertension – Abiraterone

What Is Abiraterone? Abiraterone (Zytiga) is a medication used in the treatment of metastatic prostate cancer. It works by decreasing the production of androgens in the testes, adrenal glands and the prostate tumor (androgen deprivation therapy). Abiraterone inhibits the enzyme Cytochrome P450 C17A1 (CYP17A1).  This enzyme has two functions: 17𝝰-hydroxylase 17,20 lyase Inhibition

By |2024-10-09T13:12:17+00:00October 9th, 2024|Hypertension|0 Comments

Thiazide Diuretics, Chlorthalidone vs Hydrochlorothiazide

Thiazide (and thiazide like) diuretics are important medications for the treatment of hypertension (HTN).  Thiazide diuretics contain a benzothiadiazine core (hence the name thiazide). Thiazide-like diuretics have the same physiologic effect of blocking the Na+Cl- cotransporter in the distal convoluted tubule, but do not contain the benzothiadiazine core. This article will use the

By |2024-05-03T12:10:00+00:00May 3rd, 2024|Hypertension|0 Comments

Hypertension – A Nephrologist’s Approach

As a nephrologist I get sent patients with resistant or difficult to control HTN.  Here’s an approach, why I do it and what it tells me. 24 hour ambulatory BP monitoring What it tells me: Is it really HTN or is it pseudo resistance? White coat syndrome, white coat effect Technique of measurement.

By |2023-12-27T23:17:37+00:00January 25th, 2023|Hypertension|0 Comments
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