Hypertension Formulary

Hypertension

ICD10 CODE	ICD 10	DESCRIPTION	MEDICINE
SHORT	CODE		NAPPI	GENERIC SUBSTANCE	TRADE NAME
I10 I11 I12 I13 I15 O10 O11	I10 I11 I11.0 I11.0 I12 I12.0 I12.9 I13 I13.0 I13.1 I13.2 I13.9 I15 I15.0 I15.1 I15.2 I15.8 I15.9 O10 O10.0 O10.1 O10.2 O10.3 O10.4 O10.9 O11	Essential (primary) hypertension Hypertensive heart disease Hypertensive heart disease with (congestive) heart failure Hypertensive heart disease without (congestive) heart failure Hypertensive renal disease Hypertensive renal disease with renal failure Hypertensive renal disease without renal failure Hypertensive heart and renal disease Hypertensive heart and renal disease with (congestive) heart failure Hypertensive heart and renal disease with renal failure Hypertensive heart and renal disease with both (congestive) heart failure and renal failure Hypertensive heart and renal disease, unspecified Secondary hypertension Renovascular hypertension Hypertension secondary to other renal disorders Hypertension secondary to endocrine disorders Other secondary hypertension Secondary hypertension, unspecified Pre-existing hypertension complicating pregnancy, childbirth and the puerperium Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium Pre-existing hypertensive renal disease complicating pregnancy, childbirth and the puerperium Pre-existing hypertensive heart and renal disease complicating pregnancy, childbirth and the puerperium Pre-existing secondary hypertension complicating pregnancy, childbirth and the puerperium Unspecified pre-existing hypertension complicating pregnancy, childbirth and the puerperium Pre-existing hypertensive disorder with superimposed proteinuria	DIURETICS			Definition: 1. Systolic > 140 mm Hg 2. And/or Diastolic > 90 mm Hg The blood pressure must be measured in a sitting position after a resting period. Readings should be on two occasions, a pattern is more . important than single readings In 95% of cases no cause can be found; renovascular hypertension should be excluded. Diabetics or CCF Systolic > 130 mm Hg And/or Diastolic > 85 mm Hg Step 1: Life style · Reduce alcohol intake · Improve risk factors (lipid levels, smoking, and blood sugar levels if diabetic) · Restrict sodium intake (< 2g daily) · Exercise and optimal weight Step 2: Start with monotherapy and lifestyle changes. Uncomplicated hypertension Start with diuretic Choice of drugs : keep age, race and concomitant conditions and target organ involvement in mind. Monotherapy 1) Diureetics 2)Beta-blockers 3)ACE inhibitor 4)Angiotensin receptor bolcker. (Only if ace inhibitor not tolerated) 5)Calcium channel blocker Combinations Diuretic and Beta blocker Diuretic and ACE inhibitor ACE inhibitor and Calcium channel blockers SPECIAL CASES Pregnancy induced hypertension: Methyl dopa 250mg – 500mg b.i.d. Diabetic Type 1 diabetes with proteinuria ACE inhibitor in combination with diuretic Cardiac failure ACE inhibitor plus diuretic if volume overload Betablocker Diuretic: Furosemide or Spironolactine Angina Betablocker and Calcium channel blocker LISINOPRIL WILL ONLY BE CONSIDERED AS SECOND LINE ACE WHERE A HIGH DOSE ACE IS INDICATED
			702811 780618 702803 702951 704377 735930 731668 758272 735949 880949 774057 700820 831026 755753	AMILORIDE & HCT AMILORIDE & HCT AMILORIDE & HCT AMILORIDE & HCT FUROSEMIDE CAP 40 MG FUROSEMIDE TAB 20 MG FUROSEMIDE TAB 40 MG FUROSEMIDE TAB 40 MG FUROSEMIDE TAB 40 MG HCT HCL&K INDAPAMIDE TAB 2.5 MG INDAPAMIDE TAB 2.5 MG POTASSIUM CHLORIDE	AMILORETIC HS TAB ADCO-RETIC TAB AMILORETIC TAB ROLAB-AMILORIDE/HCT AQUARID 40MG CAP LASIX 20MG TAB ROLAB-FUROSEMIDE 40 MG TA PURESIS 40MG TAB LASIX 40MG TAB RIDAQ 25MG TAB URIREX-K TAB CATEXAN 2.5MG ROLAB-INDAPAMIDE 2.5 TABS PLENISH K 600MG TAB
			BETA BLOCKERS
			789615 786217 791172 789607 807591 786195 786586 787914 787914 806897 826898 806889 786578 786187 787892 758140 712604 758167 712612	ATENOLOL & CHLORT ATENOLOL & CHLORT ATENOLOL & CHLORT ATENOLOL & CHLORT ATENOLOL & CHLORT ATENOLOL TAB 100 MG ATENOLOL TAB 100 MG ATENOLOL TAB 100 MG ATENOLOL TAB 100 MG ATENOLOL TAB 100 MG ATENOLOL TAB 50 MG ATENOLOL TAB 50 MG ATENOLOL TAB 50 MG ATENOLOL TAB 50 MG ATENOLOL TAB 50 MG PROPRANOLOL PROPRANOLOL PROPRANOLOL PROPRANOLOL	ROLAB-ATENOLOL /CHLORTHALI TENCHLOR TAB ADCO-LOTEN TAB ROLAB-ATENOLOL /CHLORTHALI TENCHLOR-HS TAB TEN-BLOKA 100MG TAB ADCO-ATENOLOL 100MG TAB ROLAB-ATENOLOL 100 ROLAB-ATENOLOL 100 HEXABLOK 100MG TAB NORTON-ATENOLOL 50 HEXABLOK 50MG TAB ADCO-ATENOLOL 50MG TAB TEN-BLOKA 50MG TAB ROLAB-ATENOLOL 50 PUR-BLOKA 10MG TAB ROLAB-PROPRANOLOL 10 PUR-BLOKA 40MG TAB ROLAB-PROPRANOLOL 40
			ACE INHIBITORS
			891279 867853 759783 894324 867837 810355 867861 891280 759767 894316 867845 759759 701392 781827 701394 781835 701387 781819	ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL LISINOPRIL TAB 10 MG LISINOPRIL TAB 10 MG LISINOPRIL TAB 20 MG LISINOPRIL TAB 20 MG LISINOPRIL TAB 5 MG LISINOPRIL TAB 5 MG	ENAP 10MG TAB HR-ENALAPRIL 10MG RENITEC 10MG TAB CIPLATEC 10MG HR-ENALAPRIL 2.5MG RENITEC 2.5MG TAB HR-ENALAPRIL 20MG ENAP 20MG TAB RENITEC 20MG TAB CIPLATEC 5MG HR-ENALAPRIL 5MG RENITEC 5MG TAB HEXAL-LISINOPRIL 10MG TAB PRINIVIL 10MG TAB HEXAL-LISINOPRIL 20MG TAB PRINIVIL 20MG TAB HEXAL-LISINOPRIL 5MG TAB PRINIVIL 5MG TAB
			CALCIUM CHANNEL BLOCKERS
			700071	VERAPAMIL	VERAHEXAL 240 SR
			CENTRAL ACTING ANTI-HYPERTENSIVES
			732052 732079 764116 757926	METHYLDOPA METHYLDOPA METHYLDOPA RESERPINE / HYDROFLUMETHIAZIDE	HYPOTONE 250MG TAB HYPOTONE 500MG TAB ROL METHYLDOPA 250MG TAB PROTENSIN M TAB
			ALPHA BLOCKERS
			782122 782130 782149 701426 701425	PRAZOSIN HCL TAB 1 MG PRAZOSIN HCL TAB 2 MG PRAZOSIN HCL TAB 5 MG DOXAZOSIN MESYLATE TAB 4MG DOXAZOSIN MESYLATE TAB 1MG	PRATSIOL 1MG TAB PRATSIOL 2MG TAB PRATSIOL 5MG TAB MERCK-DOXAZOSIN 4MG MERCK-DOXAZOSIN 1MG

January 2004