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None of the antihypertensive drugs appears to have a better overall adverse effect profile than the others. Thiazide diuretics can provoke hyperglycaemia and diabetes, although this does not reduce their efficacy in the prevention of cardiovascular events. As in 2004, in 2014, the first-choice treatment for hypertension in nondiabetic adults without cardiovascular or renal disease should be a thiazidepossibly viagra and liver cancer with amiloride or triamterene. When a diuretic cannot be used, it is better to choose an ACEI: captopril, lisinopril or ramipril. But TZDiuretic halflife is at best 15hrs (HCTZ); and for smoother hypertension control they need to be gentle and not major diuresis-inducing, so that they do not disturb sleep or daytime function. and TZDs dont damp down compensatory heart speedup and arrhythmia, or lipidemia-hyperglycemia- which reserpine does. and lowdose reserpine doesnt cause the cough or breathlessness that ACEI, ARBs or BBs may. This review needs to be read with Shamon amp; Perez 8216; 2009 Viagra sales in india of British Columbia Canadian Cochrane report : the first systematic review of reserpine for essential hypertension : 8220;Many antihypertensive agents exist today for primary hypertension (systolic blood pressure gt;140 mmHg andor diastolic blood pressure gt;90 mmHg). Reserpine was a second-line therapy in some of those trials.

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