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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Antihypertensive drugs for outpatient management of chronic hypertension for infants, children, and adolescents

Antihypertensive drugs for outpatient management of chronic hypertension for infants, children, and adolescents
Drug Age Initial oral dose Maximal oral dose per day Dosing interval Formulations
ACE inhibitors
Contraindications: Pregnancy, angioedema.
Common adverse effects: Cough, headache, dizziness, asthenia.
Severe adverse effects: Hyperkalemia, acute kidney injury, angioedema, fetal toxicity.
Benazepril ≥6 years* 0.2 mg/kg per day (up to 10 mg per day) 0.6 mg/kg (up to 40 mg) Daily.

Tablet: 5, 10, 20, 40 mg (generic).

Extemporaneous liquid: 2 mg/mL.
Captopril Infants 0.05 mg/kg per dose 6 mg/kg Daily to 4 times a day.

Tablet: 12.5, 25, 50, 100 mg (generic).

Extemporaneous liquid: 1 mg/mL.
Children 0.5 mg/kg per dose 6 mg/kg Three times a day.
Enalapril ≥1 month* 0.08 mg/kg per day (up to 5 mg per day) 0.6 mg/kg (up to 40 mg) Daily to twice a day.

Tablet: 2.5, 5, 10, 20 mg (generic).

Solution: 1 mg/mL.
Fosinopril ≥6 years 0.1 mg/kg per day (up to 5 mg per day) 40 mg Daily. Tablet: 10, 20, 40 mg (generic).
<50 kg
≥50 kg* 5 mg per day 40 mg
Lisinopril ≥6 years* 0.07 mg/kg per day (up to 5 mg per day) 0.6 mg/kg (up to 40 mg) Daily.

Tablet: 2.5, 5, 10, 20, 30, 40 mg (generic).

Solution: 1 mg/mL.
Ramipril NA 1.6 mg/m2 per day 6 mg/m2 Daily. Capsule: 1.25, 2.5, 5, 10 mg (generic).
Quinapril NA 5 mg per day 80 mg Daily. Tablet: 5, 10, 20, 40 mg (generic).
ARBs
Contraindications: Pregnancy.
Common adverse effects: Headache, dizziness.
Severe adverse effects: Hyperkalemia, acute kidney injury, fetal toxicity.
Candesartan 1 to 5 years* 0.02 mg/kg per day (up to 4 mg per day) 0.4 mg/kg (up to 16 mg) Daily to twice a day.

Tablet: 4, 8, 16, 32 mg.

Extemporaneous liquid: 1 mg/mL.
≥6 years*
<50 kg 4 mg per day 16 mg
≥50 kg 8 mg per day 32 mg
Irbesartan 6 to 12 years 75 mg per day 150 mg Daily. Tablet: 75, 150, 300 mg (generic).
≥13 years 150 mg per day 300 mg
Losartan ≥6 years* 0.7 mg/kg (up to 50 mg) 1.4 mg/kg (up to 100 mg) Daily.

Tablet: 25, 50, 100 mg (generic).

Extemporaneous liquid: 2.5 mg/mL.
Olmesartan ≥6 years* NA NA Daily.

Tablet: 5, 20, 40 mg.

Extemporaneous liquid: 2 mg/mL.
<35 kg 10 mg 20 mg
≥35 kg 20 mg 40 mg
Valsartan ≥1 years* 1.3 mg/kg (up to 40 mg) 2.7 mg/kg (up to 160 mg) Daily.

Tablet: 40, 80, 160, 320 mg (generic).

Extemporaneous liquid: 4 mg/mL.
Thiazide diuretics
Contraindications: Anuria.
Common adverse effects: Dizziness, hypokalemia.
Severe adverse effects: Cardiac dysrhythmias, cholestatic jaundice, new onset diabetes mellitus, pancreatitis.
Chlorthalidone Children 0.3 mg/kg 2 mg/kg (50 mg) Daily. Tablet: 25, 50, 100 mg (generic).
Chlorothiazide Children* 10 mg/kg per day 20 mg/kg (up to 375 mg per day) Daily to twice a day.

Tablet: 250, 500 mg (generic).

Suspension: 250/5 mL.

Extemporaneous liquid: 1 mg/mL.
Hydrochlorothiazide Children* 1 mg/kg per day 2 mg/kg (up to 37.5 mg) Daily to twice a day. Tablet: 12.5, 25, 50 mg.
Calcium channel blockers
Contraindications: Hypersensitivity to CCBs.
Common adverse effects: Flushing, peripheral edema, dizziness.
Severe adverse effects: Angioedema.
Amlodipine 1 to 5 years 0.1 mg/kg 0.6 mg/kg (up to 5 mg) Daily.

Tablet: 2.5, 5, 10 mg.

Extemporaneous liquid: 1 mg/mL.
≥6 years* 2.5 mg 10 mg
Felodipine ≥6 years 2.5 mg 10 mg Daily. Tablet (extended release): 2.5, 5, 10 mg (generic).
Isradipine Children 0.05 to 0.1 mg/kg 0.6 mg/kg (up to 10 mg)

Capsule: Twice daily to 3 times a day.

Tablet (extended release): Daily.

Capsule: 2.5, 5 mg.

Tablet (extended release): 5, 10 mg.
Nifedipine extended release Children 0.2 to 0.5 mg/kg per day 3 mg/kg (up to 120 mg) Daily to twice a day. Tablet (extended release): 30, 60, 90 mg (generic).
ACE: angiotensin converting enzyme; NA: not applicable; ARB: angiotensin-receptor blocker; FDA: US Food and Drug Administration.
* FDA pediatric labeling.
¶ Dose per 24 hours should not exceed the usual maximum daily dose in adults.
Reproduced with permission from: Pediatrics, Vol. 140, Page e20171904. Copyright © 2017 by the AAP.
Graphic 71466 Version 16.0

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