
Many medications known as antihypertensives are available by prescription to lower high blood pressure. There are a variety of classes of HBP medications, and they include a number of different drugs.

* Some of the major types of commonly prescribed cardiovascular medications are summarized in this section. For your information and reference, we have included generic names as well as major trade names to help you identify what you may be taking; however, the AHA is not recommending or endorsing any specific products. If your prescription medication isn't on this list, remember that your healthcare provider and pharmacist are your best sources of information. It's important to discuss all of the drugs you take with your doctor and understand their desired effects and possible side effects. Never stop taking a medication and never change your dose or frequency without first consulting your doctor.
Diuretics
Diuretics help the body get rid of excess sodium (salt) and water and help control blood pressure. They are often used in combination with additional prescription therapies. | |||
| Generic name | Common brand names | ||
| chlorthalidone | Hygroton* | ||
| chlorothiazide | Diuril* | ||
| furosemide | Lasix* | ||
| hydrochlorothiazide | Esidrix*, Hydrodiuril*, Microzide* | ||
| indapamide | Lozol* | ||
| metolazone | Mykrox*, Zaroxolyn* | ||
| Potassium-sparing diuretics | |||
| amiloride hydrochloride | Midamar* | ||
| spironolactone | Aldactone* | ||
| triamterene | Dyrenium* | ||
| Loop diuretic | |||
| bumetanide | Bumex* | ||
| Combination diuretics | |||
| amiloride hydrochloride + hydrochlorothiazide | Moduretic* | ||
| spironolactone + hydrochlorothiazide | Aldactazide* | ||
| triamterene + hydrochlorothiazide | Dyazide*, Maxzide* | ||
Some noted possible side effects from diuretics:
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Beta-blockers
Beta-blockers reduce the heart rate, the heart's workload and the heart's output of blood, which lowers blood pressure. | |||
| Generic name | Common brand names | ||
| acebutolol | Sectral* | ||
| atenolol | Tenormin* | ||
| betaxolol | Kerlone* | ||
| bisoprolol fumarate | Zebeta* | ||
| carteolol hydrochloride | Cartrol* | ||
| metoprolol tartrate | Lopressor* | ||
| metoprolol succinate | Toprol-XL* | ||
| nadolol | Corgard* | ||
| penbutolol sulfate | Levatol* | ||
| pindolol* | Visken* | ||
| propranolol hydrochloride* | Inderal* | ||
| solotol hydrochloride | Betapace* | ||
| timolol maleate* | Blocadren* | ||
| Combination beta-blocker/ diuretic | |||
| hydrochlorothiazide and bisoprolol | Ziac* | ||
Some noted possible side effects of beta-blockers:
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ACE inhibitors
Angiotensin is a chemical that causes the arteries to become narrow, especially in the kidneys but also throughout the body. ACE stands for Angiotensin-converting enzyme. ACE inhibitors help the body produce less angiotensin, which helps the blood vessels relax and open up, which, in turn, lowers blood pressure. | |||
| Generic name | Common brand names | ||
| benazepril hydrochloride | Lotensin* | ||
| captopril | Capoten* | ||
| enalapril maleate | Vasotec* | ||
| fosinopril sodium | Monopril* | ||
| lisinopril | Prinivel*, Zestril* | ||
| moexipril | Univasc* | ||
| perindopril | Aceon* | ||
| quinapril hydrochloride | Accupril* | ||
| ramipril | Altace* | ||
| trandolapril | Mavik* | ||
Some noted possible side effects of ACE inhibitors:
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Angiotensin II receptor blockers
These drugs block the effects of angiotensin, a chemical that causes the arteries to become narrow. Angiotensin needs a receptor- like a chemical "slot" to fit into or bind with- in order to constrict the blood vessel. ARBs block the receptors so the angiotensin fails to constrict the blood vessel. This means blood vessels stay open and blood pressure is reduced. | |||
| Generic name | Common brand names | ||
| candesartan | Atacand* | ||
| eprosartan mesylate | Teveten* | ||
| irbesarten | Avapro* | ||
| losartin potassium | Cozaar* | ||
| telmisartan | Micardis* | ||
| valsartan | Diovan* | ||
Some noted possible side effects of Angiotensin II receptor blockers:
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Calcium channel blockers
This drug prevents calcium from entering the smooth muscle cells of the heart and arteries. When calcium enters these cells, it causes a stronger and harder contraction, so by decreasing the calcium, the hearts' contraction is not as forceful. Calcium channel blockers relax and open up narrowed blood vessels, reduce heart rate and lower blood pressure. | |||
| Generic name | Common brand names | ||
| amlodipine besylate | Norvasc*, Lotrel* | ||
| bepridil | Vasocor* | ||
| diltiazem hydrochloride | Cardizem CD*, Cardizem SR*, Dilacor XR*, Tiazac* | ||
| felodipine | Plendil* | ||
| isradipine | DynaCirc*, DynaCirc CR* | ||
| nicardipine | Cardene SR* | ||
| nifedipine | Adalat CC*, Procardia XL* | ||
| nisoldipine | Sular* | ||
| verapamil hydrochloride | Calan SR*, Covera HS*, Isoptin SR*, Verelan* | ||
Some noted possible side effects of calcium channel blockers:
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Alpha blockers
These drugs reduce the arteries' resistance, relaxing the muscle tone of the vascular walls. | |||
| Generic name | Common brand names | ||
| doxazosin mesylate | Cardura* | ||
| prazosin hydrochloride | Minipress* | ||
| terazosin hydrochloride | Hytrin* | ||
Some noted possible side effects of alpha blockers:
| |||
Alpha-2 Receptor Agonist
These drugs reduce blood pressure by decreasing the activity of the sympathetic (adrenaline-producing) portion of the involuntary nervous system. Methyldopa is considered a first line antihypertensive during pregnancy because adverse effects are infrequent for the pregnant woman or the developing fetus. | |||
| Generic name | Common brand names | ||
| methyldopa | |||
Some noted possible side effects of Alpha-2 Receptor Agonists:
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Combined alpha and beta-blockers
Combined alpha and beta-blockers areused as an IV drip for those patients experiencing a hypertensive crisis. They may be prescribed for outpatient high blood pressure use if the patient is at risk for heart failure. | |||
| Generic name | Common brand names | ||
| carvedilol | Coreg* | ||
| labetolol hydrochloride | Normodyne*, Trandate* | ||
A noted possible side effect of combined alpha and beta-blockers:
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Central agonists
Central agonists also help decrease the blood vessels' ability to tense up or contract. The central agonists follow a different nerve pathway than the alpha and beta-blockers, but accomplish the same goal of blood pressure reduction. | |||
| Generic name | Common brand names | ||
| alpha methyldopa | Aldomet* | ||
| clonidine hydrochloride | Catapres* | ||
| guanabenz acetate | Wytensin* | ||
| guanfacine hydrochloride | Tenex* | ||
Some noted possible side effects of central agonists:
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Peripheral adrenergic inhibitors
These medications reduce blood pressure by blocking neurotransmitters in the brain. This blocks the smooth muscles from getting the "message" to constrict. These drugs are rarely used unless other medications don't help. | |||
| Generic name | Common brand names | ||
| guanadrel | Hylorel* | ||
| guanethidine monosulfate | Ismelin* | ||
| reserpine | Serpasil* | ||
Some noted possible side effects of peripheral adrenergic inhibitors:
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Blood vessel dilators, or vasodilators
Blood vessel dilators, or vasodilators, can cause the muscle in the walls of the blood vessels (especially the arterioles) to relax, allowing the vessel to dilate (widen). This allows blood to flow through better. | |||
| Generic name | Common brand names | ||
| hydralazine hydrocholoride | Apresoline* | ||
| minoxidil | Loniten*† | ||
Some noted possible side effects of vasodilators:
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