Table 11-11
| Table 11-11. Causes of resistant hypertension. |
Improper blood pressure measurement |
Volume overload and pseudotolerance |
Excess sodium intake |
Volume retention from kidney disease |
Inadequate diuretic therapy |
Drug-induced or other causes |
Nonadherence |
Inadequate doses |
Inappropriate combinations |
Nonsteroidal anti-inflammatory drugs; cyclooxygenase-2 inhibitors |
Cocaine, amphetamines, other illicit drugs |
Sympathomimetics (decongestants, anorectics) |
Oral contraceptives |
Adrenal steroids |
Cyclosporine and tacrolimus |
Erythropoietin |
Licorice (including some chewing tobacco) |
Selected over-the-counter dietary supplements and medicines (eg, ephedra, ma haung, bitter orange) |
Associated conditions |
Obesity |
Excess alcohol intake |
Identifiable causes of hypertension (see Table 11-3) |
From Chobanian AV et al: The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003;289:2560. |