Table 13.

BIHS position: Management of hypertension associated with phaeochromocytoma/adrenergic crisis.

Hypertensive emergency state	Phaeochromocytoma/ adrenergic crisis
Speed of reduction and targets	Targets specific to the patient, BP, and specific presentation.
Medications	α blockade with oral phenoxybenzamine (if unavailable doxazosin can be used) followed by β blockade if necessary. IV Phentolamine may be used in a crisis if needed.
	Phenoxybenzamine while preparing for surgery. β blockers are employed only if there’s persistence of tachycardia.
	Benzodiazepines for illicit drug-induced hypertension such as cocaine and amphetamine induced.
	Volume expansion with fluids and increased salt intake, as necessary to prevent postural hypotension and limit tachycardia.