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. 2017 Jun;17(3):251–257. doi: 10.7861/clinmedicine.17-3-251

Table 3.

Antihypertensive drugs in pregnancy

1st choice Alternative first-line Second-line Third-line Contraindicated in pregnancy
Labetalol Nifedipine (MR) Methyldopa Doxazosin ACE inhibitors (safe when breastfeeding*)
Amlodipine Hydralazine Angiotensin II receptor antagonists Spironolactone
Selective β-blockers

*Avoid in acute kidney injury. Enalapril and captopril are the preferred agents, as safety data are limited for other drugs in this class.

ACE = angiotensin-converting enzyme; MR = modified release