Table 4.
Drug class | Agent | Preference | Characteristics |
---|---|---|---|
ARB | Azilsartan | Preferred |
Most potent ARB Long duration of action |
Telmisartan | Preferred | Long duration of action | |
Irbesartan | Preferred | Long duration of action | |
All other long‐acting ARBs (candesartan, valsartan) | Acceptable | ||
Losartan and olmesartan | Non‐preferred |
Losartan—shorter duration of action Olmesartan—association with enteropathy |
|
ACE‐I | Lisinopril, ramipril, benazepril | Preferred | Long duration of action and widely available |
All other long‐acting agents (perindopril, trandolapril, quinapril, fosinopril, ramipril, moexipril) | Acceptable | Long duration of action | |
Enalapril and captopril | Non‐preferred | Short duration of action | |
CCBS | Amlodipine | Preferred | Solid evidence, long duration of action, and widely available |
Other long‐acting, once‐daily dihydropyridines (nifedipine, felodipine, nisoldipine) | Acceptable | Long duration of action | |
Non‐dihydropyridines: verapamil and diltiazem | Non‐preferred | Less evidence and more complicated side‐effect profile | |
Diuretics | Chlorthalidone | Preferred |
Long duration of action Supported by evidence Most potent thiazide‐like diuretic |
Hydrochlorothiazide | Acceptable | Shorter duration of action, widely available | |
Indapamide | Acceptable | May be more costly, less widely available |
ACE‐I, angiotensin‐converting enzyme inhibitors; ARB, angiotensin receptor blockers; CCB, calcium channel blockers.