Table 5.
Identifiable Hypertension Caused by Drugs or Illicit Substances
Drug or Substance | Mechanisms for Hypertension |
---|---|
Diet pill, ephedrine, amphetamines, cocaine‐like agents | Catecholamine like‐actions |
Glucocorticoids: multiple actions | Increased plasma volume, increased renin substrate, altered prostaglandin, and nitric oxide effects |
NSAIDs36, 37 | Impaired prostaglandin production |
Oral contraceptive agents38 | Multiple actions, increased renin substrate |
Licorice39, 40 | Inhibits 11‐OH dehydrogenase producing acquired AME syndrome |
Cyclosporine and other calcineurin inhibitors41, 42 | Multiple effects including alteration of endothelial function, NO metabolism and enhanced renal tubular Na‐K‐Cl cotransport via WNK pathways |
Anti‐VEGF bevacizumab33 | Multiple vascular effects |
Abbreviations: AME, apparent mineralocorticoid excess; NSAIDs, nonsteroidal anti‐inflammatory drugs; VEGF, vascular endothelial growth factor.