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Review paper
Published online: 2021-07-13
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The risk of a blood pressure increase during treatment with selected psychotropic drugs

Monika Romańczyk, Stanisław Surma, Beata Kocyan, Karolina Kłos, Wiktoria Strona, Marek Krzystanek
DOI: 10.5603/AH.a2021.0015

open access

Ahead of print
REVIEW
Published online: 2021-07-13

Abstract

Arterial hypertension is the most common cardiovascular risk factor in the general population. Increased mortality from arterial hypertension affects all ethnicities and ages, including those with mental disorders. Most people with arterial hypertension suffer from the primary form of the disease. The aim of this article was to analyze the influence of psychiatric drugs on blood pressure. The articles for analysis were selected via the PubMed search engine in the Medline database using the names of individual drugs or a group of psychotropic drugs, the AND operator and the words "hypertension" or "blood pressure" or "cardiovascular system". The articles were then selected and 36 references were selected for analysis. Selected articles were archived on December 24, 2020. Many medications with the potential to increase blood pressure are used to treat mental illness. These include venlafaxine, milnacipran, bupropion, esketamine, 1st and 2nd generation antipsychotics, tricyclic antidepressants and psychostimulants. In patients using psychotropic drugs that may increase blood pressure, attention should be paid to monitoring it during treatment.

Abstract

Arterial hypertension is the most common cardiovascular risk factor in the general population. Increased mortality from arterial hypertension affects all ethnicities and ages, including those with mental disorders. Most people with arterial hypertension suffer from the primary form of the disease. The aim of this article was to analyze the influence of psychiatric drugs on blood pressure. The articles for analysis were selected via the PubMed search engine in the Medline database using the names of individual drugs or a group of psychotropic drugs, the AND operator and the words "hypertension" or "blood pressure" or "cardiovascular system". The articles were then selected and 36 references were selected for analysis. Selected articles were archived on December 24, 2020. Many medications with the potential to increase blood pressure are used to treat mental illness. These include venlafaxine, milnacipran, bupropion, esketamine, 1st and 2nd generation antipsychotics, tricyclic antidepressants and psychostimulants. In patients using psychotropic drugs that may increase blood pressure, attention should be paid to monitoring it during treatment.

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Keywords

blood pressure; arterial hypertension; psychotropic drugs; cardiovascular risk

About this article
Title

The risk of a blood pressure increase during treatment with selected psychotropic drugs

Journal

Arterial Hypertension

Issue

Ahead of print

Article type

Review paper

Published online

2021-07-13

DOI

10.5603/AH.a2021.0015

Keywords

blood pressure
arterial hypertension
psychotropic drugs
cardiovascular risk

Authors

Monika Romańczyk
Stanisław Surma
Beata Kocyan
Karolina Kłos
Wiktoria Strona
Marek Krzystanek

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