This is a four-week randomized controlled single blinded trial of subjects presenting with resistant hypertension in a specialized diabetes care unit of Cameroon. They are randomly assigned using the method of blocks to treatment with a daily 25mg of spironolactone or to routine intensification of antihypertensive regimen , all added to previous regimen with unchanged diet. Visits are scheduled at the start of the treatment, at weeks two and four following add-on therapy initiation. The primary outcome is change in office and self-measurement blood pressure recorded at each visit, and secondary outcomes are variations in serum potassium, sodium, and creatinine levels.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
17
4-week add-on low dose spironolactone in resistant hypertension
4-week guidelines oriented intensification of antihypertensive treatment
National Obesity Centre, Yaounde Central Hospital
Yaoundé, Centre Region, Cameroon
Efficacy (Blood pressure reduction)
Blood pressure reduction
Time frame: 4 weeks
Potassium (Change in serum potassium)
Change in serum potassium
Time frame: 4 weeks
Creatinine (Change in serum creatinine)
Change in serum creatinine
Time frame: 4 weeks
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