Antihypertensives for chronic hypertension in pregnancy
For PIH/PE-1st choice- Labetalol
Chronic HT in Pregnancy-Labetalol or α-Methyl Dopa
HT Crisis-I/V Labetalol, I/V Hydralazine
Safe Antihypertensive:
- Labetalol
- Alpha-methyldopa (safest)
- Nitroglycerine
- Calcium channel blockers – nifedipine
- Hydralazine
- Sodium nitroprusside (last resort)
- Beta Blockers
Contraindicated during pregnancy:
- ACE inhibitors – like enalapril, captopril
- Angiotensin receptor blockers-Losartan
- Diuretics
- Atenolol
- Diazoxide