Table 13 BIHS position: Management of hypertension associated with phaeochromocytoma/adrenergic crisis.
From: Management of hypertensive crisis: British and Irish Hypertension Society Position document
Hypertensive emergency state | Phaeochromocytoma/ adrenergic crisis |
|---|---|
Speed of reduction and targets | Targets specific to the patient, BP, and specific presentation. |
Medications | α blockade with oral phenoxybenzamine (if unavailable doxazosin can be used) followed by β blockade if necessary. IV Phentolamine may be used in a crisis if needed. |
Phenoxybenzamine while preparing for surgery. β blockers are employed only if there’s persistence of tachycardia. | |
Benzodiazepines for illicit drug-induced hypertension such as cocaine and amphetamine induced. | |
Volume expansion with fluids and increased salt intake, as necessary to prevent postural hypotension and limit tachycardia. |
