Treatment of Psoriasis in Hypertension with Blood Pressure 140/90 mmHg or Greater
When psoriasis occurs alongside hypertension — defined as a sustained blood pressure of 140/90 mmHg or greater — both conditions require coordinated clinical attention. The presence of elevated blood pressure influences the overall management approach.
Clinical Scenario
This protocol addresses psoriasis in patients with hypertension and blood pressure of 140/90 mmHg or greater. Patients meeting this threshold should be referred to their primary care provider for assessment and treatment of their blood pressure.
Treatment Approach
Antihypertensive therapy is carried out according to national guidelines. In specific psoriasis treatment contexts, certain cardiovascular drug classes play a particular role in managing blood pressure. The complete agent selection, sequencing, and clinical decision algorithm are available in the full protocol.
References
DOI: 10.1016/j.jaad.2018.11.058
- Patients with blood pressure of 140/90 mmHg or greater should be referred to their primary care provider for assessment and treatment.
- Antihypertensives and statins may be used as in the general population.
- The calcium-channel blocker amlodipine is often found to successfully reverse the effects of cyclosporine-induced hypertension.
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