1. 99.9999% of hydralazine prescriptions are written for high blood pressure by those who take the path of least resistance 2. Hydralazine is also bad when people develop vasculitis from it - ThreadSky

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christosargyrop.bsky.social • 82 days ago

1. 99.9999% of hydralazine prescriptions are written for high blood pressure by those who take the path of least resistance
2. Hydralazine is also bad when people develop vasculitis from it

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meducate.bsky.social•82 days ago

And lupus

gardeninglisa.bsky.social•82 days ago

Looked up the list of most common drug causes of vasculitis. Lots of these are commonly used 😬! What lab workup would you do first if you suspected drug-induced vasculitis?

christosargyrop.bsky.social•82 days ago

There are no specific tests, the standard vasculitis workup applies

cnewtoncheh.bsky.social•82 days ago

OK. HTN guidelines do not recommend hydralazine as 1st or 2nd line and adherence is challenging. But HFrEF guidelines do for persistent HFrEF despite ARNI/BB/MRA.

christosargyrop.bsky.social•82 days ago

Yes... the problem is that people want the path of least resistance: it blows to see people without HFrEF and kidney disease being on 100+ mg of this worthless for HTN POS instead of literary anything else in the planet

cnewtoncheh.bsky.social•82 days ago

I think the indication matters. Agree that it should have a tiny role in HTN Tx.

cnewtoncheh.bsky.social•82 days ago

I don’t say no one should prescribe doxorubicin just because it can cause HFrEF.

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