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Renal Crisis | New Onset Hypertension

Symptoms and Treatments

 Treatment Action Most common side effects

ACE Inhibitors

Enalapril (Vasotec®)
Lisinipril (Prinivil®, Zestril®)
Quinapril (Accupril®)
Ramipril (Altace®)
Fosinopril (Monopril®)
Benazepril (Lotensin®)
Trandolapril (Mavik®)

Block constriction of blood vessels Low blood pressure, dizziness,
increased blood-potassium level, headache,
dry cough, tiredness, photosensibility.

If taking corticosteroids, monitor your blood pressure frequently, and report changes to your healthcare provider immediately.

Warning About Corticosteroids and Renal Crisis

Corticosteroids, such as Prednisone and Medrol, have been used to treat several complications of systemic scleroderma, such as pulmonary fibrosis, pruritus (itchy skin), and joint pain.

Recent findings indicate that corticosteroids can be implicated in precipitating renal crisis.

Therefore, the medical community has concluded corticosteroids should be used cautiously, in a carefully screened patient population.

For example: to manage patients who also have myositis (muscle inflammation).

Anyone taking corticosteroids should monitor blood pressure frequently, and report changes to the healthcare provider immediately.


Scleroderma Medications Guide (Canada)