MSD Manual

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Drugs for Hypertensive Emergencies in Children

Drugs for Hypertensive Emergencies in Children

Type

Drug*

Some Side Effects

Labetalol

May cause an abnormally slow heart rate or wheezing

Nicardipine

May cause a fast heart rate

May raise cyclosporine or tacrolimus levels in the blood of children who take these drugs

Hydralazine

Headache, fast heart rate

Sodium nitroprusside†

May cause cyanide toxicity when used for more than 72 hours, or when used in children with kidney failure

May increase pressure in the skull

Esmolol

May cause a severely abnormally slow heart rate

* These drugs are given by vein (intravenously).

† This drug is used if labetalol or nicardipine cannot be used or does not work.