Medications For Which Weekly Blood Pressure and Pulse Monitoring Are Recommended* (Sorted by Generic Name)

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1 and Monitoring Are Recommended* acebutolol Sectral adenosine Adenocard, Adenoscan aldesleukin Proleukin aliskiren Tekturna aliskiren & HCTZ Tekturna HCT amiloride Midamor amiloride & HCTZ Moduretic amiodarone Cordarone amitriptyline Elavil amitriptyline & perphenazine Triavil amlodipine Norvasc amlodipine & atorvastatin Caduet amlodipine & benazepril Lotrel amlodipine & olmesartan Azor amlodipine & valsartan Exforge amoxapine Asendin amyl nitrite Amyl Nitrite atenolol Tenormin atenolol & chlorthalidone Tenoretic baclofen Lioresal benazepril Lotensin benazepril & HCTZ Lotensin HCT betaxolol Betoptic, Kerlone bisoprolol Zebeta bisoprolol & HCTZ Ziac brimonidine & timolol Combigan bromocriptine Parlodel bumetanide Bumex bupropion Budeprion TM SR, Budeprion L, Wellbutrin, Wellbutrin LTM, Wellbutrin SR, Zyban candesartan Atacand candesartan & HCTZ Atacand HCT TM captopril Capoten captopril & HCTZ Capozide carteolol Cartrol, Ocupress carvedilol Coreg, Coreg CR celecoxib Celebrex chlorothiazide Diuril chlorthalidone Hygroton, Thalitone clemastine Tavist

2 and Monitoring Are Recommended* clomipramine Anafranil clonidine Catapres, Catapres-TTS clonidine & chlorthalidone Clorpres cytomegalovirus immune globulin (CMV-IGIV) CytoGam darbepoetin alfa Aranesp desipramine Norpramin dextroamphetamine & amphetamine Adderall, Adderall R diazoxide Proglycem digitoxin Crystodigin digoxin Lanoxicaps, Lanoxin Cardizem, Cardizem CD, diltiazem Cardizem LA, Dilacor R, Tiazac dipyridamole Persantine disopyramide Norpace dofetilide Tikosyn dorzolamide & timolol Cosopt doxazosin Cardura doxepin Sinequan enalapril Vasotec enalapril & felodipine Lexxel enalapril & HCTZ Vasoretic epoetin alfa Epogen, Procrit eprosartan Teveten eprosartan & HCTZ Teveten HCT esmolol Brevibloc ethycrynic acid Edecrin felodipine Plendil flecainide Tambocor fosinopril Monopril fosinopril & HCTZ Monopril-HCT furosemide Lasix gabapentin Neurontin guanabenz Wytensin guanfacine Tenex hydralazine Apresoline hydralazine & HCTZ Apresazide hydrochlorothiazide (HCTZ) Hydrodiuril, Microzide TM, Oretic imipramine Tofranil

3 and Monitoring Are Recommended* inamrinone Amrinone, Inocor indapamide Lozol irbesartan Avapro irbesartan & HCTZ Avalide isocarboxazid Marplan isosorbide dinitrate Isordil, Sorbitrate isosorbide dinitrate & hydralazine BiDil isosorbide mononitrate Imdur, Ismo, Monoket isradipine DynaCirc labetalol Normodyne, Trandate levobunolol Betagan lidocaine ylocaine lisinopril Prinivil, Zestril lisinopril & HCTZ Prinzide, Zestoretic losartan Cozaar losartan & HCTZ Hyzaar maprotiline Ludiomil methlyene blue Urolene Blue methyclothiazide Enduron methyldopa Aldomet methyldopa & HCTZ Aldoril Concerta, Daytrana, methylphenidate Metadate ER, Metadate CD, Methylin, Methylin ER, Ritalin, Ritalin SR, Ritalin LA metipranolol OptiPranolol metolazone Mykrox, Zaroxolyn metoprolol succinate Toprol L metoprolol tartrate Lopressor mexilitine Mexitil milrinone Primacor minoxidil Loniten, Rogaine moexipril Univasc moexipril & HCTZ Uniretic nadolol Corgard nadolol & bendroflumethiazide Corzide nebivolol Bystolic niacin & lovastatin Advicor nicardipine Cardene

4 and Monitoring Are Recommended* nicotine nicotinic acid Commit, Habitrol, Nicoderm, Nicorette, Nicotrol Niacor, Niaspan, Nicobid, Nicolar, Slo-Niacin nifedipine Adalat CC, Afeditab TM CR, Procardia, Procardia L nimodipine Nimotop nisoldipine Sular nitroglycerin Deponit, Minitran, Nitro-Bid, Nitro-Time, Nitrodisc, Nitro-Dur, Nitrogard, Nitrol, Nitrolingual, Nitrostat, Transderm-Nitro nitroprusside Nitropress nortriptyline Pamelor olmesartan Benicar olmesartan & HCT Benicar HCT paclitaxel Onxol, Taxol paroxetine Paxil penbutolol Levatol pentamidine Nebupent, Pentacarinat, Pentam perindopril Aceon phenelzine Nardil phenoxybenzamine Dibenzyline phentolamine Regetine phenylephrine Sudafed PE pindolol Visken prazosin Minipress procainamide Procanbid, Pronestyl, Pronestyl procarbazine Matulane propafenone Rythmol propranolol Inderal, Inderal LA propranolol & HCTZ Inderide protriptyline Vivactil pseudoephedrine Sudafed quinapril Accupril quinapril & HCTZ Accuretic quinidine Quinidex, Quinaglute ramipril Altace ramipril & HCTZ Altace HCT rauwolfia alkaloids Reserpine sotalol Betapace

5 and Monitoring Are Recommended* spironolactone Aldactone spironolactone & HCTZ Aldactazide sumatriptan Imitrex telmisartan Micardis telmisartan & HCTZ Micardis HCT teniposide Vumon terazosin Hytrin timolol Betimol, Blocadren, Timoptic timolol & HCTZ Timolide torsemide Demadex trandolapril Mavik trandolapril & verapamil Tarka tranylcypromine Parnate travoprost & timolol DuoTrav TM triamterene & HCTZ Dyazide, Maxzide valsartan Diovan valsartan & HCTZ Diovan HCT venlafaxine Effexor verapamil Calan, Covera HS, Isoptin SR, Verelan * The above tables are not all-inclusive of agents that may require monitoring of BP or pulse. In certain cases, drugs such as digoxin and beta-blockers may require more frequent monitoring (e.g., daily). Additional monitoring may be warranted with other medications if changes in blood pressure or pulse are suspected (e.g., mild fluid retention from use of an NSAID) Vital signs should be documented in a consistent location within the individual medical record (e.g., MAR, Nurse s Notes, Vitals Sheet, etc.) References: American Society of Consultant Pharmacists - "Drugs with Recommended Weekly Blood Pressure/ Monitoring." Clinical Pharmacology Online (resource on the World Wide Web). URL: Lexi-Comp Online Web site. Available at:

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