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International Journal of Pharmaceutical & Biological Archives 2020; 11(2):65-70
ISSN 2582 – 6050
REVIEW ARTICLE
Novel Antihypertensive Drug Used in Clinical Practice: A Review
Sanjay Bais
1
*, Sarfaraz Kazi
2
, Sajid Shaikh
3
1
Department of Quality Assurance, Fabtech College of Pharmacy, Sangola, Solapur, Maharashtra, India,
2
Department
of Pharmacy, Shri Jagdishprasad Jhabarmal Tibrewala University, Jhunjhunu, Rajasthan, India,
3
Department of
Pharmacology, Vedprakash Patil College of Pharmacy, Georai Tanda, Aurangabad, Maharashtra, India
Received: 01 February 2020; Revised: 01 March 2020; Accepted: 01 April 2020
ABSTRACT
Introduction: Blood pressure (BP) control continues to be important in reducing cardiovascular risk, along
with the modifcation of other cardiovascular risk factors, especially cholesterol level. Lifestyle modifcation
to reduce BP may control Stage 1 hypertension. Drug treatment should be based on evidence of improved
outcomes and individualized account for the patient age, race, and quality of life. BP varies from minute
to minute and is infuenced by measurement technique, time of day, emotion, pain, discomfort, hydration,
temperature, exercise, posture, and drugs. Purpose of Review: In this review, we examine how synthetic novel
drugs involved in the management of hypertension not only in the wider population but also within special
population groups such as the elderly, pregnant women, and those with a trial fbrillation. Conclusion: The
extensive synthetic work carried out shows that some molecules are very effectively managing the hypertension
in all ages of patients. Summary: We have made an attempt in reviewing the literature on 1,2 pyrazoline
derivatives for their medicinal uses with the help of chemical abstract, journals, and internet surfng.
Keywords: Blood pressure, clinical management, hypertension, synthetics drugs
*Corresponding Author:
Dr. Sanjay Bais
E-mail: sanjaybais1968@gmail.com
INTRODUCTION
Blood pressure (BP) control continues to be
important in reducing cardiovascular risk, along
with the modifcation of other cardiovascular risk
factors, especially cholesterol level. Lifestyle
modifcation to reduce BP may control Stage 1
hypertension. Drug treatment should be based on
evidence of improved outcomes and individualized
account for patient age, race, and quality of life.
Although the number of cardiovascular deaths has
decreased over the past 25 years, achieving long-
term control of hypertension in millions of patients
remains an important objective. BP varies from
minute to minute and is infuenced by measurement
technique, time of day, emotion, pain, discomfort,
hydration, temperature, exercise, posture, and
drugs. The dividing line between normal BP and
hypertension is arbitrary.
[1,2]
According to the
Joint National Committee VI, hypertension is
when the diastolic BPs measurement is 90 mm
Hg or higher, and systolic BPs measurement is
consistently >140 mm Hg.
[3]
Hypertension remains
one of the largest unmet medical needs in the
21
st
century, especially when one considers that
hypertension is the potent of future debilitating
cardiovascular disease.
[1]
The interrelation of a
number of regulatory factors to control BP and
tissue perfusion was frst described by page in
1949. According to this concept, tissue perfusion/
pressure/resistance are interdependent on factors
designated chemical, reactivity, volume, vascular
caliber, viscosity, cardiac output, elasticity,
and multifactorial derangement of normal
equilibrium.
[4]
The baroreceptors, mainly in the
walls of the aorta and the internal carotid arteries,
act on rapidly adjust to changes in pressure (stretch)
response time in seconds. This is accomplished by
activation of afferent nerves from the baroreceptors