Blood Pressure
Conditions
Keywords
Blood pressure, Hypertension, Paracetamol, Acetaminophen
Brief summary
The purpose of this study is to examine if chronic paracetamol dosing increases blood pressure in patients with known high blood pressure.
Detailed description
A prospective randomised, double-blind, crossover trial, comparing the effects of paracetamol 1g (500mg x2) four times daily with matched placebo on ambulatory and clinic BP, each given for 14 days, with a 14-day washout period.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* ≥18 years old, men or post-menopausal women (women with no periods for 12 months or more, or those who have had a surgical menopause) * Treated hypertensive patients with an average daytime ambulatory blood pressure measurement (ABPM) \<150/95mmHg on stable doses of one or more antihypertensive medication (at least one of which should be; an ACE inhibitor, angiotensin receptor blocker or diuretic) for 3 months, or untreated hypertensive patients with an average daytime ABPM ≥135/85 but \<150/95.
Exclusion criteria
* History of ischaemic heart disease, cardiac failure, cerebrovascular disease, liver impairment (ALT/AST\>50IU/L) or stage 3-5 chronic kidney disease. * History of overdose or suicidal ideation * Patients weighing \<55kgs. * Patients with chronic pain requiring treatment, with a known allergy to paracetamol, or concomitant use of non-steroidal anti-inflammatories , oral anticoagulants or corticosteroids.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Systolic ambulatory blood pressure | 14 days | Difference in mean daytime systolic ambulatory BP between the paracetamol and placebo treated groups. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Systolic clinic blood pressure | 14 days | Difference in systolic clinic BP between the paracetamol and placebo treated groups. |
| Diastolic ambulatory blood pressure | 14 days | Difference in mean daytime diastolic ambulatory BP between the paracetamol and placebo treated groups. |
Countries
United Kingdom