TABLE 1

Effects of antihypertensive drug classes on plasma renin and aldosterone

Medication classEffect on plasma reninEffect on plasma aldosterone
Beta-blockersDecreaseModerate decrease
Central agonists (eg, clonidine, alpha-methyldopa)DecreaseModerate decrease
Potassium-wasting diureticsIncreaseNo change or moderate increase
Potassium-sparing diureticsIncreaseModerate increase
Angiotensin-converting enzyme inhibitorsIncreaseModerate decrease
Angiotensin receptor blockersIncreaseModerate decrease
Dihydropyridine calcium channel blockersModerate increaseNo change or moderate increase
Renin inhibitorsModerate decrease or increaseaModerate decrease
  • a Renin inhibitors lower plasma renin activity but raise plasma renin concentration.

  • Based on information in reference 6.