Effects of antihypertensive drug classes on plasma renin and aldosterone
Medication class | Effect on plasma renin | Effect on plasma aldosterone |
---|---|---|
Beta-blockers | Decrease | Moderate decrease |
Central agonists (eg, clonidine, alpha-methyldopa) | Decrease | Moderate decrease |
Potassium-wasting diuretics | Increase | No change or moderate increase |
Potassium-sparing diuretics | Increase | Moderate increase |
Angiotensin-converting enzyme inhibitors | Increase | Moderate decrease |
Angiotensin receptor blockers | Increase | Moderate decrease |
Dihydropyridine calcium channel blockers | Moderate increase | No change or moderate increase |
Renin inhibitors | Moderate decrease or increasea | Moderate decrease |
↵a Renin inhibitors lower plasma renin activity but raise plasma renin concentration.
Based on information in reference 6.