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Table 2 Reported adverse events by therapeutic class

From: Pharmacotherapy for hypertension in Sub-Saharan Africa: a systematic review and network meta-analysis

Class

Number

Withdrawn due to medication

Adverse effects reported (percentage of total participants)

 

Total (%)

Cough (%)

Headache (%)

Dizziness or postural hypotension (%)

Angioedema (%)

Ankle swelling (%)

Hypokalaemia (%)

Acute kidney injury (%)

Cardiac events (%)

Other serious events (%)

Death

ACEi or ARB

 Monotherapy

127

6

28.3

3.1

–

2.4

–

–

–

1.6

0.79

0.8

–

 Total

638

24

17.2

5.2

0.9

1.4

0.9

1.6

0.9

 

0.14

0.1

–

Beta-blockers

 Monotherapy

135

0

8.1

–

–

2.2

–

–

–

–

1.21

–

–

 Total

194

0

8.2

–

0.5

1.5

–

–

1.0

–

1.18

–

–

CCB

 Monotherapy

334

25

22.5

0.3

6.3

1.8

–

1.8

0.6

–

0.47

–

1*

 Total

752

27

20.3

2.0

4.0

1.5

0.3

3.3

2.1

–

0.25

–

–

Diuretics

 Monotherapy

120

0

4.2

–

–

1.7

–

–

–

–

0.47

0.5

1†

 Total

708

20

11.9

2.1

1.1

1.6

0.6

1.6

3.0

–

0.21

0.1

–

Other agents

 Methyldopa

13

1

76.9

–

–

–

–

–

–

–

–

–

–

 Potassium

42

0

0.0

–

–

–

–

–

–

–

–

–

–

 Placebo

39

0

0.0

–

–

–

–

–

–

–

–

–

1~

 K+ sparing agents in combination

56

0

10.7

–

1.8

–

–

–

–

–

–

–

–

  1. K+ potassium
  2. *On hydrochlorothiazide 12.5–25 mg and died from bowel obstruction
  3. †On Verapamil 240–360 mg and died from pneumonia
  4. ~On placebo and died from cerebral haemorrhage, no increase in baseline blood pressure
  5. –No adverse events, of this nature, reported