Template:Common Medications for BP Control in Acute Stroke

Common Medications for BP Control in Acute Stroke

Agent Typica Dose/Range Onset of Action Cautions/Contraindications
Labetalol 10-20 mg IV push; may repeat x 1 5 min Avoid in COPD, asthma, heart failure, bradycardia, heart block
Nicardipine IV infusion at 5 mg/h; titrate up by 2.5 mh/h q5-15 min; max 15 mg/h 1-5 min Avoid in severe aortic stenosis
Clevidipine 1-2 mg/h IV; titrate by doubling dose q2-5 min; max 21 mg/h 2-4 min; short half-life Avoid in egg/soy allergy
Hydralazine 10-20 mg IV; repeat q4-6 h 10-20 min