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Table 2 Special considerations for the management of hypertension in patients undergoing targeted therapy

From: Risks and management of hypertension in cancer patients undergoing targeted therapy: a review

Targeted therapy drug class

Preferred choice

Might be helpful

Drugs need to avoid

VEGF inhibitors

- VEGF antibody

- TKI

ACEI/ARB

Dihydropyridine calcium channel blocker

Nitrates

Avoid non-dihydropyridine calcium channel blocker for TKI users

Androgen inhibitors

- Abiraterone

- Enzalutamide

Eplerenone for abiraterone

Dihydropyridine calcium channel blocker

Avoid spironolactone for abiraterone

Proteasome inhibitors (carlifilzomib)

ACEI/ARB

Beta-blocker

-

-

PI3K inhibitor

-

ACEI/ARB

-

Oral Bruton’s tyrosine kinase inhibitor

Beta-blocker

-

Avoid non-dihydropyridine calcium channel blocker. Avoid medications that potentially can increase heart rate.

  1. VEGF, vascular endothelial growth factor; TKI, tyrosine kinase inhibitor; ACEI, angiotensin-converting enzyme inhibitor; ARB, angiotensin II receptor blocker