Common high blood pressure meds affect mood disorders
Four commonly prescribed blood pressure medications may impact mood disorders such as depression or bipolar disorder, according to new research from the University of Glasgow.
In this, the first study comparing four common classes of antihypertensive drugs and risk of mood disorders, published in the American Heart Association’s journal Hypertension, two drugs were associated with an increased risk for mood disorders, while one appear to decrease mood disorder risk.
Lead author Sandosh Padmanabhan, Professor of Cardiovascular Genomics and Therapeutics at the Institute of Cardiovascular and Medical Sciences, said: “Mental health is under-recognized in hypertension clinical practice, and the possible impact antihypertensive drugs on mental health is an area that physicians should be aware of and consider if the treatment of high blood pressure is having a negative impact on their patient’s mental health.”
Researchers collected data on 525,046 patients (ages 40-80) from two large secondary care Scottish hospitals. They selected 144,066 patients being treated for hypertension with either angiotensin antagonists, beta blocker, calcium channel blockers or thiazide diuretics.
They were compared to a group of 111,936 patients not taking any of those drugs. Researchers followed the patients for five years, documenting hospitalisation for mood disorders, such as depression or bipolar disorder, after more than 90 days on the antihypertensive medications.
The researchers found there were 299 hospital admissions, predominantly due to major depression, among the patients studied, at an average 2.3 years after patients began antihypertensive treatment.
Patients on beta-blockers and calcium antagonists were at two-fold increased risk of hospital admission for mood disorder, compared to patients on angiotensin antagonists (angiotensin-converting enzyme inhibitors or angiotensin-receptor blockers).
Meanwhile, patients on angiotensin antagonists had the lowest risk for hospitalization with mood disorders compared to patients on other blood pressure meds and patients on no antihypertensive therapy.
Patients taking thiazide diuretics showed the same risk for mood disorders compared to patients taking no antihypertensive meds; and the presence of co-existing medical conditions increased the risk of mood disorders.
These findings suggest that angiotensin-converting enzyme inhibitors and angiotensin-receptor blockers that are used to treat hypertension may be useful as new or “repurposed” treatments for mood disorders, according to Padmanabhan.
He added: “It is important that these results are validated in independent studies. This is a single centre study, which looked at the risk of the more severe forms of mood disorders requiring hospitalisation. It would be important to study the effect of these drugs on minor to modest changes in mood, as these will have an impact on the quality of life among hypertensive patients.”
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First published: 6 October 2016