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March 12, 1997

Nifedipine for Hypertensive Emergencies

Author Affiliations

Roper CareAlliance Charleston, SC

JAMA. 1997;277(10):788-789. doi:10.1001/jama.1997.03540340022018

To the Editor.  —The article by Dr Grossman and colleagues1 documents several important points regarding the treatment of hypertensive emergencies and urgencies. The myth of the superiority of sublingual over oral nifedipine is dispelled nicely, and the adverse effects of sublingual nifedipine are equally well illustrated. The concept of a pseudoemergency, in which there is asymptomatic, excessive elevation of blood pressure, is presented to emphasize the prudence in not treating these patients aggressively. However, the conclusion to abandon the routine use of short-acting nifedipine capsules in hyper