DRUG STUDY: METHYLDOPA 4.
Monitor I&O ratios and weight and
assess for edema daily, especially at the
Generic name: Methyldopa
beginning of taking the drug
Brand name: Aldomet 5. Report involuntary choreoathetoid
movements, drugs may be stopped.
Drug class: Alpha2- agonists / Antihypertensive
drugs Why methyldopa helps to lower BP?
Pregnancy category: C - It allows the blood vessels which is the
veins and arteries to relax or widen and
MOA: Alpha2- agonists has two subclass the heart to beat slowly and easily.
substances which is the Alpha1- adrenergic
agonists and Alpha2- adrenergic agonists.
Methyldopa is a selective Alpha2- adrenergic
agonists. It stimulates the CNS alpha-adrenergic
receptor. If the said receptor activates, it helps
to decrease in sympathetic outflow to the heart,
kidneys, and blood vessels resulting to decrease
the BP.
Indications: Hypertension, Gestation
hypertension (PIH), Preeclampsia
Contraindications: Patients with active hepatic
disease (such as acute hepatitis) or active
cirrhosis; patients who had previous
methyldopa therapy that caused liver problems
Side effects:
- CNS: HA, dizziness, weakness
- CV: edema, bradychardia
- EENT: nasal congestion
- GI: dry mouth, nausea, vomiting
- GU: galactorrhea, darke urine
- Skin: rash
Adverse effects: Dizziness, light headedness,
drowsiness, HA, stuffy nose, weakness
Nursing interventions:
1. Monitor VS specifically the BP
2. Tolerance of the drug may occur,
adjusting dosage may be needed. If
patient’s response significantly, notify
prescriber.
3. After dialysis, monitor HTN and notify
the doctor