Chronic Hypertension
Medicine treatment Referral O10.0 Stop oral antihypertensive medicines when pregnancy is planned or as soon as pregnancy is diagnosed, change to methyldopa and refer for assessment and management. MEDICINE TREATMENT Methyldopa, oral, 250 mg 8 hourly. Titrate to a maximum dose: 750 mg 8 hourly. When using iron together with methyldopa, ensure that iron and methyldopa are not taken concurrently. Lo
O10.0
Stop oral antihypertensive medicines when pregnancy is planned or as soon as pregnancy is diagnosed, change to methyldopa and refer for assessment and management.
MEDICINE TREATMENT
- Methyldopa, oral, 250 mg 8 hourly.
- Titrate to a maximum dose: 750 mg 8 hourly.
- When using iron together with methyldopa, ensure that iron and methyldopa are not taken concurrently.
LoE:IIIb19
REFERRAL
Urgent (within 2 days)
All cases.
Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare, 2025-9_Version 1.0_26 March 2026
Chapter 6: Obstetrics and Gynaecology_6.4.2.1 Chronic Hypertension