Which medication is typically used to control hypertension in patients with chronic kidney disease?

ACE inhibitors are typically the medication of choice for controlling hypertension in patients with chronic kidney disease (CKD) due to their ability to provide renal protective effects. These medications work by inhibiting the angiotensin-converting enzyme, which leads to decreased production of angiotensin II, a hormone that causes blood vessels to constrict. This vasodilation results in lowered blood pressure and reduced workload on the kidneys.

Additionally, ACE inhibitors have been shown to slow the progression of kidney disease, especially in patients who have underlying conditions such as diabetes or hypertension. By decreasing glomerular pressure, they help protect kidney function over time. This renal protective effect is particularly important in the management of hypertension for patients with CKD, making ACE inhibitors a first-line treatment in this population.

While beta blockers, calcium channel blockers, and diuretics can also be used to manage hypertension, they do not provide the same level of kidney protection as ACE inhibitors, which is crucial for patients with chronic kidney disease.