Can tesamorelin (growth hormone-releasing factor) cause hypertension?

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Last updated: May 1, 2025View editorial policy

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From the Guidelines

Tesamorelin can potentially cause high blood pressure as a side effect, and patients should monitor their blood pressure regularly while taking this medication. Although the provided evidence does not directly discuss tesamorelin, it highlights the importance of managing hypertension and its potential causes 1. Tesamorelin, a growth hormone-releasing hormone (GHRH) analog, is used to reduce excess abdominal fat in HIV-infected patients with lipodystrophy. The mechanism behind its potential to cause high blood pressure relates to its stimulation of growth hormone release, which can influence fluid retention and vascular tone.

When using tesamorelin, typically administered as a 2 mg subcutaneous injection once daily, patients should be aware of the potential for increased blood pressure. Key points to consider include:

  • Monitoring blood pressure regularly, especially during the initial weeks of treatment
  • Consulting a healthcare provider promptly if persistent elevation in blood pressure is noticed
  • The possibility of dose adjustment or additional blood pressure management
  • Particular caution and close medical supervision for patients with existing hypertension or cardiovascular disease

It's essential to note that the evidence provided focuses on the management of elevated blood pressure and hypertension, emphasizing the importance of combination therapy and personalized treatment approaches 1. While tesamorelin's potential to cause high blood pressure is a consideration, the primary concern in managing hypertension involves a comprehensive approach that may include lifestyle modifications, medication, and regular monitoring.

From the Research

Tesamorelin and High Blood Pressure

  • There is no direct evidence in the provided studies that suggests tesamorelin causes high blood pressure 2, 3, 4, 5, 6.
  • The studies focus on the efficacy and safety of tesamorelin in treating HIV-associated lipodystrophy, and its effects on visceral adipose tissue, body image, and metabolic parameters.
  • None of the studies mention high blood pressure as a side effect of tesamorelin treatment.
  • However, it is worth noting that growth hormone axis treatments, including tesamorelin, can have various side effects, such as arthralgias and oedema, as reported in some studies 3, 4.
  • Further research would be needed to determine the potential effects of tesamorelin on blood pressure.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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