Short-term effect of tibolone on C-reactive protein in hypertensive postmenopausal women

Arch Gynecol Obstet. 2009 Mar;279(3):305-9. doi: 10.1007/s00404-008-0712-6. Epub 2008 Jun 27.

Abstract

Objective: To evaluate the effects of tibolone on the serum C-reactive protein (CRP) in hypertensive postmenopausal women.

Methods: We enrolled 45 postmenopausal patients with hypertension and 17 normotensive postmenopausal women. Inclusion criteria were surgical menopause, the presence of vasomotor symptoms, and normal mammogram within 1 year, the absence of documented coronary artery disease, and normal electrocardiography. Forty hypertensive women and 17 normotensive women completed the 3-month period. Twenty-one hypertensive women received tibolone, whereas 19 served as control. At baseline and at 3 months, blood lipids and CRP were evaluated.

Results: Changes in lipid profile and CRP in the hypertensive and normotensive control groups during 3 months were not statistically significant. Total cholesterol levels decreased significantly after 3 months of tibolone treatment. A significant increase in CRP values was observed in the tibolone group (p=0.001).

Conclusion: This trial demonstrated that tibolone treatment induced a significant increase in CRP and a significant decrease in total cholesterol in postmenopausal hypertensive women.

MeSH terms

  • Antihypertensive Agents / administration & dosage*
  • C-Reactive Protein / metabolism*
  • Cholesterol / blood
  • Female
  • Humans
  • Hypertension / blood*
  • Hypertension / drug therapy*
  • Middle Aged
  • Norpregnenes / administration & dosage*
  • Postmenopause / blood
  • Postmenopause / drug effects
  • Statistics, Nonparametric
  • Triglycerides / blood

Substances

  • Antihypertensive Agents
  • Norpregnenes
  • Triglycerides
  • C-Reactive Protein
  • Cholesterol
  • tibolone