Antihypertensive therapy in acute phase (both ischemic and hemorrhagic) can be under control optionally with adrenergic target, an alpha and beta blockers labetalol type, urapidil monotherapy or combination are of choice followed by the intravenous calcium channel blocker and if necessary reducing PIC (hematoma) the Diuretics can be ideal. Rarely we use the nitroprusside or nitrates in acute risk of sudden hypotension and increased ICP venodilator effect.
The major limitation is the acute phase fact of having few and non-easy intravenous drug holder. Ideal as drugs or intravenous calcium antagonists ACE inhibitors are not always available in most centers regardless of specialization. So the final management depends on that we have more experience. The use of continuous infusions can be very useful, but drugs such as labetalol should require continuous increase perfusion may cause saturation effect and sudden drop in blood pressure. Hence often it used especially this bolus of 50-100 mg / 6h.
In the absence of access or via peripheral need for more spectrum use drugs orally, unless permitted by the level of consciousness via nasogastric use