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Hypertension: Patients with hypertension commonly can use DMPA (U.S. MEC 2), with the exception of sufferers with severe hypertension (systolic strain of ?a hundred and sixty mmHg or diastolic strain of ?a hundred mm Hg) or vascular illness who commonly should not use DMPA (U.S. MEC 3).[one] Screening for hypertension just before initiation of DMPA