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Hypertension: People with hypertension normally can use DMPA (U.S. MEC 2), with the exception of clients with extreme hypertension (systolic tension of ≥one hundred sixty mmHg or diastolic tension of ≥one hundred mm Hg) or vascular condition who normally should not use DMPA (U.S. MEC three).[1] Screening for hypertension prior to initiation of