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answer a
captopril
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| keri
Forum Senior
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correct
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| Delusional
Forum Elite
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This is too simple a question......the real question is ........
What if the patient has a C/I to ACE I.....like B/L renal artery stenosis....
what wld be the drug of choice in that setting?
and by the way it is not in the list........
:wink:
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| mle2
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losartan?
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| Delusional
Forum Elite
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No :oops:
It wldn't be right cause Losartan still works on Angiotensin and you still would compromise the renal Circulation and cause Renal Failure in the patient...
Losartan wld be given when cough is a side effect of ACE I...but when there is a complication related to Angiotensin then it wld be useless....
Give it another shot :wink:
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| prep4usmle
Administrator
Topics: 289
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Hi,
I would choose from:
a calcium chanel blocker
or an alfa chanel blocker
or a central inhibitor like clonidine.
All of these drugs should not affect the renal perfusion.
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| Delusional
Forum Elite
Topics: 41
Posts: 226
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Yes that is correct.....
But out of all these the ones tested statistically to improve renal function , prevent diabetic nephropathy in a diabetic with microalbuminuria are the ones u put first on ur list ......the non-dihydropyridine Ca++ channel antagonists and they are verapamil and diltiazem......
Of course they remain to be 2nd line agents to the the ACE I
Hey another thing good i got a chance to tell u thanx for this site......
Good Job
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