Adam
Forum Senior
Topics: 6
Posts: 137
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A COPD patient taking B-agonists, his BP is 150/90, What is the best medication to decrease his HTN ?
is it selective B-blockers, or ACEI, or other ones..?
Can anybody help me?
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I will not say I failed 1000 times.. I will say that I discovered there are 1000 ways that can cause failure ..
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| dr.wad
Forum Senior
Topics: 3
Posts: 335
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WHY NOT DIAURETICS.
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| sprint123
Forum Guru
Topics: 129
Posts: 870
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Intersting question...To be honest, I never thought of this situation --
Beta blockers -- Absolutely Contraindicated -- studis have shown that even topical appliation can cause episodes of bronchoconstriction
ACE-I : Well known side effect of dry cough and some exacerbations
Diuretics : It is safe however since the use of beta agonist and diuretics can potentiate hypokalemia -- electrolytes should be monitored. Diuretics --> Hypokalemic metabolic alkalosis --> Decreased ventilatory drive ---> Not good
CCB and ARB's like Losaratan can be used. Infact, CCB's also inhibit bronchial constriction by small means.
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| Adam
Forum Senior
Topics: 6
Posts: 137
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so, do u think that it's ARBs or CCB ..
___________________
I will not say I failed 1000 times.. I will say that I discovered there are 1000 ways that can cause failure ..
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| sprint123
Forum Guru
Topics: 129
Posts: 870
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I would go for CCB!
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| mildus
Forum Guru
Topics: 19
Posts: 614
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excellent question, it never came to my mind before
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| viket
Forum Newbie
Topics: 1
Posts: 11
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I also think we could use ccb. Preferably nifedipin. Patient can chew the pill and the effect would be much faster.
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| Korotkoff
Forum Senior
Topics: 14
Posts: 164
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What about thiazides and alpha-blockers?
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