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Pharmacology General d3e82964

Drug of choice for managing asthmatic patient with hypeension: March 2009

A
Timolol
B
Propranolol
C
Metoprolol
D
Amlodipine
High-Yield Explanation
Ans. D: Amlodipine The management of hypeension in a patient with asthma or chronic obstructive pulmonary disease (COPD) may be made difficult by the asthma-inducing effect of some antihypeensives. As an example, beta blockers should be used with great caution or not at all in patients with chronic asthma (including chronic obstructive pulmonary disease) or acute allergic or exercise-induced bronchospasm. Calcium channel blockers are suitable as first line antihypeensive agent for: Asthma/ COPD patients. Recurrent stroke prevention Elderly with poor aerial wall compliance Isolated systolic hypeension Raynaud's/PVD patients Pregnant hypeensives Diabetes

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