A 70 year old hypertensive white british man on thiazide diuretics needs a 2nd drug to control his BP. Which one of the following is the best choice for him?
belongs to book: 1700 MCQ REVISED VERSION TOPIC WISE|DR. KHALID SAIFULLAH|4th EDITION| Chapter number:1| Question number:81
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Medicine
The key is B. Enalapril. [In patients >55 yrs CCB. If CCB not suitable (oedema, heart failure) thiazide is preferred. In patients <55yrs ACEI or ARB. Now if patient is on CCB or Thiazide and 2nd drug is to be added it should be one of ACEI or ARB and not one from CCB or Thiazide].
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