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5
Which potential side-effects of antihypertensive drugs do I need to inform the patient about?
● Informing the patient will increase the therapy adherence and, via earlier feedback and intervention, reduce the associated morbidity.
● All antihypertensives may result in hypotensive episodes. Examples of frequent drug class-specific side-effects are arrhythmia due to hyperkalemia with angiotensin converting enzyme inhibitors and angiotensin receptor blockers, persistent cough with ACE inhibitors (switch to an angiotensin receptor blocker), headache and ankle edema with calcium channel blockers, and bradycardic arrhythmias with beta blockers. Beta blockers and thiazide diuretics are diabetogenic and should be avoided in obese patients and those with pre-diabetes or diabetes.
● All antihypertensives may result in hypotensive episodes. Examples of frequent drug class-specific side-effects are arrhythmia due to hyperkalemia with angiotensin converting enzyme inhibitors and angiotensin receptor blockers, persistent cough with ACE inhibitors (switch to an angiotensin receptor blocker), headache and ankle edema with calcium channel blockers, and bradycardic arrhythmias with beta blockers. Beta blockers and thiazide diuretics are diabetogenic and should be avoided in obese patients and those with pre-diabetes or diabetes.
Flashcard info:
Author: LWojnowski
Main topic: Medicine
Topic: Pharmacology
School / Univ.: University Clinical Center
City: Mainz
Published: 24.05.2013