Which class of drugs should not be used by patients with CAD or hypertension?
Avoid nondihydropyridine calcium-channel blockers, clonidine, moxonidine, and hydralazine without nitrates. Nonsteroidal anti-inflammatory drugs should be used with caution in patients with heart failure.
What medications Cannot be used to treat high blood pressure?
Some common types of OTC medicines you may need to avoid include:
- Decongestants, such as those that contain pseudoephedrine.
- Pain medicines (NSAIDs), such as ibuprofen and naproxen.
- Cold and flu medicines. …
- Some antacids and other stomach medicines. …
- Some herbal remedies and dietary supplements.
Which of the following drugs might be ordered to treat hypertension?
Commonly prescribed classes of hypertension medications include:
- Thiazide diuretics. These drugs work by increasing the amount of fluid the body eliminates through urination. …
- Calcium channel blockers. …
- ACE (angiotensin-converting enzyme) inhibitors. …
- Angiotensin II receptor blockers. …
- Beta blockers.
Which of the following medications is potentially harmful to patients with heart failure?
Drugs that can exacerbate heart failure should be avoided, such as nonsteroidal anti-inflammatory drugs (NSAIDs), calcium channel blockers (CCBs), and most antiarrhythmic drugs (except class III).
What should be avoided in heart failure?
When you have heart failure, you should avoid white bread, white rice, regular pasta, many boxed breakfast cereals, and other processed grains.
Is hydralazine contraindicated in CAD?
Hydralazine (applies to hydralazine) coronary artery disease
The use of hydralazine is contraindicated in patients with coronary artery disease. Reflex tachycardia may commonly occur. Palpitations and chest pain have also been reported. Myocardial infarction has been associated with the use of hydralazine.
What are the 4 best blood pressure drugs?
Many medications used in the past to lower blood pressure may not be the best choice for lowering your blood pressure today. The four classes of medications recommended by the most recent guidelines and research are thiazide diuretics, ACE inhibitors, ARBs, and calcium channel blockers.
What is the first drug of choice for hypertension?
The strongest body of evidence indicates that for most patients with hypertension, thiazide diuretics are the best proven first-line treatment in reducing morbidity and mortality.
How can hypertension be prevented?
Prevent High Blood Pressure
- Eat a Healthy Diet. Choose healthy meal and snack options to help you avoid high blood pressure and its complications. …
- Keep Yourself at a Healthy Weight. …
- Be Physically Active. …
- Do Not Smoke. …
- Limit How Much Alcohol You Drink. …
- Get Enough Sleep. …
Which DM drug class is contraindicated in patients with heart failure and why?
But herein lies the therapeutic conundrum: the classes of antihyperglycemic drugs that improve insulin sensitivity and have beneficial impact on cardiovascular risk factors, metformin and the TZDs, are both contraindicated in patients with advanced heart failure.
Why is diltiazem contraindicated in heart failure?
The calcium channel blockers, verapamil and diltiazem, should generally be avoided in patients with CHF, as their negative inotropic effects may exacerbate the disease.
Which types of drugs should be avoided or used with caution in individuals who have diabetes mellitus?
They recommend caution due to adverse effects in the use of thiazolidinediones, sulfonylureas, and meglitinides. The International Diabetes Federation recommends a sulfonylurea, meglitinide, or glucosidase inhibitor when metformin cannot be used.