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bp
| Question | Answer |
|---|---|
| Asthma/COPD | Avoid non-selective BB. Use cardio-selective BB if BB needed. |
| Diabetes Mellitus (DM) | Caution with BB (BB masks symptoms of hypoglycemia). |
| Sulfa Allergy | Avoid thiazides/loops. |
| Sun Exposure | Avoid thiazides. |
| End-Stage Renal Disease (ESRD) | Avoid or caution with ACE/ARB due to increased risk of hyperkalemia. |
| Raynaud's Disease | Avoid BB, ergots, and triptans to prevent ischemia of affected fingers. |
| Gout/Kidney Stones | Caution with thiazides/loops. |
| General population | Thiazides, ACE, ARB, CCB |
| Diabetes Mellitus (DM) | Any of above, unless sign of renal damage is present, then ACE/ARB |
| Post Myocardial Infarction (S/P MI) or Coronary Artery Disease (CAD) | BB + ACE/ARB to help w/ morbidity and mortality |
| Congestive Heart Failure (CHF) | BB (carvedilol, metoprolol, bisoprolol) + Enresto/ACE/ARB + MRA |
| Pregnancy | Labetalol, Nifedipine ER (Procardia XL) |
| Raynaud's | DHP-CCB ('dipine') |
| Benign Prostatic Hyperplasia (BPH) | Alpha-blocker Watch for 1st dose phenomenon, orthostatic hypotension, syncope |
| Chronic Kidney Disease (CKD) | ACE/ARB to preserve remaining kidney function |
| ESRD | Loops & others |