What is the anti hypertensive drug of choice for a patient with co morbid diabetes Why?
ACE inhibitors and ARBs are preferred agents in the management of patients with hypertension and diabetes. If target blood pressure is not achieved with an ACE inhibitor or ARB, addition of a thiazide diuretic is the preferred second-line therapy for most patients with diabetes.
What are the contraindications of antihypertensive drugs?
Compelling contraindications are pregnancy, bilateral renal artery stenosis and hyperkalaemia. Angiotensin-II antagonists are the newest of the first- choice antihypertensive agents.
What blood pressure medicine should not be taken with metFORMIN?
lisinopril metFORMIN Using lisinopril together with metFORMIN may increase the effects of metFORMIN on lowering blood sugar. This could cause your blood sugar levels to get too low.
What is the first line medication for hypertension in diabetes?
In diabetic hypertensives, angiotensin converting enzyme inhibitors (ACEIs) are the first line in management of hypertension, and can be replaced by angiotensin II receptor blockers (ARBs) if patients are intolerant of them.
What are the side effects of antihypertensive drugs?
SIDE EFFECTS OF BLOOD PRESSURE MEDICINES
- Cough.
- Diarrhea or constipation.
- Dizziness or lightheadedness.
- Erection problems.
- Feeling nervous.
- Feeling tired, weak, drowsy, or a lack of energy.
- Headache.
- Nausea or vomiting.
What drugs Cannot be taken with metformin?
Other things to avoid while on metformin diuretics, such as acetazolamide. corticosteroids, such as prednisone. blood pressure medication, such as amlodipine (Norvasc) anticonvulsants, such as topiramate (Topamax) and zonisamide (Zonegran)
Is it OK to take losartan and metformin together?
In summary, metformin in combination with losartan has a good effect in the treatment of spontaneous hypertension, and the levels of serum and brain tissue VEGF and Ang II are significantly decreased, which could improve the condition of patients.
What blood pressure meds are safe for diabetics?
To lower blood pressure, people with diabetes and hypertension are usually first prescribed either an ACE (angiotensin converting enzyme) inhibitor drug like lisinopril or an ARB (angiotensin II receptor blocker) drug like losartan.