Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
- Gout
- Metabolic syndrome, Glucose intolerance, Pregnancy, Hypercalcemia, Hypokalemia, Erectile dysfunction
Mineralocorticoid receptor antagonists (MRA)
- Hyperkalemia, Serum creatinine >2.5 mg/dl„ in men, >2.0 mg/dL in women)
- Situations associated with higher risk of hyperkalemia (ACEI, ARB, diabetes)
ACE inhibitors
- Pregnancy, Angioneurotic edema, Hyperkalemia, Bilateral renal artery stenosis
- Women with child-bearing potential
Angiotensin receptor blockers
- Pregnancy, Hyperkalemia, Bilateral renal artery stenosis
- Women with child-bearing potential
Ca2+ channel blockers (dihydropyridines)
- Tachycardia/arrhythmia, Heart failure
Ca2+ channel blockers (verapamil, diltiazem)
- AV block (grade 2-3), Severe LV dysfunction, Heart failure
- Co-medication with CYP3A4- or Pgp-dependent drugs (e.g. statins, digoxin)
Beta Blockers
- Asthma, AV block (grade 2-3)
- Metabolic syndrome, Glucose intolerance, Athletes and physically active patients, Chronic obstructive lung disease, Psoriasis, Depression
Alpha Blockers
- Heart failure
Central sympatholytic drugs
- Depression, AV block (grade 2-3)
- Erectile dysfunction, Xerostomia
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