GENERAL HISTOLOGY

EXCRETORY SYSTEM

KIDNEY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Which hypertension medication would be preferred in a patient with CKD
A
Metoprolol
B
Lisinopril
C
Losartan
D
Nifedipine
Explanation: 

Detailed explanation-1: -Both dihydropyridine and non-dihydropyridine CCBs are useful in the management of hypertension in CKD. Dihydropyridine CCBs (such as amlodipine) can be used as first-line therapy in non-proteinuric CKD, either alone or in combination.

Detailed explanation-2: -Losartan treatment promotes to BP decrease and improvement of renal function, and also maintenance reduction in plasma CRP and UA which significantly associated with renal function index – GFR in EH pts with hypertensive CKD.

Detailed explanation-3: -These results indicate that losartan 50 mg, administered alone or in combination with HCTZ 12.5 mg, is more effective than amlodipine 5/10 mg in lowering blood pressure and albuminuria in patients with essential hypertension complicated by impaired renal function.

There is 1 question to complete.